Self-efficacy in Doing Self-care Among Patients With Coronary Heart Disease: A Concept Analysis
Main Article Content
Abstract
Clarity regarding self-efficacy (SE) in coronary heart disease (CHD) patients is essential. Concept analysis studies have yet to be genuinely comprehensive in determining the characteristics, origins, and outcomes of SE in CHD patients. This paper uses Rodger's concept analysis approach to conduct an in-depth analysis of the SE concept in CHD patients. Reference sources were obtained from three databases: EBSCO-host, PubMed, Scopus, and one search engine: Google Scholar. This review identified the attributes, antecedents, and consequences of SE in CHD patients. Four categories of antecedents include personal, environmental, behavioural, and psychological factors. The three attributes that are the basis for forming SE are personal belief, perception of self-ability, and ability to understand learning needs. The long-term consequence of a lack of self-efficacy is poor self-care, impacting the quality of life. The clarity of this concept will make it easier for health professionals, including nurses and other scientific disciplines, to use the SE concept with this population in health service practice and the field of research.
Downloads
Article Details
References
Widiantoro FX, Sinaga F. A concept analysis: Physical activity level. Malahayati Int J Nurs Heal Sci. 2020;03(1):1–14. https://www.ejurnalmalahayati.ac.id/index.php/nursing/article/view/2413/0
Alligood M. Nursing Theorists And Their Work, Ninth Edition. Ninth. North Carolina: Elsevier; 2018.
Rodgers BL. Concepts, analysis and the development of nursing knowledge: the evolutionary cycle. lournal Adv Nurs. 1989;14:330–5. https://doi.org/https://doi.org/10.1111/j.1365-2648.1989.tb03420.x
Bandura A. Self-efficacy: the exercise of control 1st edition. 1997. p. 1–604.
Wahyuni A, Setyowati S. Concept Analysis of Self Efficacy Among Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention. J Aisyah J Ilmu Kesehat. 2022;7(4):1051–8. 10.30604/jika.v7i4.1275
Alamsyah Q, Dewi WN, Utomo W. Faktor-Faktor Yang Mempengaruhi Self Efficacy Pasien Penyakit Jantung Koroner Setelah Percutaneous Coronary Intervention. J Ners Indones. 2020;11(1):65. 10.31258/jni.11.1.65-74
Nuraeni A, Sugiharto F, Anna A, Sari E, Mirwanti R, Trisyani Y, et al. Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis. Vasc Health Risk Manag. 2023;19:583–93. 10.2147/VHRM.S427488
Bandura A. Social foundations of thought and action : A Social Cognitive Theory. Englewood Cliffs, NJ. 1986;1986(23–28). https://psycnet.apa.org/record/1985-98423-000
Farley H. Promoting self-efficacy in patients with chronic disease beyond traditional education: A literature review. Nurs Open. 2020;7(1):30–41. 10.1002/nop2.382
Hadiyani W, Fathurrahman MD, Ilbert R. Self-efficacy of people who are at risk of tuberculosis in the work area of the garuda public health center in Bandung. J Keperawatan Komprehensif [Internet]. 2021;7(2):7–12. Available from: https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/256
Rondonuwu RHS, Sarimin DS, Tandiayuk M. Self-efficacy of Doing Physical Exercise in People at Risk of Coronary Heart Disease. Open Access Maced J Med Sci. 2022;10(G):150–3. 10.3889/oamjms.2022.8077
Lo SHS, Chau JPC, Woo J, Thompson DR, Choi KC. Adherence to antihypertensive medication in older adults with hypertension. J Cardiovasc Nurs. 2016;31(4):296–303. https://doi.org/10.1097/JCN.0000000000000251
