Cardiac Self-efficacy Research Articles

A Behavioral Change-Based Mobile Intervention for Promoting Regular Physical Activity in Medical Rehabilitation Maintenance of Patients With Coronary Artery Disease: Controlled Trial.

Cardiac rehabilitation is known to reduce coronary artery disease (CAD) severity and symptoms, but adoption of a healthy postrehabilitation lifestyle remains challenging. Innovative eHealth solutions could help, but behavioral change-based eHealth maintenance programs for patients with CAD are scarce. RehaPlus+ aims to improve postrehabilitation outcomes with a personalized eHealth intervention built on behavioral change concepts emphasizing healthy lifestyle changes, especially regular physical activity (PA). This study aims to evaluate the effectiveness of the personalized eHealth program RehaPlus+ for promoting regular PA against usual care. A total of 169 patients with CAD who had undergone stent implantation or bypass surgery were recruited after completing center-based phase II rehabilitation. They were then divided, without blinding, into 2 groups using a quasi-experimental approach: a case manager-assisted 24-week eHealth program (RehaPlus+; n=84) and a conventional physician-assisted outpatient program (usual care; n=85). The study was designed as a noninferiority trial. RehaPlus+ participants received motivational messages twice weekly for 6 months, and the usual care group engaged in a 6-month outpatient program (twenty-four 90-minute strength and endurance training sessions). The primary outcomes, evaluated using the self-assessed Bewegungs- und Sportaktivität questionnaire, were regular PA (≥150 min/wk) and weekly activities of daily living (ADLs) 6 months after rehabilitation. Secondary outcomes involved PA during work and floors climbed weekly (measured by Bewegungs- und Sportaktivität questionnaire), psychological well-being (assessed by the 5-item World Health Organization Well-Being Index), cardiac self-efficacy, health-related quality of life (measured by the 36-Item Short Form Survey), and work ability (using the Work Ability Index). Data of 105 patients (RehaPlus+: n=44, 41.9%; usual care: n=61, 58.1%; male patients: n=80, 76.2%; female patients: n=25, 23.8%; mean age 56.0, SD 7.3 years) were available at the 6-month follow-up. At 6 months after discharge from phase II cardiac rehabilitation, the RehaPlus+ group exhibited 182 (SD 208) minutes per week of PA and the usual care group exhibited 119 (SD 175) minutes per week of PA (P=.15), with no interaction effect (P=.12). The RehaPlus+ group showed an ADL level of 443 (SD 538) minutes per week compared to the usual care group with 308 (SD 412) minutes per week at the 6-month follow-up, with no interaction effect (P=.84). The differences observed in PA and ADL levels between the RehaPlus+ and usual care groups were within the predefined 1-sided noninferiority margin, indicating that the RehaPlus+ intervention is not inferior to usual care based on these outcomes. There were no differences between the groups for all secondary outcomes (P>.05). RehaPlus+ is not inferior to the usual care program, as both groups improved PA and ADLs to a similar extent. These findings emphasize the potential of eHealth interventions to assist in maintaining healthy lifestyles after rehabilitation. ClinicalTrials.gov NCT06162793; https://clinicaltrials.gov/study/NCT06162793.

Cardiac Self-efficacy, Illness Perception and Health-Related Quality of Life in Patients with Ischemic Cardiomyopathy

Introduction: Illness perception and positive illness beliefs are protective factors that enhance the management of cardiac disease and improve HRQOL. The aim was to determine the relationship of cardiac self-efficacy and illness perception with HRQOL in patients with ischemic cardiopathy candidates for coronary artery bypass grafting surgery. Method: Cross-correlational study. 87 hospitalized patients with coronary artery disease requiring coronary revascularization surgery were recruited from a Cardiac Surgery Unit of a Hospital in Mexico City. Results: The study included 79.3% male patients with an average age of 63 years (S.D.=8.6). The correlation coefficient indicated a positive relationship between HRQOL and cardiac self efficacy (p=0.001), and a negative association between HRQOL and illness perception (p=0.001). Multiple regression analysis demonstrated a significant impact of illness perception and cardiac self-efficacy on the variability of HRQOL (p=0.046, β=0.200 and p=0.001, β=-0.412, respectively), regardless of the patient's age, gender, and education. Conclusion: Both cardiac self-efficacy and illness perception were found to be significantly linked to all aspects of health-related quality of life. These factors played a crucial role in explaining the variability of HRQOL regardless of the patient's age, gender, and education level. Patients who feel capable of managing the challenges posed by their illness tend to have a more positive perception of their HRQOL. Conversely, negative beliefs about heart disease were associated with a lower HRQOL.

Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study

Introduction: This study aimed to determine the association of physical activity and self-efficacy in patients with coronary heart disease. Methods: A cross-sectional study was conducted among outpatients of coronary heart disease at a cardiovascular center. A total of 238 coronary heart disease patients were included in the study using a purposive sampling technique. The self-efficacy was measured using the cardiac self-efficacy scales (CSE), and the physical activity was measured using the long form International Physical Activity Questionnaire (IPAQ). Data analysis used the Chi-square test, Spearman correlation test and multivariate linear regression. Results: Self-efficacy was strongly positively correlated with physical activity in coronary heart disease patients (r = 0.956; p = 0.001). Domain-specific correlations included domestic (r=0.419, p<0.001), work (r=0.383, p<0.001), leisure time (r=0.296, p<0.001), and transport (r=0.247, p<0.001). Multiple linear regression analysis showed that employment status had the most significant negative impact on physical activity (B = -246.477), while age (B = 123. 889) and self-efficacy (B = 93.513) were positively associated with physical activity. These results indicate that higher self-efficacy and older age are linked to increased physical activity, whereas employment status is associated with decreased physical activity. Conclusions: In this population, self-efficacy, remaining working status and age are important factors of physical activity in coronary heart disease patients. Keywords: coronary heart disease, good health and well-being, physical activity, self-efficacy

Health Education Impact on Acute Coronary Syndrome (ACS) Patients' Self-Efficacy & Self-Care

Acute Coronary Syndrome (ACS) is a life-threatening condition. Health education interventions are needed as secondary prevention efforts. This study aimed to analyze the effect of health education on self-efficacy and self-care for ACS patients. This study used a pre-experimental one-group pre-posttest design. The number of samples was 41 respondents taken by purposive sampling technique. Self-efficacy was measured using the General Self-Efficacy (GSE) questionnaire, Cardiac Diet Self-Efficacy (CDSE), and Cardiac Self-Efficacy (CSE). Self-Care Coronary Heart Disease Inventory (S-C CHDI) was used to measure self-care of the patients. Data were analyzed using a dependent t-test. The results showed an increase in the average score of self-efficacy before health education from 129.12 (SD = 16.65) to 142.49 (SD = 13.34) after health education. The self-care score before health education was 51.78 (SD = 11.51), which increased to 59.90 (SD = 10.25) after health education was performed. There was a significant increase in self-efficacy and self-care after health education was conducted, with a p-value = 0.001 <0.05. There was a significant influence of health education intervention on self-efficacy and self-care of patients with ACS. Health education can be programmed as a nursing intervention for ACS patients who are receiving treatment in a hospital.

Comparison of the effect of telephone follow-up with social network follow-up program on self-efficacy and depression in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial

