نبذة مختصرة : Anan Li,1,2 Yangfan Nie,1,2 Meixuan Chi,1,2 Naijuan Wang,1,2 Siying Ji,1,2 Zhaoying Zhu,1,2 Shan Li,1,2 Yunying Hou1,2 1Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Peopleâs Republic of China; 2School of Nursing, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, Peopleâs Republic of ChinaCorrespondence: Yunying Hou, Email houyunying@suda.edu.cnPurpose: Given the importance of adherence to health behaviors in patients with acute coronary syndrome (ACS) and the potential influence of mindfulness, it is important to determine the association between mindfulness and adherence to health behaviors and its potential mechanisms in this population. Perceived health competence is a personâs confidence in his/her ability to achieve health goals successfully and may explain how mindfulness influences adherence to health behaviors. This study aimed to examine the association between mindfulness and adherence to health behaviors and whether this association was mediated by perceived health competence.Methods: A cross-sectional study (N = 555) was conducted at the First Affiliated Hospital of Soochow University from September 2022 to January 2024. Patientsâ sociodemographic and clinical data, mindfulness (Mindful Attention Awareness Scale [MAAS]), and perceived health competence (Perceived Health Competence Scale [PHCS]) were assessed one-two days before discharge, and adherence to health behaviors (Medical Outcomes Study Specific Adherence Scale [MOSSAS]) was assessed one month after discharge. Good adherence to health behaviors was defined as achieving a cumulative score of ⥠80%. A mediating effect model was used to analyze data.Results: The mean score of adherence to health behaviors was 42.58 ± 7.13 and only 27.39% (152/555) of the patients had good adherence. Mindfulness positively predicted adherence to health behaviors (β = 0.13, P < 0.01). Perceived health competence partially mediated the associa
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