The relationship between self-efficacy and self-care behaviors in

نویسندگان

1 Alumnus PhD, Faculty of nursing and midwifery, Shahid Beheshti University of Medical Sciences, Tehran Iran.

2 Associate professor, Department of nursing, Faculty of nursing and midwifery, Shahid Beheshti Universityof Medical Sciences, Tehran, Iran

3 Lecturer, Department of nursing, Faculty of nursing and midwifery, Shahid Beheshti University ofMedical Sciences, Tehran, Iran

4 Assistant professor, Department of biostatistics, Shahid Beheshti University of Medical Sciences, Tehran,Iran

5 Lecturer, Department of nursing, Faculty of nursing and midwifery, Shahid Beheshti University ofMedical Sciences, Tehran, Iran

doi
10.22037/anm.v22i78.4715
چکیده

AbstractBackground and Aim Materials and Methods R R Findings Conclusion: Keywords: Corresponding Author: Email: t_ashktorab@sbmu.ac.irTahereh Ashketorab. Department of Medical–Surgical Nursing, Faculty of Nursing and Midwifery. Shahid Behshti University of Medical Sciences, Tehran, Iran.Self-efficacy, Self-care behaviors, Congestive heart failureSelf-efficacy and self-care behaviors in CHF patients are not at a desirable level which needs to be promoted within self-care programs. Self-efficacy, as the most important CHF-related self-care, has got a high level ofimportance. Therefore, self-efficacy must be reinforced especially in these patients that seem to be weaker in thisdomain.: The average age of patients was 64.97±13.53 years old and 55.3 percent of the samples were male. The amount of self-care behaviors by patients was moderate (average scores of 39.54) and correlated to education, place ofliving and disease education but its relation to age, sex, gob, marital status, disease class, ejection fraction and addictionto smoking, opium and alcohol was not statistically significant. The amount of self-efficiency of the majority of patientswas moderate (average scores of 26.60) and it was also related to age, marital status, education, disease class andaddiction to opium but its relation to sex, job, place of living, ejection fraction, disease education and addiction tosmoking and alcohol was not statistically significant. There was a direct and strong correlation between self-efficiencyand self-care behaviors (P< 0.001, r=0.623). Given that the correlation coefficient of Pearson in this study is positiveand close to 1 (r = 0.623), it indicates that self-efficacy was positively correlated with self-care behaviors and itsrespective variance was 39%.=0.80) and test-retest (r=0.85). The data were analyzed using the SPSS software (version 16).=0.85), test-retest (r=0.80), and the reliability of the European Heart Failure self-carebehaviors scale was figured by internal consistency ( : The study had a descriptive, correlational design. The method used for sampling was capitation and the study samples consisted of 150 patients under treatment referring to internal heart wards of Tohidhospital in Sanandaj. Three questionnaires were used in this study including:1) Demographic and disease information 2) Cardiac self – efficacy Sullivan scale 3) European Heart Failure Self-carebehaviors scaleSecond and third scales were used to record self–efficacy and self-care behaviors through interviewing each subject intoprivate. After determining content and face validities, the reliability of the cardiac self–efficacy Sullivan scale wasfigured by internal consistency (: Chronic Heart Failure (CHF) as a chronic disease demands special self-care behaviors lifelong.-Alizadeh Z (2011). [Correlation between perceived social support and self-care behaviors of patients with heart failurein hospitals affiliated with Shaheed Beheshti University of Medical Sciences and Health Services. Master Disseration ofNursing Education]. Nursing and Midwifery School.Shahid Beheshti University of Medical Sciences. (Persian).-Azarpad M (2005). [Examination the correlation between self-care behaviors and self-care needs in patients with CHFrefferd to Shahid Rajaee hospital. Master Dissertation of Nursing Education].Nursing and Midwifery school.IranUniversity of Medical Sciences. (Persian).-Bandura A (1997).Self-efficacy: The Exercise of Control. New York: W.H.Freeman.-Chlebowy D Garvin B (2006). 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(Persian).-Morowatisharifabad M RohaniTonkaboni N (2008).[ Perceived self-efficacy in self-care behaviors among diabeticpatients referring to Yazd Diabetes Research Center].Birjand University of Medical Science Joournal. 15 (4) 91-99.(Persian).- Naghib S(2010).[Correlation of self-efficiency to compliance in patients suffering from tuberculosis ,who are beingtrated iv health centers related to kordestan medical university.Master Disseration of Nursing Education ].Nursing andMidwifery School.Shahid Beheshti University of Medical Sciences. (Persian).-Raffeefar SH Atarzadeh M AhmadzadeAsl M et al (2005). [Educational guiedline in pharhangsara].1th editin.GhomMedical Sciences and Health Services University. (Persian).-Rezaee Looyeh H Dalvandi A Hosseini M et al (2008). [The effect of self-care education on quality of life in patientswith CHF]. Rehabilitation. 10 (2) 21-27. (Persian).-Riegel B Vaughan Dickson V Kuhn L et al (2010). Gender -specific barriers and facilitators to heart failure self-care: Amixed method study. International Journal of Nursing Studies. 47 (7) 888-895.-Rockwell JM Riegel B (2001). Predictors of self-care in persons with heart failure.HEART & LUNG. 30 (1)18-25-Shakibazadeh E Rashidian A Larijani B et al (2009). [Correlation between perceived self-efficacy and barriers with selfcare in patients diabet type 2]. Hayat. 15(4)69-78. (Persian).-Shamsi A (2011). [Correlation between dimensions of self-efficacy and dimension of fatigue in faculity members inschool of Nursing & midwifery. Master Disseration of Nursing Education]. Nursing and Midwifery School ShahidBeheshti University of Medical Sciences (Persian).- -Shojafard J Nadrian H Baghiani Moghadam MH et al (2009). Effects of an educational program on self-carebehaviors and its perceived benefits and barriers in patients with Heart Failure in Tehran. Payavard Salamat.2 (4) 43-55- Shojaee F Asemi S Najaf Yarandi A et al (2006). [Examination the correlation between self-care behaviors withquality of life in patints with CHF].Iranian Nursing Magazine.18 (44) 49-56 (Persian).- Shojaee F Asemi S Najaf Yarandi A et al (2009). [Self-care behaviors in patients with CHF]. Payesh Faslnameh. 8 (4)361-369. (Persian).- Thomas LK Sargent RG Michels PC et al (2001). Identification of the factors associated with compliance totherapeutic diet in older adults with end stage renal diseases. Journal of Renal Nutrition. 11(2). 80-89These patients in order to control the problems of this disease need self-care behaviors. So, recognition of thesebehaviors and encouragement patients to participate and acceptance the responsibility of doing these behaviors lead tocontrol the problems of this disease. Self-efficacy is a basis for promoting self-care behaviors in CHF which play amajor role in treatment and control of the complications. Self-efficacy is proposed as a concept of social learning theoryand a construct of health belief model, particularly when the model is used for predicting simple lifestyle changes inchronic diseases. This study was designed and carried out to determine the status of this construct and its related factorsand also, its correlation with self-care behaviors among patients with CHF.

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