IntroductionCoronary artery bypass graft (CABG) surgery is a common procedure to improve blood flow to the heart muscles, but patients often face challenges during the recovery period. Self-efficacy and depression play crucial roles in patient outcomes. Telephone follow-up and social network follow-up have been introduced as interventions to enhance self-efficacy. This study aims to compare the effectiveness of telephone follow-up and social network follow-up on self-efficacy and depression in CABG patients. MethodThe study is a single-blinded, randomized controlled trial conducted at Shahid Rajaee Heart Hospital in Tehran, Iran. The sample size was determined to be 99 patients who met the inclusion criteria. Data were collected using a demographic questionnaire, Sullivan's cardiac self-efficacy questionnaire, and the Beck Depression Inventory (BDI). Participants were assigned to three groups: control, telephone follow-up, and WhatsApp follow-up using randomization. Data were analyzed using IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, N.Y., USA). ResultsThe results revealed significant improvements in self-efficacy and reductions in depression scores for both the telephone and WhatsApp follow-up groups compared to the control group following the intervention (p < 0.001). Additionally, the mean self-efficacy score was higher and the mean depression score was lower in the WhatsApp follow-up group than in the telephone follow-up group after the intervention (p < 0.001). DiscussionThe findings provide valuable insights for healthcare professionals in choosing appropriate interventions to enhance patients' self-efficacy levels and improve mental health outcomes. Both telephone follow-up and social network follow-up interventions have their own advantages and can be effective in supporting patients' recovery after CABG surgery.

Psychometric Testing of the Korean Version of the Self-Care of Coronary Heart Disease Inventory Version 3

PurposeThis methodological study evaluated the psychometric properties of the Self-Care of Coronary Heart Disease Inventory version 3 (SC-CHDI v3) in a Korean context. MethodsThe SC-CHDI v3 was translated into Korean following a rigorous translation process. Participants were 452 patients who had experienced coronary heart disease (CHD), all recruited from a tertiary hospital in Korea. Exploratory and confirmatory factor analyses were performed to test construct validity. Concurrent validity was examined by correlating scores from the Korean version of the SC-CHDI v3 with those from the Cardiac Self-Efficacy Scale. Internal consistency was analyzed using Cronbach’s alpha and McDonald’s omega. ResultsThe Korean version of the SC-CHDI v3 consists of 21 items, excluding two from the original instrument. The self-care maintenance subscale identified a two-factor structure: “treatment adherence” and “health-promoting behaviors.” The goodness-of-fit indices were satisfied: χ2 = 18.19, p = .110, comparative fit index (CFI) = .97, Tucker-Lewis Index (TLI) = .95, and standardized root mean square residual (SRMR) = .04. The self-care monitoring subscale consisted of a one-dimensional structure (“monitoring behaviors”) and the goodness-of-fit indices were satisfied: χ2 = 19.19, p = .059, CFI = .99, TLI = .99, and SRMR = .04. The self-care management subscales had a two-factor structure of “consulting behaviors” and “problem-solving behaviors.” The goodness-of-fit indices were satisfied: χ2 = 16.44, p = .037, CFI = .99, TLI = .98, and SRMR = .03. Scores from the Cardiac Self-Efficacy Scale showed a positive correlation with the Korean version of SC-CHDI v3 subscales. Reliability estimates were ≥ .80 for all subscales except for the self-care maintenance subscale. ConclusionsThe Korean version of the SC-CHDI v3 consists of 21 items in 3 subscales and is a valid and reliable instrument. Therefore, healthcare providers can effectively utilize it to assess the self-care levels of patients with CHD.

The Relationship Between Self-Efficacy and Functional Capacity Among Discharged Heart Failure Patients in Jordan.

Self-efficacy is an important factor associated with healthy lifestyle changes in heart failure treatment. Functional capacity testing of heart failure patients (HFPs) can stratify prognosis. Reduced functional capacities in HFPs are linked to a poor heart failure prognosis. Limited research has examined the potential relationship between self-efficacy and functional capacity. The aims of this study were to assess self-efficacy level and functional capacity among HFPs after hospitalization, and examine whether there is a relationship between them. A descriptive correlational design was used. A convenience sample of 220 HFPs was recruited from 2 hospitals in Jordan. The Arabic version of Cardiac Self-Efficacy Questionnaire was used to assess self-efficacy, the 6-Minute Walking Test (6-MWT) was used to assess functional capacity, and the Borg rating of perceived exertion scale (Borg Scale) was used to assess exertion during 6-MWT. The sample included 46.8% male (n = 103) and 53.2% female (n = 117). The mean age was 52.66 ± 8.91 years. Most of the HFPs were categorized based on New York Heart Association classification as class I, 35.9% (n = 79), and class II, 41.4% (n = 91). The mean ejection fraction was 41.46 ± 9.44. The global self-efficacy was moderate (32.98 ± 9.92), and the mean score for the 6-MWT was 494.35 ± 143.37. The Borg Scale mean was 10.94 ± 3.34. In addition, there was a positive relationship between self-efficacy and 6-MWT (r = 0.63, n = 220, P = .01). This study provides baseline data for further research on treatment of HFPs, and the development of evidence-based tailored health interventions to maintain and improve self-efficacy and functional capacity among these service users. Moreover, replicated researches can test the study results considering different methodologies, such as using objective functional capacity tool and longer follow-up periods.

