Key result
Care units and illness duration link to self-efficacy in CHD patients, ~52% reporting moderate levels.
Why the study?
Low self-efficacy impacts health status, self-care, and quality of life in coronary heart disease, but studies using Rasch Model analysis to identify self-efficacy and related factors have not been carried out widely.
Cross-Sectional (n=104)
p-value: p=0.003
CHD patients in acute care units and those with illness duration >6 months have lower self-efficacy, highlighting the need for targeted health interventions to improve self-care.
SE factors in CHD self-care are hypothesis-generating; leaves open causal links and practice impact without longitudinal data.
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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Nuraeni et al. (2023) conducted a cross-sectional in Coronary Heart Disease (CHD) (n=104). Care units and duration of illness was evaluated on Self-efficacy (SE) in self-care (p=0.003). Care units (p=0.003) and duration of illness (p=0.049) were significantly correlated with self-efficacy among patients with coronary heart disease, with 51.5% having moderate self-efficacy.