Relationship between Self-Care Agency and Health-Related Quality of Life

Authors

DOI:

https://doi.org/10.14482/sun.42.01.635.753

Keywords:

self-care, quality of life, hospitalizations, factor analysis, chronic disease.

Abstract

Objective: To determine the relationship between self-care agency and health-related quality of life in hospitalized chronically ill persons.

Materials and methods: A cross-sectional study with non-probabilistic convenience sampling. A total of 150 people with a diagnosis of chronic disease participated, who signed informed consent. A structured questionnaire for sociodemographic and clinical data, the Self-Care Agency Assessment Scale (ASA), and the EQ-5D-3L instrument with the visual analog scale (VAS) to assess health-related quality of life (HRQoL) were applied. The statistical analysis included exploratory factor analysis, internal consistency using Cronbach's alpha, descriptive statistics, and Spearman correlation (p < 0.05).

Results: The ASA scale showed high reliability (Cronbach's alpha = 0.87) and revealed a factor structure of six conceptually coherent dimensions that explain     66.8% of the total variance. Thirty-nine possible health states were identified from the five dimensions assessed in the EQ-5D-3L questionnaire. Quality of life was found to be most affected in the mobility dimension (60%). Also, significant correlations were observed between lower self-care agency and greater limitation in mobility (r = -0.180; p < 0.05).

Conclusion: The findings support the importance of integrating self-care agency assessment into hospital discharge planning, contributing to more personalized and effective interventions in the context of care for people with chronic diseases.

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Published

2026-01-28

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ORIGINAL ARTICLE

How to Cite

Relationship between Self-Care Agency and Health-Related Quality of Life. (2026). SCIENTIFIC JOURNAL SALUD UNINORTE, 42(1), 101-119. https://doi.org/10.14482/sun.42.01.635.753

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