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Journal of Cardiovascular Medicine and Surgery

Volume  6, Issue 3, July – September 2020, Pages 201-206
 

Original Article

Cardiac Self-Efficacy and its Predictors Among Patients with Coronary Artery Disease: A Cross Sectional Study

Sneha P Raju, Sonia Abraham, Sheela Shenai N A,

1 2nd Year MSc Nursing Student, 2 Associate Professor, Department of Medical Surgical Nursing 3 Principal, MOSC College of Nursing, Kolenchery, Ernakulam, Kerala 682311, India.

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.6320.6

Abstract

Introduction: Coronary artery disease is a leading cause of death in both men and women. It is well known that the maintenance of health behaviours is essential for patients with CADs to prevent recurrence of CAD and cardiac events. Cardiac self-efficacy motivates the individual to select a life style related to cardiovascular disease by creating an enthusiasm to adhere with such behaviours.

Aim: The present study was aimed to investigate the Cardiac self-efficacy and it’s predictors among patients with
coronary artery disease, to provide fundamental knowledge for developing nursing interventions that can improve
self-effcacy in patients with CADs.

Materials and methods: Cross sectional survey design was adopted for this study. Our study was conducted among 300 Patients with coronary artery disease seeking treatment in cardiology outpatient department. Socio demographic and clinical performa, Cardiac self-efficacy scale were used for collecting the required data. Socio demographic, clinical variables and level of cardiac self-efficacy was analysed by using frequency, percentage, median and interquartile range. Simple logistic regression and multiple logistic regression were used to determine
the predictors of cardiac self-efficacy.

Results: This study revealed that 66% of the subjects had good cardiac self-efficacy. The median score of cardiac self-efficacy was 56 and with the interquartile range of 46 and 51. Age (OR=0.07, p=0.04) and revascularization (OR= 1.94, p=0.01) were found to be the statistically significant predictors of cardiac self-efficacy.

Conclusion: The findings provided important insights into the cardiac self-efficacy predictors. These findings helps to develop interventions for enhancing cardiac self-efficacy of patients with coronary artery disease and encourage the patients to improve their cardiac self-efficacy to prevent recurrent occurrence of cardiac events.


 


Keywords : Cardiac self-efficacy; Predictors; Coronary artery disease.
Corresponding Author : Sneha P Raju.