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

IF 1.4 Q3 NURSING

Dimensions of Critical Care Nursing Pub Date : 2024-05-01 DOI:10.1097/DCC.0000000000000633

Ahmad Moh'd Abusafieh, Abedalmajeed Methqal Shajrawi, Ahmed Mohammad Al-Smadi, Akram Saleh, Rami Masa'deh, Samantha Ismaile, Mohammad Jamil Abdelhaq

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Abstract

Background: 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.

Aim: 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.

Methods: 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.

Result: 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).

Conclusion: 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.

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约旦出院心力衰竭患者的自我效能感与功能能力之间的关系。

背景：自我效能感是与心衰治疗中改变健康生活方式相关的一个重要因素。对心力衰竭患者（HFP）进行功能能力测试可对预后进行分层。心衰患者功能能力下降与心衰预后不良有关。目的：本研究旨在评估心衰患者住院后的自我效能水平和功能能力，并探讨两者之间是否存在关系：方法：采用描述性相关设计。方法：采用描述性相关设计，从约旦的两家医院招募了 220 名心脏病患者作为方便样本。阿拉伯语版的心脏自我效能问卷用于评估自我效能，6 分钟步行测试（6-MWT）用于评估功能能力，博格知觉用力评分量表（Borg Scale）用于评估 6-MWT 过程中的用力情况：样本中男性占 46.8%（103 人），女性占 53.2%（117 人）。平均年龄为 52.66 ± 8.91 岁。大多数 HFP 根据纽约心脏协会的分类分为 I 级（35.9%，n = 79）和 II 级（41.4%，n = 91）。平均射血分数为 41.46 ± 9.44。总体自我效能感为中度（32.98 ± 9.92），6-MWT 的平均得分为 494.35 ± 143.37。博格量表平均分为 10.94 ± 3.34。此外，自我效能感与 6-MWT 之间存在正相关关系（r = 0.63，n = 220，P = .01）：本研究为进一步研究HFP的治疗提供了基线数据，并为开发以证据为基础的定制健康干预措施提供了依据，以保持和提高这些服务使用者的自我效能感和功能能力。此外，重复性研究可通过不同的方法（如使用客观功能能力工具和更长的随访期）检验研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dimensions of Critical Care Nursing NURSING-

CiteScore

2.40

自引率

5.90%

发文量

102

期刊介绍： The primary purpose of Dimensions of Critical Care Nursing™ is to provide nurses with accurate, current, and relevant information and services to excel in critical care practice.