The effect of education based on self-efficacy theory on self-care behaviors in patients with heart failure in Shahid Modarres Hospital in Kashmar
Journal of Health in the Field,
,
22 اردیبهشت 2018
چکیده
Background and Aim: Congestive heart failure is one of the most common cardiovascular disorders and is considered as a chronic, progressive and debilitating disorder. Heart failure is a high prevalence disorder in both developed and developing countries. The purpose of this study was to determine the effect ofeducation based on self-efficacy theory on improving self-care behaviors in heart failure patients.
Materials and methods: This quasi-experimental study was conducted on 80 patients suffering from heart failure. The patients were randomly assigned to two groups. Data were collected using a questionnaire including personal information questions, self-efficacy questionnaire for cardiovascular patients and European self-care behaviors questionnaire in three stages. The obtained results were analyzed by Spss16 software.
Results: The mean age of the patients in the experimental group was 55 ± 8.48 and in the control group 51.6 ± 8.51, respectively. Before intervention, there was no significant difference between the two groups in terms of self-care behaviors. Following intervention, however, there was a statistically significant difference in self-care behaviors (p = 0.000). There was strong correlation between self-efficacy and disease management, so that with increased self-efficacy, disease management was better.
Conclusion: Given that self-care behaviors are important in patients with heart failure, interventive efforts are important and necessary to improve these behaviors in corresponding patients and thus for controlling the disease and preventing its complications as well as for admission and ultimately for early mortality.
مراجع
- Jaarsma T, Strömberg A, Mårtensson J, Dracup K. Development and testing of the European Heart
Failure Self-Care Behaviour Scale. European Journal of Heart Failure 2003; 5(3):363-70.
- Shojafard J, Nadrian H, Baghiani Moghadam M, Mazlumi Mahmudabad S, Sanati H, Asgar Shahi M.
Effects of an educational program on self-care behaviors and its perceived benefits and barriers in patients
with Heart Failure in Tehran. Journal of Payavard Salamat 2009; 2(4):43-55 (In Persian).
- Riegel B, Carlson B. Facilitators and barriers to heart failure self-care. Patient Education and Counseling
; 46(4):287-95.
- Riegel B, Dickson VV, Kuhn L, Page K, Worrall-Carter L. Gender-specific barriers and facilitators to
heart failure self-care: A mixed methods study. International Journal of Nursing Studies 2010; 47(7):888-
- Toljamo M, Hentinen M. Adherence to self- care and social support. Journal of Clinical Nursing 2001;
(5):618-27.
- Shojaei F, Asemi M, Najaf Yarandi A, Hosseini F. Self care behaviors, quality of life among patients
with heart failure. Iran Journal of Nursing 2006; 18(44):49-55 (In Persian).
- Glanz K, Rimer BK, Viswanath K. Health behavior and health education: Theory, research, and practice.
nd ed. San Francisco: John Wiley & Sons 2008.
- Brennan L, Walkley J, Fraser SF, Greenway K, Wilks R. Motivational interviewing and cognitive
behaviour therapy in the treatment of adolescent overweight and obesity: Study design and methodology.
Contemporary Clinical Trials 2008; 29(3):359-75.
- Doak CC, Doak LG, Root JH. Teaching patients with low literacy skills. 2nd ed. Pennsylvania:
Lippincott-Raven Publishers 1996.
- Lawrance L, McLeroy KR. Self-efficacy and health education. Journal of School Health 1986;
(8):317-21.
- Maddux JE, Stanley MA. Self-efficacy theory in contemporary psychology: An overview. Journal of
Social and Clinical Psychology 1986; 4(3):249-55.
- Carson VB. Mental health nursing: The nurse-patient journey. 2nd ed. Philadelphia: W.B. Saunders
- Kaufman DM. Applying educational theory in practice. BMJ 2003; 326(7382):213-16.
- Piantadosi S. Clinical trials: A methodological perspective. 2nd ed. New Jersey: John Wiley & Sons
- Serçekuş P, Mete S. Effects of antenatal education on maternal prenatal and postpartum adaptation.
Journal of Advanced Nursing 2010; 66(5):999-1010.
- Asad Zandi M, Farsi Z, Najafi Mehri S, Karimizarchi AA. Educational intervention focusing on health
belief model in health beliefs, awareness and behavior of diabetic patients. Iranian Journal of Diabetes and
Lipid Disorders 2006; 6(2):169-76 (In Persian).
- Sethares KA, Elliott K. The effect of a tailored message intervention on heart failure readmission rates,
quality of life, and benefit and barrier beliefs in persons with heart failure. Heart & Lung: The Journal of
Acute and Critical Care 2004; 33(4):249-60.
- Xue F, Yao W, Lewin RJ. A randomised trial of a 5 week, manual based, self-management programme
for hypertension delivered in a cardiac patient club in Shanghai. BMC Cardiovascular Disorders 2008;
(1):10. https://doi.org/10.1186/1471-2261-8-10.
- Holland R, Battersby J, Harvey I, Lenaghan E, Smith J, Hay L. Systematic review of multidisciplinary
interventions in heart failure. Heart 2005; 91(7):899-906.
- Shakibazadeh E, Rashidian A, Larijani B, Shojaeezadeh D, Forouzanfar M, Karimi Shahanjarini A.
Perceived barriers and self-efficacy: Impact on self-care behaviors in adults with type 2 diabetes. Journal
of Hayat 2010; 15(4):69-78 (In Persian).
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