Network analysis to examine sex differences linked to emotional well-being in cardiovascular disease.

Psychosocial dimensions are essential to guarantee an optimal approach to improve emotional well-being in patients with cardiovascular disease (CVD). There is evidence of sex differences regarding these dimensions. Thus, the connections between them are crucial to implement personalized therapies. Network model analyses were conducted on data from 593 CVD patients. The models included scores from the Hospital Anxiety and Depression Scale (HADS), positive (PA) and negative affect (NA), positivity (PS), satisfaction of life (SLS), social support (SS), self-efficacy on emotion regulation (RESE), cardiac self-efficacy (CSE) and the Short Form-12 Health Survey. The main sex differences were found in: PA-PS (p = 0.03), SS-RESE (p = 0.04), for which the positive associations are stronger for men than for women and PA-RESE (p < 0.01) for which the positive association is stronger for women than for men. These nuances should be considered to implement tailored and integrative therapies for each CVD patient.

Predicting physical activity and quality of life in coronary heart disease patients: An 18-month path analysis of motivational and emotional factors.

Investigating factors that promote cardiovascular health outcomes is essential for secondary prevention. In a sample of coronary heart disease patients, we examined the direct and indirect effects of selected psychological factors on physical activity behavior and health-related quality of life (HRQoL) over 18 months. Patient-reported data were collected over three time points. Through structured equation modeling, a longitudinal path analysis was conducted to estimate the indirect effects of baseline HRQoL and cardiac self-efficacy on reported physical activity behavior and HRQoL (evaluated at 18 months) through the mediation of anxiety and depression symptoms, patients' reported intention to change the behavior, and emotions regulation strategies (evaluated at 9 months). A total of 410 patients were included. Significant indirect effects of baseline HRQoL (β = .05, 95% CI [-0.001, 0.111]) and cardiac self-efficacy (β = .105, 95% CI [0.06, 0.16]) on physical activity behavior were found, with anxiety symptoms and emotions regulation strategies as significant mediators. Additionally, the mediation of reported intention in the association between cardiac self-efficacy and physical activity levels was estimated. At the final follow-up, we also found a significant direct association between physical activity behavior and HRQoL (β = .12, p < .01), which was indirectly impacted by baseline HRQoL (β = .006, 95% CI [0.000, 0.017]) and cardiac self-efficacy (β = .012, 95% CI [0.003, 0.027]). This study underlines the significance of addressing stress management, anxiety symptoms reduction, and cardiac self-efficacy enhancement when targeting better cardiovascular health outcomes. Identifying cardiovascular risk profiles based on these findings may benefit future clinical practice and further inform secondary prevention policy guidelines. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Cardiac Self-efficacy and Perception among CAD Patients

