Document Type : Original Article
Authors
1
Assist. Prof. of Medical Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.
2
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Helwan University, Egypt.
3
Assist. Prof. of Medical Surgical Nursing, Faculty of Nursing, Helwan University, Egypt
10.21608/ejhc.2025.466242
Abstract
Background: Heart failure (HF) is a life-threatening condition affecting over 64 million people globally, leading to significant morbidity, mortality, and healthcare costs. Effective self-efficacy and self-care behaviors are crucial for managing HF and improving patients' quality of life (QoL). Aim: Investigate the correlation between self-efficacy, self-care behaviors, and quality of life in patients with heart failure. Design: A descriptive, cross-sectional, correlational design was employed. Setting: The Cardiology department and Outpatient clinic at Ain Shams University Hospitals, Egypt. Subject: A purposive sample of 84 adult patients was included. Tools: Four tools were utilized to collect data: Tool (I): A demographic and medical data sheet, Tool (II): The European Heart Failure Self-care Behavior Scale, Tool (III): The Minnesota Living Heart Failure Questionnaire, & Tool (IV): The Heart Failure Self-Efficacy Scale. Results: The study demonstrated a strong positive correlation between self-care behaviors and quality of life (QoL) (r = 0.819, p < 0.001). In contrast, self-efficacy showed significant negative correlations with both self-care behaviors (r = -0.765, p < 0.001) and QoL (r = -0.723, p < 0.001), consistent with the tools’ scoring structure, where higher self-efficacy and lower self-care behavior scores represent favorable outcomes. Additionally, younger age, higher educational level, and employment status were associated with improved self-efficacy and QoL scores. Conclusion: The findings indicate that enhancing self-care behaviors is linked to improved quality of life in heart failure patients. Additionally, self-efficacy serves as a significant predictor of self-care behaviors and quality of life. Addressing barriers to effective self-care is essential for improving outcomes in this population. Recommendation: Ongoing educational programs should be developed for heart failure patients, with an emphasis on boosting self-efficacy and encouraging effective self-care behaviors.
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