Brink E, Alsén P, Herlitz J, Kjellgren K, Cliffordson C. General self-efficacy and health-related quality of life after myocardial infarction. Psychol Health Med. 2012;17(3):346–55. https://doi.org/10.1080/13548506.2011.608807
Sol BGM, van der Graaf Y, van Petersen R, Visseren FLJ. The effect of self-efficacy on cardiovascular lifestyle. Eur J Cardiovasc Nurs. 2011 Sep;10(3):180–6. https://doi.org/10.1016/j.ejcnurse.2010.06.005
Nuraeni A. Factors Affecting the Quality of Life of Patients with Coronary Heart Disease (Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner). J Keperawatan Padjadjaran. 2016;v4(n2):107–16. https://doi.org/10.24198/jkp.v4n2.1
Musthofa F, Trisyani Y, Mirwanti R. The Quality of Life Among Coronary Heart Disease Patients After Percutaneous Coronary Intervention: A Scoping Review. Malaysian J Med Heal Sci. 2022;18:246–53. https://medic.upm.edu.my/upload/dokumen/2022022509194445_0988.pdf
Fang J, Wang JW, Li J, Li H, Shao C. The correlates of social capital and adherence to healthy lifestyle in patients with coronary heart disease. Patient Prefer Adherence. 2017;11:1701–7. https://doi.org/10.2147/PPA.S140787
Ahn S, Song R, Choi SW. Effects of Self-care Health Behaviors on Quality of Life Mediated by Cardiovascular Risk Factors Among Individuals with Coronary Artery Disease: A Structural Equation Modeling Approach. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2016;10(2):158–63. Available from:https://doi.org/10.1016/j.anr.2016.03.004
Sidaria S, Huriani E, Nasution SD. Self Care dan Kualitas Hidup Pasien Penyakit Jantung Koroner (Self Care and Quality of Life for Coronary Heart Disease Patients). Jik J Ilmu Kesehat. 2023;7(1):41. https://doi.org/10.33757/jik.v7i1.631
Zhang S, Wang Z, Lin X, Li Y, Xue Y, Ban J, et al. Kinesiophobia and self-management behaviour related to physical activity in Chinese patients with coronary heart disease: The mediating role of self-efficacy. Nurs Open. 2023;10(1):105–14. https://doi.org/10.1002/nop2.1283
Maruta M, Moriyama S, Mizuguchi Y, Hashimoto S, Yamada T, Taniguchi N, et al. Evaluation of the Determinant Factors and Clinical Implications of Self-Care Agency Among Patients with Acute Myocardial Infarction. Clin Nurs Res. 2021;30(2):207–14. https://doi.org/10.1177/1054773820933450
Moore L, Frost J, Britten N. Context and complexity: The meaning of self-management for older adults with heart disease. Sociol Heal Illn. 2015;37(8):1254–69. https://doi.org/10.1111/1467-9566.12316
Riegel B, Moser DK, Buck HG, VaughanDickson V, B.Dunbar S, Lee CS, et al. Self-care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American heart association. J Am Heart Assoc. 2017;6(9):1–27. https://doi.org/10.1161/JAHA.117.006997
Sugiharto F, Nuraeni A, Trisyani Y, Melati Putri A, Aghnia Armansyah N. Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review. Vasc Health Risk Manag. 2023;19:557–70. https://doi.org/10.2147/VHRM.S425505
Kargar L, Khademian Z, Rambod M. Association between perception of caring behaviors and self-efficacy in patients with cardiovascular disease at coronary care units: A cross-sectional study. Acute Crit Care. 2021;36(2):118–25. https://doi.org/10.4266/ACC.2020.00752
McMillan E, Stanga N, Sell S. Holism: A Concept Analysis. Int J Nurs Clin Pract. 2018;5(1). https://doi.org/10.15344/2394-4978/2018/282
Zulkosky K. Self-Efficacy: A Concept Analysis. Nurs Forum. 2009;44(2):93–102. https://doi.org/10.1111/j.1744-6198.2009.00132.x
Fakhr Movahedi A, Soleimani M, Bahadori H, Hosseini Amiri M. Concept Analysis of Pain Anxiety Using Rodgers’ Evolutionary Method. Avicenna J Care Heal Oper Room [Internet]. 2023;1(3):99–103. Available from: https://doi.org/10.34172/ajchor.28