Coronary Artery Disease (CAD) is a leading cause of mortality, in developed countries. The economic development, conquering of infectious diseases as well as an increasing westernization of lifestyle, in the past three decades have increased the prevalence of cardiovascular risk factors among these countries. As self-efficacy is considered as a major concept which can affect CAD patients’ behaviors in the adherence to medication schedule, healthy diet, physical activities, it has to be studied and modified, so that there will be positive effects on patient’ quality of life. This study aimed at assessing the cardiac self-efficacy and perceived social support among patients with CAD. The researchers intended to examine the correlation between cardiac self-efficacy and perceived social support, as well as the association between cardiac self-efficacy and selected demographic variables of patients with CAD. Forty patients diagnosed with CAD, were recruited from cardiology OPDs of a tertiary care hospital, in Kannur, North Kerala. Patients have already diagnosed with CAD. The modified cardiac self-efficacy scale was used to assess the self-efficacy of patients with CAD. A positive correlation between cardiac self-efficacy and perceived social support was found among patients with CAD significant at 0.01 level (2-tailed). Health awareness about the importance of treatment adherence will be improved, which will indirectly foster the self-efficacy and overall health outcomes among CAD patients.

The effect of hospital-to-home transitional care using a digital messaging application on the health outcomes of patients undergoing CABG and their family caregivers: a randomized controlled trial study protocol.

Given the increasing trend of care transition from healthcare settings to patients' own home, patients and their family caregivers should take more responsibilities for care at own home. This study is going to investigate the effect of a transitional care program from hospital to own home using a digital messaging application on patients' undergoing coronary artery bypass graft (CABG) surgery and their family caregivers' health outcomes. A parallel randomized controlled trial study will be conducted in a hospital in a metropolis located in southwestern Iran. Sampling will be performed sequentially and the eligible dyad of patients and family caregivers will be randomly assigned to intervention and control groups. The intervention group will receive a transitional care program for 8 weeks using the WhatsApp on the mobile phone based on the person-centered care approach, but the control group will receive routine care for patient's transition. Data collection will be conducted at baseline, immediately after the intervention, and two months after the intervention using demographic questionnaire, Cardiac Self-Efficacy Scale (CSES), MacNew Heart Disease Health-Related Quality of Life questionnaire (MNHD-Q), Cardiac Symptom Scale (CSS), Morisky Medication Adherence Scale, and Caregiver Burden Scale (CBS). Descriptive and inferential statistics will be used for data analysis. The results of this study will allow evaluating the effectiveness of an innovative transitional care program to patients' own home using a digital messaging application. If the transitional program is shown feasible and effective it can be incorporated into existing care programs and stimulate further studies on the use of digital solutions for improving the continuity of care in own home.

Effect of Motivation Based Nursing Intervention on Physical Activity and Cardiac Self-Efficacy among Patients with Coronary Heart Diseases

Coronary heart diseases are leading causes of death worldwide. Improvements in physical activity behavior and cardiac self-efficacy are useful to adopt a healthy lifestyle and to promote person-centered care in practice.

Patient's learning needs and self-efficacy level after percutaneous coronary intervention: A descriptive study.

Identify and compare learning needs, levels of self-efficacy and their association among inpatients and outpatients of a cardiac care unit with coronary heart disease who have undergone percutaneous coronary intervention (PCI) in a Swiss university hospital. After primary PCI, 42% of patients will suffer a recurrent ischemic cardiovascular event. Although adherence to therapeutic regimen contributes to prevent recurrence, patient adherence remains low. To strengthen it, learning needs and self-efficacy must be considered when developing effective therapeutic patient education (TPE). Learning needs and self-efficacy were assessed using the Cardiac Patient Learning Needs Inventory (CPLNI) and the Cardiac Self-Efficacy Scale among inpatients and outpatients. The STROBE checklist for cross-sectional studies was used in reporting this study. Ninety-three patients participated in the study with a participation rate of 73.9%. The CPLNI median total score was significantly higher in inpatients than in outpatients: 4.23 (3.82, 4.64) versus 3.67 (3.33, 4.09), p < .001. In both units, participants declared that the most important need was related to 'anatomy and physiology' of the heart. Despite the high score, the least important need was about 'physical activity' for inpatients and 'miscellaneous information' for outpatients. No statistically significant differences were found among patients from both units regarding their self-efficacy level. This study shows that after PCI, patients have high learning needs and moderate levels of self-efficacy that require addressing. Patient's individual learning needs and self-efficacy level must be assessed prior/after PCI. A tailored TPE that considers individual learning needs and self-efficacy is recommended as a preventative measure to reduce recurrent ischemic cardiovascular events. Nurses can play a key role in this process. For feasibility reasons, patients and public were not involved in the design, conduct, reporting or dissemination plans of this research.

