Special Topics: The Transcultural Self-management Model of elderly Chronic Heart Failure Patients
Correlation analysis between self-management and self-efficacy in senile patients with chronic heart failure
Jin Liping, Rong Xiaoshan, Jiang Hui, Liu Meili, Liu Hairong, Zhang Huali, Li Jingxia, Wu Yan, Peng Youqing
Published 2018-04-06
Cite as Chin J Mod Nurs, 2018,24(10): 1143-1148. DOI: 10.3760/cma.j.issn.1674-2907.2018.10.005
Abstract
ObjectiveTo explore the correlation between the self-management and self-efficacy of senile patients with chronic heart failure (CHF) .
MethodsIn this study, the conveninent sampling method was adopted. From June to December 2016, totally 416 senile CHF patients hospitalized in the Department of Cardiology of 5 general class Ⅲ grade A hospitals in Xi'an were investigated with the general demographic data questionnaire, self-management scale for CHF patients and chronic disease self-efficacy scale.
ResultsThe score of self-management in the senile CHF patients in Xi'an totaled (50.76±9.98) , with a scoring rate of 63.5%; the scores of medication management, food and beverage management, psychological and social management and symptom management were (13.38±3.38) , (7.89±2.14) , (12.81±2.91) and (16.69±4.26) , with the scoring rates of 66.9%, 65.8%, 64.1% and 59.6%, respectively, showing a medium level; and there was statistically significant difference in the total self-management score between patients with different marital status, per capita income and heart function grading (t=-2.443, 10.906, 16.229; P<0.05) . The score of self-efficacy totaled (34.30±11.90) , with a scoring rate of 57.17%, showing a medium level. The correlation analysis showed that there was a positive correlation between self-efficacy and self-management (r=0.161, P<0.05) .
ConclusionsThe self-management and self-efficacy of the senile CHF patients in Xi'an remain at a medium level, which could be possibly improved, and the two are closely correlated. The results suggest that we should pay more attention to the patient's management confidence in the disease itself, attach importance to their psychological and social support and enhance their self-efficacy, thus improving their self-management. This is of great significance in controlling CHF and improving the patient's quality of life.
Key words:
Heart failure; Aged; Self-management; Self-efficacy; Correlation
Contributor Information
Jin Liping
Tongji University School of Medicine, Shanghai 200029, China; Department of Geriatrics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 210127, China
Rong Xiaoshan
Hemodialysis Room, Shanghai Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200120, China
Jiang Hui
Nursing Department, Shanghai First Maternity and Infant Hospital, Shanghai 201204, China
Liu Meili
Department of Cardiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710000, China
Liu Hairong
Department of Cardiology, Shaanxi Second Provincial People's Hospital, Xi'an 710005, China
Zhang Huali
Department of Cardiology, Shaanxi Second Provincial People's Hospital, Xi'an 710005, China
Li Jingxia
Department of Cardiology, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China
Wu Yan
Department of Cardiology, Armed Police Corps Hospital of Shaanxi, Xi'an 710032, China
Peng Youqing
Nursing Department, Shanghai East Hospital, Tongji University, Shanghai 200120, China
