Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis.

IF 2.6 Q2 PERIPHERAL VASCULAR DISEASE Vascular Health and Risk Management Pub Date : 2023-01-01 DOI:10.2147/VHRM.S427488

Aan Nuraeni, Firman Sugiharto, Anastasia Anna, Eka Sari, Ristina Mirwanti, Yanny Trisyani, Etika Emaliyawati

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引用次数: 1

Abstract

Background: Low self-efficacy (SE) can impact decreasing health status, poor self-care, and quality of life among patients with Coronary Heart Disease (CHD). Many factors can affect SE. However, studies on SE in CHD patients with Rasch Model analysis have not been carried out widely.

Purpose: This study aims to identify the SE in self-care and its related factors that correlate SE among CHD patients.

Patients and methods: Cross-sectional study was conducted on 104 adult patients (≥18 years) diagnosed with CHD. Selection of the sample using convenience sampling technique with several predetermined criteria. SE was measured using the SEQ-CHDM questionnaire, with high validity and reliability results. Data were analyzed using the Rasch model and chi-square test.

Results: The results showed that most respondents had a moderate SE (51.5%). Care units (p=0.003) and duration of illness (p=0.049) were significantly correlated to SE among patients with CHD. "Maintaining an ideal body weight" is the most challenging thing. On the other hand, stop smoking is the most confident thing to be performed by the respondents.

Conclusion: We conclude that CHD patients in the acute care unit and patients with a duration of illness >6 months have a lower tendency for SE. Health interventions such as raising awareness about the disease, modifying health behavior, and immediately screening can improve patients' SE. Besides that, proper diagnosis and ongoing treatment are crucial to improving SE and CHD care outcomes.

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印尼冠心病患者自我护理效能感及其相关因素:一项皮疹分析

背景:低自我效能感(SE)会影响冠心病(CHD)患者的健康状况下降、生活自理能力差和生活质量。影响SE的因素很多。然而，采用Rasch模型分析冠心病患者SE的研究尚未广泛开展。目的:本研究旨在了解冠心病患者自我生活自理自理能力及其相关因素。患者与方法:对104例冠心病成年患者(≥18岁)进行横断面研究。用几个预先确定的标准使用方便抽样技术选择样品。采用SEQ-CHDM问卷对SE进行测量，结果具有较高的效度和信度。数据分析采用Rasch模型和卡方检验。结果:调查结果显示，大多数被调查者具有中度SE(51.5%)。冠心病患者的SE与护理单位(p=0.003)和病程(p=0.049)显著相关。“保持理想体重”是最具挑战性的事情。另一方面，戒烟是受访者最有信心去做的事情。结论:急诊科冠心病患者和病程>6个月的患者SE倾向较低。提高对疾病的认识、改变健康行为和立即筛查等健康干预措施可以改善患者的SE。除此之外，正确的诊断和持续的治疗对于改善SE和CHD的护理结果至关重要。

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

Vascular Health and Risk Management PERIPHERAL VASCULAR DISEASE-

CiteScore

4.20

自引率

3.40%

发文量

109

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal of therapeutics and risk management, focusing on concise rapid reporting of clinical studies on the processes involved in the maintenance of vascular health; the monitoring, prevention, and treatment of vascular disease and its sequelae; and the involvement of metabolic disorders, particularly diabetes. In addition, the journal will also seek to define drug usage in terms of ultimate uptake and acceptance by the patient and healthcare professional.