Patients’ Cardiac Self-Efficacy After Coronary Artery Angioplasty

Abstract

Background: The patients undergoing coronary artery angioplasty should be motivated to adhere to lifestyle modifications. One of the factors affecting this issue is cardiac self-efficacy. Cardiac self-efficacy motivates individuals to select a lifestyle related to their cardiovascular diseases through creating the desire to adjust with such behaviors. Objectives: The current research aimed to determine the cardiac self-efficacy predictors after coronary artery angioplasty. Patients and Methods: In this cross-sectional study, 193 patients undergoing coronary artery angioplasty in Dr. Heshmat educational therapeutic center were selected through convenience sampling. The data were collected by a questionnaire consisted of two sections, including socio-demographic factors and cardiac self-efficacy after oral consent of the subjects. Then data were analyzed via descriptive (frequency distribution, mean and standard deviation) and inferential statistics (Pearson, ANOVA and independent t-test). To define cardiac self-efficacy predictors, multi-linear regression model was applied. Results: Based on the obtained results, the mean age of subjects was 58.35 � 9.97 years, the majority were male (60.6%) and the underlying diseases history (57.5%) and the mean time interval between repeated angioplasty was 17.48 � 25.2 months. Also the mean score of cardiac self-efficacy among these patients was 8.43�4.5. Also, based on the results of the statistical tests, there was a significant relationship between age (P < 0.001), gender (P = 0.024), education (P < 0.0001), hypertension history (P = 0.006), living conditions (P = 0.03), job (P = 0.001) and monthly income (P = 0.003) with cardiac self-efficacy. As the multi-linear regression test results suggested, age was the only cardiac self-efficacy predictor. Conclusions: The current study results implied low cardiac self-efficacy score in the study units; then it isrecommendedto consider care plans to improve the cardiac self-efficacy.