Ghahramanian A, Rassouli M, Zamanzadeh V, Valizadeh L, Asghari E. Good nursing care:Rodgers’ evolutionary concept analysis. Nurs Pract Today. 2020;7(1):12–20. https://doi.org/10.18502/npt.v7i1.2295
Rafii F, Oskouie F, Parvizy S, Mohammadi N, Ghafouri R. Nursing Professional Regulation: Rodgers’ evolutionary concept analysis. Int J Med Res Heal Sci. 2016;5(9):436–42. https://www.researchgate.net/publication/322715065_Nursing_Professional_Regulation_Rodgers'_evolutionary_concept_analysis
Gerbino M. Self-efficacy. Wiley Encycl Personal Individ Differ. 2020;(1994):387–91. https://doi.org/10.1002/9781118970843.ch243
Bandura A, Locke EA. Negative self-efficacy and goal effects revisited. J Appl Psychol. 2003;88(1):87–99. https://doi.org/10.1037/0021-9010.88.1.87
Barham A, Ibraheem R, Zyoud SH. Cardiac self-efficacy and quality of life in patients with coronary heart disease: A cross-sectional study from Palestine. BMC Cardiovasc Disord. 2019;19(1):1–12. https://doi.org/10.1186/s12872-019-01281-7
Indonesia Dictionary. Language Development and Construction Agency. 2016 [cited 2023 Sep 25]. Efikasi (Efficacy) Pecaya Diri (Self-confidence). Available from: https://kbbi.kemdikbud.go.id/entri/efikasi
Thesaurus. Third Edition. 2023 [cited 2023 Sep 25]. Synonyms of Efficacy. Available from: https://www.thesaurus.com/browse/efficacy
Kang Y, Yang IS. Cardiac self-efficacy and its predictors in patients with coronary artery diseases. J Clin Nurs. 2013;22(17–18):2465–73. https://doi.org/10.1111/jocn.12142
Fahmi I, Suryaman A, Ganefianty A. The Relationship of Psychological Well-Being with a Cardiac Diet Self Efficacy in Acute Coronary Syndrome Patients. J Pendidik Keperawatan Indones. 2022;8(2):119–26. https://doi.org/10.17509/jpki.v8i2.51066
Kärner Köhler A, Tingström P, Jaarsma T, Nilsson S. Patient empowerment and general self-efficacy in patients with coronary heart disease: A cross-sectional study. BMC Fam Pract. 2018;19(1):1–10. https://doi.org/10.1186/s12875-018-0749-y
LaPier TK, Cleary K, Kidd J. Exercise Self-Efficacy, Habitual Physical Activity, and Fear of Falling in Patients with Coronary Heart Disease. Cardiopulm Phys Ther J. 2009;20(4):5–11. https://doi.org/10.1097/01823246-200920040-00002
Hirani SP, Newman SP. Patients’ beliefs about their cardiovascular disease. Heart. 2005 Sep;91(9):1235–9. https://doi.org/10.1136/hrt.2003.025262
Liu XL, Willis K, Fulbrook P, Wu CJJ, Shi Y, Johnson M. Factors influencing self-management priority setting and decision-making among Chinese patients with acute coronary syndrome and type 2 diabetes mellitus. Eur J Cardiovasc Nurs. 2019 Dec;18(8):700–10. https://doi.org/10.1177/1474515119863178
Taylor D, Bury M, Campling N, Carter S, Garfied S, Newbould J, et al. A Review of the use of the Health Belief Model ( HBM ), the Theory of Reasoned Action ( TRA ), the Theory of Planned Behaviour ( TPB ) and the Trans- Theoretical Model ( TTM ) to study and ... A Review of the use of the Health Belief Model ( HBM ), the Th [Internet]. The School of Pharmacy; 2006. Available from: https://www.researchgate.net/publication/334114235_A_Review_of_the_use_of_the_Health_Belief_Model_HBM_the_Theory_of_Reasoned_Action_TRA_the_Theory_of_Planned_Behaviour_TPB_and_the_Trans-Theoretical_Model_TTM_to_study_and_predict_health_related_behavio
Avant W. Startegy of theory construction in nursing. Fifth. Pearson Education Limited; 2014. 608 p.
Ziegler SM. Theory-directed nursing practice. Springer Publishing Company; 2005.
