Advances in Nursing & Midwifery

چکیده

Abstract

Background and Aim

Materials and Methods

R

R

Findings

Conclusion:

Keywords:

Corresponding Author:

Email:

t_ashktorab@sbmu.ac.ir

Tahereh Ashketorab. Department of Medical–Surgical Nursing, Faculty of Nursing and

Midwifery. Shahid Behshti University of Medical Sciences, Tehran, Iran.

Self-efficacy, Self-care behaviors, Congestive heart failure

Self-efficacy and self-care behaviors in CHF patients are not at a desirable level which needs to be

promoted within self-care programs. Self-efficacy, as the most important CHF-related self-care, has got a high level of

importance. Therefore, self-efficacy must be reinforced especially in these patients that seem to be weaker in this

domain.

: The average age of patients was 64.97±13.53 years old and 55.3 percent of the samples were male. The

amount of self-care behaviors by patients was moderate (average scores of 39.54) and correlated to education, place of

living and disease education but its relation to age, sex, gob, marital status, disease class, ejection fraction and addiction

to smoking, opium and alcohol was not statistically significant. The amount of self-efficiency of the majority of patients

was moderate (average scores of 26.60) and it was also related to age, marital status, education, disease class and

addiction to opium but its relation to sex, job, place of living, ejection fraction, disease education and addiction to

smoking and alcohol was not statistically significant. There was a direct and strong correlation between self-efficiency

and self-care behaviors (P< 0.001, r=0.623). Given that the correlation coefficient of Pearson in this study is positive

and close to 1 (r = 0.623), it indicates that self-efficacy was positively correlated with self-care behaviors and its

respective variance was 39%.

=0.80) and test-retest (r=0.85). The data were analyzed using the

SPSS software (version 16).

=0.85), test-retest (r=0.80), and the reliability of the European Heart Failure self-care

behaviors scale was figured by internal consistency (

: The study had a descriptive, correlational design. The method used for sampling was

capitation and the study samples consisted of 150 patients under treatment referring to internal heart wards of Tohid

hospital in Sanandaj. Three questionnaires were used in this study including:

1) Demographic and disease information 2) Cardiac self – efficacy Sullivan scale 3) European Heart Failure Self-care

behaviors scale

Second and third scales were used to record self–efficacy and self-care behaviors through interviewing each subject into

private. After determining content and face validities, the reliability of the cardiac self–efficacy Sullivan scale was

figured by internal consistency (

: Chronic Heart Failure (CHF) as a chronic disease demands special self-care behaviors lifelong.

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These patients in order to control the problems of this disease need self-care behaviors. So, recognition of these

behaviors and encouragement patients to participate and acceptance the responsibility of doing these behaviors lead to

control the problems of this disease. Self-efficacy is a basis for promoting self-care behaviors in CHF which play a

major role in treatment and control of the complications. Self-efficacy is proposed as a concept of social learning theory

and a construct of health belief model, particularly when the model is used for predicting simple lifestyle changes in

chronic diseases. This study was designed and carried out to determine the status of this construct and its related factors

and also, its correlation with self-care behaviors among patients with CHF.