Spanish validation of the cardiac self-efficacy scale: a gender invariant measure

ABSTRACT The aim is to validate the Spanish version of the Cardiac Self-Efficacy (S-CSE) Scale by examining its psychometric properties and to test the invariance for women and men. Two groups − 722 and 522- of patients completed the S-CSE Scale and other psychosocial measures during a medical revision several months after being diagnosed with cardiovascular disease. Construct validity was psychometrically evaluated using exploratory factor analysis (EFA) with a split of the first sample and confirmatory factor analysis (CFA) with a second split of the same sample. Scale structure was confirmed using the second sample. Convergent, discriminant, and external validity were tested. Results revealed that the S-CSE Scale was represented by three dimensions (control symptoms, control illness, maintain functioning) obtaining excellent reliability indexes and it appeared to be invariant for women and men. The S-CSE scale is a useful tool for monitoring the general well-being of these patients to promote individualized interventions.

Self-Efficiency and Quality of Life Coronary Heart Disease Patients: A descriptive study

Introduction: Coronary heart disease is a disease that requires treatment in the long term and even for life, a strict diet, and restriction of physical activity which directly affects the patient's quality of life. Self-efficacy is one factor that affects the patient 's quality of life with coronary heart disease. Methods: This study aimed to determine the relationship between self-efficacy and quality of life of patients with coronary heart disease at the Cardiology Polyclinic at Sanglah Hospital Denpasar. This study used a correlational analytic design with a cross-sectional approach, a cardiac self-efficacy questionnaire, and the WHOQOL BREF. The sample size was 164 respondents recruited by consecutive sampling technique. Result: Most respondents were in the moderate self-efficacy category of 80 respondents (48.8 %), and most had a moderate quality of life, namely 64 respondents (39.0 %). Conclusion: High self-efficacy will increase the ability of coronary heart disease patients to follow a programmed therapy regimen, adhere to the recommended diet program, and regulate physical activities optimally so that they will be able to maintain and improve their quality of life

Effectiveness of Mindfulness and Positive Strengthening mHealth Interventions for the Promotion of Subjective Emotional Wellbeing and Management of Self-Efficacy for Chronic Cardiac Diseases.

Intervention in health prevention and treatment via mobile phones is becoming a key element on health promotion. Testing the efficacy of these mobile health (mHealth) psychological interventions for cardiovascular health is necessary as it is a chronic pathology, and it can influence the affective and cognitive states of patients. This research aimed to analyze the effectiveness of two brief psychological interventions-mindfulness and positive strengthening-to promote subjective emotional wellbeing and disease management self-efficacy using mHealth. This was a three-arm intervention and feasibility study, with a pre-post design and three follow-up measures with 105 patients (93 completed all phases) with cardiovascular diseases. Group 1 and 2 received the mindfulness or strengthening intervention, and Group 3 was the control group. The positive-negative affect and management self-efficacy for chronic and cardiovascular diseases were analyzed over time, while anxiety and depression levels were assessed at the beginning of the study. The results showed that mindfulness and positive strengthening interventions both had a positive effect on participants' affective state and management self-efficacy for the disease in comparison with the control group over time, even after controlling for baseline anxiety and depression levels. Positive strengthening seems to be more effective for improving cardiac self-efficacy, while mindfulness practice was significantly more effective at reducing negative affect at the first face-to-face evaluation.

The Impact of Type of Acute Myocardial Infarction on Cardiac Patient Self-efficacy After Hospitalization.