SM M, KN P, MJ B, Moore SM, Prior KN, Bond MJ, et al. The contributions of psychological disposition and risk factor status to health following treatment for coronary artery disease. Eur J Cardiovasc Nurs [Internet]. 2007 Jun;6(2):137–45. Available from: https://doi.org/10.1016/j.ejcnurse.2006.06.004
Shin ES, Hwang SY, Jeong MH, Lee ES. Relationships of factors affecting self-care compliance in acute coronary syndrome patients following percutaneous coronary intervention. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2013;7(4):205–11. Available from: https://doi.org/10.1016/j.anr.2013.10.003
Chair SY, Wong KB, Tang JYM, Wang Q, Cheng HY. Social support as a predictor of diet and exercise self-efficacy in patients with coronary artery disease. Contemp Nurse. 2015;51(2–3):188–99. https://doi.org/10.1080/10376178.2016.1171726
Lau-Walker M. Relationship between illness representation and self-efficacy. J Adv Nurs. 2004 Nov;48(3):216–25. https://doi.org/10.1111/j.1365-2648.2004.03190.x
Shrestha R, Rawal L, Bajracharya R, Ghimire A. Predictors of cardiac self-efficacy among patients diagnosed with coronary artery disease in tertiary hospitals in Nepal. J Public health Res. 2020 Oct;9(4):1787. https://doi.org/10.4081/jphr.2020.1787
Zhu Y, Song Y, Wang Y, Ji H, Wang D, Cai S, et al. Relationships among social support, self-efficacy, and patient activation in community-dwelling older adults living with coronary heart disease: A cross-sectional study. Geriatr Nurs (Minneap) [Internet]. 2022;48:135–40. Available from: https://doi.org/10.1016/j.gerinurse.2022.09.008
Rodriguez LA, Thomas TW, Finertie H, Turner CD, Heisler M, Schmittdiel JA. Psychosocial and diabetes risk factors among racially/ethnically diverse adults with prediabetes. Prev Med Reports.2022;27:101821. https://doi.org/10.1016%2Fj.pmedr.2022.101821
Gandhi S, Goodman SG, Greenlaw N, Ford I, McSkimming P, Ferrari R, et al. Living alone and cardiovascular disease outcomes. Heart. 2019;105(14):1087–95. https://doi.org/10.1136/heartjnl-2018-313844
Wantiyah, Rivani FRP, Hakam M. The correlation between religiosity and self-efficacy in patients with coronary artery disease. Belitung Nurs J. 2020;6(5):172–6. https://doi.org/10.33546/bnj.1134
Abu HO, Ulbricht C, Ding E, Allison JJ, Salmoirago-Blotcher E, Goldberg RJ, et al. Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Qual life Res an Int J Qual life Asp Treat care Rehabil. 2018 Nov;27(11):2777–97. https://doi.org/10.1007/s11136-018-1906-4
Bandura A. Self-Efficacy. Vol. 4. San Diego: Academic Press; 1994. 71–81 p.
Woodgate J, Brawley LR. Self-efficacy for exercise in cardiac rehabilitation: review and recommendations. J Health Psychol. 2008 Apr;13(3):366–87. https://doi.org/10.1177/1359105307088141
Al-Sutari M, Ahmad M. Predictors of adherence to self-care behaviors among patients with coronary heart disease. Nurs Pract Today. 2022;9(2):145–57. https://doi.org/10.18502/npt.v9i2.8897
Almeida JAB, Florêncio RB, Lemos DA, Leite JC, Monteiro KS, Peroni Gualdi L. Self-efficacy instruments for individuals with coronary artery disease: A systematic review protocol. BMJ Open. 2022;12(7):1–4. https://doi.org/10.1136/bmjopen-2022-062794
Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982;37(2):122.60. https://psycnet.apa.org/doi/10.1037/0003-066X.37.2.122
Perry P. Concept analysis: confidence/self-confidence. Nurs Forum. 2011;46(4):218–30. https://doi.org/10.1111/j.1744-6198.2011.00230.x
Sugiharto F, Nuraeni A, Trisyani Y, Armansyah NA, Zamroni AH, Putri AM. A Scoping Review of Predictors Associated with Self-Efficacy Among Patients with Coronary Heart Disease. Vasc Health Risk Manag. 2023;19:719–31. https://doi.org/10.2147/VHRM.S435288
Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2012 May;14(5):451–8. https://doi.org/10.1093/eurjhf/hfs048
Sharp PB, Salyer J. Self-efficacy and barriers to healthy diet in cardiac rehabilitation participants and nonparticipants. J Cardiovasc Nurs. 2012;27(3):253–62. https://doi.org/10.1097/JCN.0b013e31821efdc2