Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis

Aan Nuraeni,1 Firman Sugiharto,2 Anastasia Anna,1 Eka Sari,3 Ristina Mirwanti,1 Yanny Trisyani,1 Etika Emaliyawati1 1Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; 2Master Program, Faculty of Nursing, Universitas Padjadj...

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Main Authors: Nuraeni A, Sugiharto F, Anna A, Sari E, Mirwanti R, Trisyani Y, Emaliyawati E
Format: Article
Language:English
Published: Dove Medical Press 2023-09-01
Series:Vascular Health and Risk Management
Subjects:
Online Access:https://www.dovepress.com/self-efficacy-in-self-care-and-its-related-factors-among-patients-with-peer-reviewed-fulltext-article-VHRM
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author Nuraeni A
Sugiharto F
Anna A
Sari E
Mirwanti R
Trisyani Y
Emaliyawati E
author_facet Nuraeni A
Sugiharto F
Anna A
Sari E
Mirwanti R
Trisyani Y
Emaliyawati E
author_sort Nuraeni A
collection DOAJ
description Aan Nuraeni,1 Firman Sugiharto,2 Anastasia Anna,1 Eka Sari,3 Ristina Mirwanti,1 Yanny Trisyani,1 Etika Emaliyawati1 1Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; 2Master Program, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; 3Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, IndonesiaCorrespondence: Aan Nuraeni, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, Bandung, West Java, 45363, Indonesia, Tel +62 85624217606, Fax +62 2287793411, Email aan.nuraeni@unpad.ac.idBackground: Low self-efficacy (SE) can impact decreasing health status, poor self-care, and quality of life among patients with Coronary Heart Disease (CHD). Many factors can affect SE. However, studies on SE in CHD patients with Rasch Model analysis have not been carried out widely.Purpose: This study aims to identify the SE in self-care and its related factors that correlate SE among CHD patients.Patients and Methods: Cross-sectional study was conducted on 104 adult patients (≥ 18 years) diagnosed with CHD. Selection of the sample using convenience sampling technique with several predetermined criteria. SE was measured using the SEQ-CHDM questionnaire, with high validity and reliability results. Data were analyzed using the Rasch model and chi-square test.Results: The results showed that most respondents had a moderate SE (51.5%). Care units (p=0.003) and duration of illness (p=0.049) were significantly correlated to SE among patients with CHD. “Maintaining an ideal body weight” is the most challenging thing. On the other hand, stop smoking is the most confident thing to be performed by the respondents.Conclusion: We conclude that CHD patients in the acute care unit and patients with a duration of illness > 6 months have a lower tendency for SE. Health interventions such as raising awareness about the disease, modifying health behavior, and immediately screening can improve patients’ SE. Besides that, proper diagnosis and ongoing treatment are crucial to improving SE and CHD care outcomes.Keywords: coronary heart disease, self-care, self-efficacy
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spelling doaj.art-1ed271d431b145aeb77f3f637325944f2023-09-05T19:17:36ZengDove Medical PressVascular Health and Risk Management1178-20482023-09-01Volume 1958359386426Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch AnalysisNuraeni ASugiharto FAnna ASari EMirwanti RTrisyani YEmaliyawati EAan Nuraeni,1 Firman Sugiharto,2 Anastasia Anna,1 Eka Sari,3 Ristina Mirwanti,1 Yanny Trisyani,1 Etika Emaliyawati1 1Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; 2Master Program, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia; 3Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, IndonesiaCorrespondence: Aan Nuraeni, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, Bandung, West Java, 45363, Indonesia, Tel +62 85624217606, Fax +62 2287793411, Email aan.nuraeni@unpad.ac.idBackground: Low self-efficacy (SE) can impact decreasing health status, poor self-care, and quality of life among patients with Coronary Heart Disease (CHD). Many factors can affect SE. However, studies on SE in CHD patients with Rasch Model analysis have not been carried out widely.Purpose: This study aims to identify the SE in self-care and its related factors that correlate SE among CHD patients.Patients and Methods: Cross-sectional study was conducted on 104 adult patients (≥ 18 years) diagnosed with CHD. Selection of the sample using convenience sampling technique with several predetermined criteria. SE was measured using the SEQ-CHDM questionnaire, with high validity and reliability results. Data were analyzed using the Rasch model and chi-square test.Results: The results showed that most respondents had a moderate SE (51.5%). Care units (p=0.003) and duration of illness (p=0.049) were significantly correlated to SE among patients with CHD. “Maintaining an ideal body weight” is the most challenging thing. On the other hand, stop smoking is the most confident thing to be performed by the respondents.Conclusion: We conclude that CHD patients in the acute care unit and patients with a duration of illness > 6 months have a lower tendency for SE. Health interventions such as raising awareness about the disease, modifying health behavior, and immediately screening can improve patients’ SE. Besides that, proper diagnosis and ongoing treatment are crucial to improving SE and CHD care outcomes.Keywords: coronary heart disease, self-care, self-efficacyhttps://www.dovepress.com/self-efficacy-in-self-care-and-its-related-factors-among-patients-with-peer-reviewed-fulltext-article-VHRMcoronary heart diseaseself-careself-efficacy
spellingShingle Nuraeni A
Sugiharto F
Anna A
Sari E
Mirwanti R
Trisyani Y
Emaliyawati E
Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis
Vascular Health and Risk Management
coronary heart disease
self-care
self-efficacy
title Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis
title_full Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis
title_fullStr Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis
title_full_unstemmed Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis
title_short Self-Efficacy in Self-Care and Its Related Factors Among Patients with Coronary Heart Disease in Indonesia: A Rasch Analysis
title_sort self efficacy in self care and its related factors among patients with coronary heart disease in indonesia a rasch analysis
topic coronary heart disease
self-care
self-efficacy
url https://www.dovepress.com/self-efficacy-in-self-care-and-its-related-factors-among-patients-with-peer-reviewed-fulltext-article-VHRM
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