Self-efficacy is an important psychological construct associated with patient adherence with healthy lifestyle choices. Few studies have focused on the impacts of the type of acute myocardial infarction (AMI), non-ST-elevation myocardial infarction (STEMI) and STEMI, and the different treatment modalities of AMI on changes in cardiac self-efficacy after hospitalization. This study examined the changes in cardiac self-efficacy based on the type of AMI and aimed to investigate the impact of different treatment modalities on changes in cardiac self-efficacy among post-AMI patients during hospitalization and at the 3- and 6-month follow-ups subsequent to hospitalization. A repeated-measures design was used with a convenient sample of 210 patients diagnosed with first AMI. Patients completed the Cardiac Self-efficacy Questionnaire at the 3 time points. The study was implemented in 3 major hospitals in Jordan. Patients did not have access to cardiac rehabilitation. There was a statistically significant impact of AMI type on changes in cardiac self-efficacy measured between T1 and T2, between T2 and T3, and subsequently between T1 and T3. Nevertheless, there was no statistically significant impact of treatment modalities of AMI on changes in cardiac self-efficacy measured at the 3 time points. Assessment of self-efficacy for post-AMI patients is recommended. Moreover, post-non-STEMI patients need more attention when implementing an intervention to enhance self-efficacy after hospitalization. Health decision makers have to consider establishing cardiac rehabilitation to improve self-efficacy in Jordan. Further research is needed to confirm the study results and to investigate other contributing factors that could influence self-efficacy after hospitalization.

Relationship between NYHA degrees and Self-efficacy with Quality of Life in Heart Failure Patients: A Cross-Sectional Study

Heart failure causes functional limitations that result in fatigue and dyspnea, thereby reducing the quality of life. Various factors related to the quality of life of heart failure patients include NYHA degree and self-efficacy. An increase in the number of heart failure patients treated at the Aceh Government Hospital occurred in 2021, patients also often experienced repeated hospitalizations. This study aims to determine the relationship between patient NYHA degree and self-efficacy with the quality of life of patients with heart failure. This type of research is quantitative with a cross-sectional study on 154 heart failure patients. Instruments to measure self-efficacy using Cardiac Self-Efficacy (CSE) and quality of life with the Minnesota Living with Heart Failure (MLHF) questionnaire. Bivariate analysis using chi-square and multivariate analysis with logistic regression. The results showed a significant relationship between NYHA degree and self-efficacy with quality of life (p&lt;0.05). The results of the multivariate analysis found that the degree of NYHA was the most dominant factor associated with the quality of life of heart failure patients with an Odds Ratio (OR) of 17.438. The quality of life of heart failure patients is strongly influenced by the degree of NYHA, lowering the degree of NYHA is the best step to prevent a decrease in the quality of life of patients with heart failure.

Predictors of health-related quality of life after coronary artery bypass graft surgery

Health-related quality of life (HRQOL) is a multifactorial concept in assessing physical and mental health. This study was performed to evaluate the HRQOL of patients undergoing coronary artery bypass graft (CABG) surgery and the predictors of HRQOL in patients until 1 year after surgery. This cross-sectional study included 110 consecutive patients who underwent elective CABG in a medical center in South Korea. The Short-Form Health Survey, cardiac symptom survey, cardiac self-efficacy, and the Interpersonal Support Evaluation List-12 were used to measure the HRQOL, symptom experience, self-efficacy, and social support, respectively. The regression model explained 42% of the variance in the participants' physical HRQOL. The predictors of the physical HRQOL include the presence of a spouse, post-CABG duration, symptom experience, and self-efficacy. The regression model explained 36% of the variance in the participants' mental HRQOL. The predictors of the mental HRQOL included perceived health status, self-efficacy, and social support. The predictive factors for HRQOL after CABG were the presence of a spouse, post-CABG duration, symptom experience, self-efficacy, and social support. Furthermore, a suitable program and nursing interventions could be implemented to improve the HRQOL of post-CABG patients.

Self-efficacy instruments for individuals with coronary artery disease: a systematic review protocol

IntroductionSelf-efficacy is associated with management of diseases, psychological well-being, improved quality of life and rehabilitation adherence. Several instruments related to behaviour or specific disease (eg, coronary artery disease (CAD)) assess...