{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:17:50Z","timestamp":1788182270021,"version":"build-2803163510"},"reference-count":0,"publisher":"Springer Publishing Company","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Res Theory Nurs Pract"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Moyamoya disease is a chronic cerebrovascular condition requiring ongoing self-management to prevent complications. Riegel\u2019s theory of self-care in chronic illness posits that factors such as disease knowledge, self-efficacy, social support, and access to care influence self-care maintenance, monitoring, and management, which in turn affect health outcomes and quality of life (QoL).\n                    <jats:bold>Aim:<\/jats:bold>\n                    To test a structural equation model of factors influencing self-care and outcomes in adults with moyamoya disease based on Riegel\u2019s self-care theory.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A cross-sectional survey of 211 adults with moyamoya disease collected data on disease knowledge, self-efficacy, social support, access to care, self-care maintenance, monitoring, management, health status, and QoL (Korean version of the 12-Item Short Form Health Survey). Structural equation modeling was performed using IBM SPSS Statistics 30.0 and AMOS 30.0 to test the hypothesized model.\n                    <jats:bold>Results:<\/jats:bold>\n                    The proposed model demonstrated good fit. Disease knowledge, self-efficacy, social support, and access to care were significantly associated with self-care maintenance, monitoring, and management. These self-care processes, in turn, were positively related to better health status and higher QoL. The model explained a substantial proportion of variance in health status and QoL.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The findings support the applicability of Riegel\u2019s self-care theory in moyamoya disease. Interventions to enhance patients\u2019 disease knowledge, self-efficacy, social support, and access to care may improve self-care and ultimately lead to better health outcomes and QoL in this population.\n                  <\/jats:p>","DOI":"10.1891\/rtnp-2026-0007","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:30:16Z","timestamp":1788179416000},"page":"RTNP-2026-0007.R1","source":"Crossref","is-referenced-by-count":0,"title":["Self-Care Processes as Predictors of Quality of Life in Adults With Moyamoya Disease: A Structural Equation Modeling Study"],"prefix":"10.1891","author":[{"given":"Jeongwon","family":"Yeom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Sun","family":"Yeom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2026,8,31]]},"container-title":["Research and Theory for Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/RTNP-2026-0007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:30:16Z","timestamp":1788179416000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/RTNP-2026-0007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":0,"alternative-id":["10.1891\/RTNP-2026-0007"],"URL":"https:\/\/doi.org\/10.1891\/rtnp-2026-0007","relation":{},"ISSN":["1541-6577","1945-7286"],"issn-type":[{"value":"1541-6577","type":"print"},{"value":"1945-7286","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}