{"id":4433,"date":"2023-03-29T09:59:10","date_gmt":"2023-03-29T07:59:10","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4433"},"modified":"2023-04-06T10:09:08","modified_gmt":"2023-04-06T08:09:08","slug":"predictors-of-cardiac-self-efficacy-among-patients-diagnosed-with-coronary-artery-disease-in-tertiary-hospitals-in-nepal","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1787\/","title":{"rendered":"Predictors of cardiac self-efficacy among patients diagnosed with coronary artery disease in tertiary hospitals in Nepal"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2020.1787\">https:\/\/doi.org\/10.4081\/jphr.2020.1787<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Rabina Shrestha<\/strong><br \/>\n<span class=\"affiliation\">Dhulikhel Hospital Kathmandu University Hospital, Kathmandu, Nepal.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0002-7256-4150\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0002-7256-4150<\/a><\/span><\/span><\/li>\n<li><span class=\"name\"><strong>Lal Rawal<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Health, Medical and Applied Sciences, Central Queensland University, Sydney Campus, Sydney, Australia.<\/span><\/li>\n<li><span class=\"name\"><strong>Rashmita Bajracharya<\/strong><br \/>\n<\/span><span class=\"affiliation\">University of Maryland, Baltimore, MD, United States.<\/span><\/li>\n<li><span class=\"name\"><strong>Anup Ghimire<\/strong><br \/>\n<\/span><span class=\"affiliation\">BP Koirala Institute of Health Sciences, Dharan, Nepal.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>: Cardiac self-efficacy determines how people feel, think, motivate themselves and behave with regards to improving their cardiac health subsequently preventing complications of coronary artery disease (CAD). Given almost one-third of global death is contributed by CAD with 10% of disability adjusted life years lost in low- and middle-income countries (including Nepal), it is important to identify factors that can promote cardiac self-efficacy. There are no studies in Nepal focusing on predictors of self-efficacy. Therefore, we aim to determine the predictors of cardiac self-efficacy of CAD patients in Nepal.<br \/>\n<em>Design and Methods<\/em>: This is a cross-sectional study where we recruited 170 patients (\u226530 years) diagnosed with CAD from two tertiary level hospitals. Multiple linear regression model was used to identify the predictors of cardiac self-efficacy.<br \/>\n<em>Results<\/em>: The mean age of the participants was 60.45\u00b110.39 years (range, 31-83). Most of the participants were diagnosed as myocardial infarction (91.2%), rest with unstable angina (6.5%) and stable angina (2.4%). The multivariate analysis shows age (p&lt;0.001), health behaviors (p&lt;0.001) and knowledge of the disease (p&lt;0.001) were statistically significant predictors to cardiac self-efficacy. Every 1-year increase in age was associated with 0.23 units increase in cardiac self-efficacy score. Similarly, every unit increase in health behavior score and knowledge of disease score was associated with 0.432 units and 0.475 units increase in cardiac self-efficacy score, respectively.<br \/>\n<em>Conclusion<\/em>: Age and health behaviors were the strongest predictors of cardiac self-efficacy followed by knowledge of the disease. We conclude that those with poor health behavior are at a greater risk of poorer cardiac self-efficacy compared to those with relatively good level of self-efficacy. Public health interventions such as awareness raising about cardiac disease and health behavior modification along with early screening, diagnosis and appropriate care are essential to improving self-efficacy and cardiac care outcomes.<\/p>\n<h3 class=\"label\">REFERENCES<\/h3>\n<div class=\"value\">\n<p>WHO. Cardiovascular Diseases 2020. Available from:\u00a0https:\/\/www.who.int\/health-topics\/cardiovascular-diseases\/#tab=tab_1<\/p>\n<p>American Heart Association. Coronary Artery Disease &#8211; Coronary Heart Disease Jul 31, 2015. Available from:\u00a0<a href=\"https:\/\/www.heart.org\/en\/health-topics\/consumer-healthcare\/what-is-cardiovascular-disease\/coronary-artery-disease\">https:\/\/www.heart.org\/en\/health-topics\/consumer-healthcare\/what-is-cardiovascular-disease\/coronary-artery-disease<\/a><\/p>\n<p>Centers for Disease Control and Prevention (CDC) [Internet]. Heart disease facts. Updated 8\/9\/2020. 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Degree and correlates of cardiac knowledge and awareness among cardiac inpatients. Patient Educ Couns 2009;75:99-107. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.pec.2008.09.005\">https:\/\/doi.org\/10.1016\/j.pec.2008.09.005<\/a><\/p>\n<p>Salari A, Rouhi Balasi L, Moaddab F, et al. Patients\u2019 cardiac self-efficacy after coronary artery angioplasty. Jundishapur J Chronic Dis Care 2016;5:e60308. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.17795\/jjcdc-37251\">https:\/\/doi.org\/10.17795\/jjcdc-37251<\/a><\/p>\n<p>Carroll DL. The importance of self-efficacy expectations in elderly patients recovering from coronary artery bypass surgery. Heart Lung 1995;24:50-9. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/S0147-9563(05)80095-0\">https:\/\/doi.org\/10.1016\/S0147-9563(05)80095-0<\/a><\/p>\n<p>Yehle KS, Plake KS. Self-efficacy and educational interventions in heart failure: a review of the literature. J Cardiovasc Nurs 2010;25:175-88. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1097\/JCN.0b013e3181c71e8e\">https:\/\/doi.org\/10.1097\/JCN.0b013e3181c71e8e<\/a><\/p>\n<p>Polsook R, Aungsuroch Y. A cross-sectional study of factors predicting readmission in Thais with coronary artery disease. J Res Nurs 2020. doi: 10.1177\/1744987120946792. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1177\/1744987120946792\">https:\/\/doi.org\/10.1177\/1744987120946792<\/a><\/p>\n<p>Barham A, Ibraheem R, Zyoud SeH. Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine. BMC Cardiovasc Dis 2019;19:290. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1186\/s12872-019-01281-7\">https:\/\/doi.org\/10.1186\/s12872-019-01281-7<\/a><\/p>\n<p>Sarkar U, Ali S, Whooley MA. Self-efficacy and health status in patients with coronary heart disease: findings from the heart and soul study. Psychosom Med 2007;69:306-12. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1097\/PSY.0b013e3180514d57\">https:\/\/doi.org\/10.1097\/PSY.0b013e3180514d57<\/a><\/p>\n<p>Allahverdipour H, Asgharijafarabadi M, Heshmati R, Hashemiparast M. Functional status, anxiety, cardiac self-efficacy, and health beliefs of patients with coronary heart disease. Health Promot Perspect 2013;3:217-29.<\/p>\n<p>Idyan Z, Thato R. Determinants of Preventive behaviors for coronary artery disease among adults in Aceh Province, Indonesia. J Health Res 2017;31:109-17.<\/p>\n<p>Ebraheim MN, Khorais AM. Effect of educational guidelines on cardiac self efficacy, health complaints and anxiety level among patients with coronary artery disease. Egypt J Health Care 2016;7:406-31. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.21608\/ejhc.2016.104841\">https:\/\/doi.org\/10.21608\/ejhc.2016.104841<\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2020.1787 Rabina Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu, Nepal. https:\/\/orcid.org\/0000-0002-7256-4150 Lal Rawal School of Health, Medical and Applied Sciences, Central Queensland University, Sydney Campus, Sydney, Australia. Rashmita Bajracharya University of Maryland, Baltimore, MD, United States. Anup Ghimire BP Koirala Institute of Health Sciences, Dharan, Nepal. ABSTRACT Background: Cardiac self-efficacy determines how people feel, think, &#8230; <a title=\"Predictors of cardiac self-efficacy among patients diagnosed with coronary artery disease in tertiary hospitals in Nepal\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1787\/\" aria-label=\"More on Predictors of cardiac self-efficacy among patients diagnosed with coronary artery disease in tertiary hospitals in Nepal\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4433","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Predictors of cardiac self-efficacy among patients diagnosed with coronary artery disease in tertiary hospitals in Nepal - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1787\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Predictors of cardiac self-efficacy among patients diagnosed with coronary artery disease in tertiary hospitals in Nepal - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2020.1787 Rabina Shrestha Dhulikhel Hospital Kathmandu University Hospital, Kathmandu, Nepal. https:\/\/orcid.org\/0000-0002-7256-4150 Lal Rawal School of Health, Medical and Applied Sciences, Central Queensland University, Sydney Campus, Sydney, Australia. Rashmita Bajracharya University of Maryland, Baltimore, MD, United States. Anup Ghimire BP Koirala Institute of Health Sciences, Dharan, Nepal. ABSTRACT Background: Cardiac self-efficacy determines how people feel, think, ... 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Rashmita Bajracharya University of Maryland, Baltimore, MD, United States. Anup Ghimire BP Koirala Institute of Health Sciences, Dharan, Nepal. ABSTRACT Background: Cardiac self-efficacy determines how people feel, think, ... 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