Key result
General self-efficacy measured four months after myocardial infarction was positively related to health-related quality of life at two years, with fatigue mediating this relationship.
Observational (n=145)
General self-efficacy measured four months post-MI positively predicts health-related quality of life at two years, an effect mediated by fatigue.
Post-MI self-efficacy may aid HRQoL prognostication via fatigue mediation; hypothesis-generating and requires RCTs before guiding interventions.
Fatigue after myocardial infarction (MI) has been found to be distressing. A person's self-efficacy will influence his/her health behavior and plays an active role in tackling illness consequences. This study investigated associations between fatigue, disturbed sleep, general self-efficacy, and health-related quality of life (HRQoL) in a sample of 145 respondents admitted to hospital for MI two years earlier. The aim was to identify the predictive value of general self-efficacy and to elucidate mediating factors between self-efficacy and HRQoL. General self-efficacy measured four months after MI was positively related to HRQoL after two years. In tests of indirect effects, fatigue meditated the effects between self-efficacy and the physical and the mental dimension of HRQoL, respectively. The indirect effect of disturbed sleep went through that of fatigue. To conclude, patients who suffer from post-MI fatigue may need support aimed at helping them increase their self-efficacy as well as helping them adapt to sleep hygiene principles and cope with fatigue, both of which will have positive influences on HRQoL.
No takes yet. Share an insight, caveat, or question.
Brink et al. (2012) conducted an observational in Myocardial infarction (MI) (n=145). General self-efficacy was evaluated on Health-related quality of life (HRQoL). General self-efficacy measured four months after myocardial infarction was positively related to health-related quality of life at two years, with fatigue mediating this relationship.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: