Imad Abu Khader, Malakeh Z Malak, Mohammad Asia, Mohammed Jallad, Hisham Zahran
{"title":"Factors correlating with self-care behaviors among patients with coronary artery disease: a cross-sectional study.","authors":"Imad Abu Khader, Malakeh Z Malak, Mohammad Asia, Mohammed Jallad, Hisham Zahran","doi":"10.1080/10376178.2023.2220424","DOIUrl":null,"url":null,"abstract":"<p><p><i>Background:</i> In Palestine, there is a lack of studies that examined self-care behaviors among patients with coronary artery disease in outpatient clinics.<i>Objective:</i> This study purposed to evaluate self-care behaviors, examine the relationship between self-care behaviors and selected sociodemographic and psychosocial factors (e.g. depression, anxiety, stress, and social support), and self-efficacy, and determine predictors of self-care behaviors among patients with coronary artery disease in outpatient clinics in the West Bank/Palestine.<i>Design:</i> A cross-sectional study was conducted.<i>Methods:</i> A total of 430 Palestinian adult patients suffering from coronary artery disease attended outpatient clinics were recruited. A self-reported questionnaire consisting of the following tools: Depression, Anxiety, Stress Scale 21, Sullivian's Self-efficacy scale, and Multidimensional Social Support Scale was used to collect data during the period from the beginning of April to the beginning of July 2022. Descriptive and inferential statistics (Pearson's and Point-biserial correlation tests and multiple linear regression) were used for analyzing data.<i>Results:</i> The patients reported low self-care behaviors levels and high self-efficacy levels. The psychosocial reactions endorsed by the patients were 86.3% for depression, 76.3% for anxiety, 43.3% for stress, and 98.6% had moderate and normal social support. A positive correlation was found between self-care behaviors and age (<i>r</i> = 0.160, <i>p</i> < 0.01), duration of disease (<i>r</i> = 0.095, <i>p</i> < 0.05), self-efficacy (<i>r</i> = 0.443, <i>p</i> < 0.01), and social support (<i>r</i> = 0.266, <i>p</i> < 0.01). Self-efficacy (B = 0.401, <i>p</i> < 0.01), social support (B = 0.160, <i>p</i> < 0.01), and age (B = 0.109, <i>p</i> < 0.05) were significant predictors of self-care behaviors in those patients.<i>Conclusion:</i> Low self-care behaviors were a significant issue among patients with coronary artery disease in outpatient clinics. This study may help healthcare professionals develop health promotion programs for patients with coronary artery disease to improve self-care behaviors.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"59 3","pages":"189-201"},"PeriodicalIF":1.2000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Nurse","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10376178.2023.2220424","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: In Palestine, there is a lack of studies that examined self-care behaviors among patients with coronary artery disease in outpatient clinics.Objective: This study purposed to evaluate self-care behaviors, examine the relationship between self-care behaviors and selected sociodemographic and psychosocial factors (e.g. depression, anxiety, stress, and social support), and self-efficacy, and determine predictors of self-care behaviors among patients with coronary artery disease in outpatient clinics in the West Bank/Palestine.Design: A cross-sectional study was conducted.Methods: A total of 430 Palestinian adult patients suffering from coronary artery disease attended outpatient clinics were recruited. A self-reported questionnaire consisting of the following tools: Depression, Anxiety, Stress Scale 21, Sullivian's Self-efficacy scale, and Multidimensional Social Support Scale was used to collect data during the period from the beginning of April to the beginning of July 2022. Descriptive and inferential statistics (Pearson's and Point-biserial correlation tests and multiple linear regression) were used for analyzing data.Results: The patients reported low self-care behaviors levels and high self-efficacy levels. The psychosocial reactions endorsed by the patients were 86.3% for depression, 76.3% for anxiety, 43.3% for stress, and 98.6% had moderate and normal social support. A positive correlation was found between self-care behaviors and age (r = 0.160, p < 0.01), duration of disease (r = 0.095, p < 0.05), self-efficacy (r = 0.443, p < 0.01), and social support (r = 0.266, p < 0.01). Self-efficacy (B = 0.401, p < 0.01), social support (B = 0.160, p < 0.01), and age (B = 0.109, p < 0.05) were significant predictors of self-care behaviors in those patients.Conclusion: Low self-care behaviors were a significant issue among patients with coronary artery disease in outpatient clinics. This study may help healthcare professionals develop health promotion programs for patients with coronary artery disease to improve self-care behaviors.
背景:在巴勒斯坦,缺乏对门诊冠状动脉疾病患者自我保健行为的研究。目的:本研究旨在评估西岸/巴勒斯坦门诊冠心病患者的自我保健行为,研究自我保健行为与特定的社会人口学和心理社会因素(如抑郁、焦虑、压力和社会支持)和自我效能感之间的关系,并确定自我保健行为的预测因素。设计:采用横断面研究。方法:共招募430名门诊就诊的巴勒斯坦成年冠心病患者。采用抑郁、焦虑、压力量表21 (Stress Scale 21)、沙利文自我效能量表(sullivan’s Self-efficacy Scale)和多维社会支持量表(Multidimensional Social Support Scale)自述问卷收集2022年4月初至7月初的数据。使用描述性和推断性统计(Pearson和点双列相关检验和多元线性回归)分析数据。结果:患者自我护理行为水平低,自我效能感高。患者的心理社会反应中,抑郁占86.3%,焦虑占76.3%,压力占43.3%,社会支持中、正常占98.6%。自我护理行为与年龄呈显著正相关(r = 0.160, p r = 0.095, p r = 0.443, p r = 0.266, p p p p p p p p p)结论:门诊冠心病患者自我护理行为低下是其存在的显著问题。本研究可帮助医疗保健专业人员制定健康促进方案,以改善冠心病患者的自我护理行为。
期刊介绍:
Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice.
Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives.
Contemporary Nurse publishes original research articles, reviews and discussion papers.