Self-efficacy Mediates the Relationship Between Motivation and Physical Activity in Patients With Heart Failure

Introduction: Little attention has been given to assessing the physical readiness and psychological readiness (motivation & self-efficacy) in patients with heart failure (HF). The aim of this study is to explore the readiness for PA (physical and psychological) in patients with HF and factors related. Method: A cross-sectional study with 163 patients included (mean age 66±16, 50% female, 63% NYHA I, 37% NYHA II) assessing background and clinical data, physical activity (IPAQ-s), depression and anxiety (HADs), quality of life (SF36). Readiness for PA was assessed with physical readiness based on the PA Readiness Questionnaire (PAR-Q) and psychological readiness was measured with the Exercise Self-efficacy Scale (ESES) and motivation with the Motivation for PA and Exercise/ Working Out questionnaire (RM 4-FM). Correlational analyses were done to explore the relationship between physical readiness and psychological readiness and factors related. A multivariate analysis of covariance was done to test the effect of categorical variables on readiness for PA. Results: Of the patients, 64% were not physically ready in becoming more physically active (n=105), 80% of the patients reported low self-efficacy (n=129), 45% (n=74) were extrinsically motivated for change and 55% (n=89) had primarily internal factors that motivated. Physical readiness and psychological readiness were highly correlated with each other. There was a statistically significant higher readiness for PA based on lower age (p < 0.01), male gender (p < 0.01), lower time since diagnose (p < 0.01), being married (p < 0.01), higher educational level (p < 0.01), lower NYHA-class (p = 0.04), lower BMI (p < 0.01), not having COPD (p < 0.01), higher quality of life (p < 0.01) and lower experience of anxiety symptoms (p = 0.03). Conclusions: A prudent first step in fitness assessments and exercise prescription process is the determination of readiness for PA. Along with screening for any physical limitations, it is also important to screen for psychological readiness for engaging in PA. Our findings may assist healthcare providers who are dealing with patients with HF to modify current and develop new practices related to risk reduction as screening readiness for PA before entering PA programs.

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Associated factors and impacts of sedentary behaviour in patients with heart failure: A longitudinal study

European Journal of Cardiovascular Nursing ◽

10.1177/1474515120912381 ◽

2020 ◽

Vol 19 (7) ◽

pp. 609-618

Author(s):

Mei-Fang Chen ◽

Shin-Rong Ke ◽

Chih-Ling Liu ◽

Tao-Cheng Wu ◽

Ya-Mei Yu ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Heart Failure ◽

Social Support ◽

Sedentary Behaviour ◽

Self Efficacy ◽

Associated Factors ◽

Heart Failure Patients ◽

Patients With Heart Failure

Background: Sedentary behaviours may be related to factors such as self-efficacy, mood and social support. However, there is a paucity of longitudinal follow-up studies examining factors related to sedentary behaviour from physical-psychosocial perspectives in patients with heart failure. Aims: The purpose of this study was to explore the multidimensional associated factors and impacts of sedentary behaviour in heart failure patients. Methods: A longitudinal design was used. A convenience sample of 128 heart failure patients recruited from two large medical centres in northern Taiwan was obtained. Patients were interviewed with structured questionnaires to assess physical activity, symptom distress, exercise self-efficacy, anxiety and depression, social support, sleep quality and quality of life before discharge and at 3 and 6 months after discharge. Results: Heart failure patients reported low physical activity and tended to be sedentary. Sedentary behaviour was gradually reduced from hospitalization to 6 months after discharge. Sleep quality, quality of life, analgesic use, symptom distress and exercise self-efficacy were significant associated factors that explained 42.1–51% of the variance in sedentary behaviour. Patients with high sedentary behaviour had significantly greater depression and poorer sleep and quality of life than those with low sedentary behaviour at hospitalization and showed a significant improvement in depression at 3 and 6 months after discharge. Conclusion: Sedentary behaviour is common in heart failure patients and has impacts on depression and quality of life. An appropriate physical activity programme focusing on disease self-management and enhancing self-efficacy is needed for heart failure patients to improve their sedentary behaviour and quality of life.

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The Relationship Between Quality of Life and Cardiovascular Self-Efficacy in Patients with Heart Failure: A Descriptive Correlation Study

Jundishapur Journal of Chronic Disease Care ◽

10.5812/jjcdc.68431 ◽

2018 ◽

Vol In Press (In Press) ◽

Cited By ~ 1

Author(s):

Fereshte Baradaranfard ◽

Sima Babaee ◽

Saba Boroumand ◽

Sorour Mosleh ◽

Fahimeh Jafari ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Self Efficacy ◽

Correlation Study ◽

Patients With Heart Failure ◽

The Relationship

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368 The relationship between endothelin-1 and inflammatory cytokines levels and stress capacity in patients with heart failure

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(04)90278-0 ◽

2004 ◽

Vol 3 (1) ◽

pp. 94

Author(s):

J NESSLER

Keyword(s):

Heart Failure ◽

Inflammatory Cytokines ◽

Endothelin 1 ◽

Patients With Heart Failure ◽

The Relationship

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P2263Prognostic impact of perceived social isolation in patients with heart failure

European Heart Journal ◽

10.1093/eurheartj/ehz748.0741 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

T Ikeda ◽

K Iwatsu ◽

K Matsumura ◽

H Ashikawa ◽

K Takabayashi ◽

...

Keyword(s):

Heart Failure ◽

Social Isolation ◽

Roc Curve ◽

Negative Impact ◽

Roc Curve Analysis ◽

Rehospitalization Rate ◽

Kaplan Meier ◽

Patients With Heart Failure ◽

Perceived Social Isolation ◽

The Relationship

Abstract Background Perceived social isolation (SI), the subjective sense of feelings of loneliness or isolation, has a negative impact on health outcomes, particularly in older adults. Although SI may also contribute to poor prognosis in patients with HF, evidence on the relationship between SI and outcomes in patients with HF is limited. Purpose The aim of this study was to investigate the relationship between SI and hospital readmission in patients with HF. Methods This study was a single center prospective cohort study. We consecutively enrolled 203 patients (mean age 72.9±11.7) who admitted for acute HF or exacerbation of chronic HF. At hospital discharge, we assessed perceived SI by using Lubben Social Network Scale - 6 (LSNS-6). Lower scores in LSNS-6 represents greater SI. Study outcome was rehospitalization for worsening HF within 180 days after discharge. We selected the optimal cutoff point of LSNS-6 that predict a worse outcome by the receiver operating characteristic (ROC) curve analysis. We investigate the association between SI and 180-days HF rehospitalization by using Cox proportional-hazard models, controlling for potential confounding factors. Results During follow up, A total of 40events (19.7%) were observed. The optimal cut-off point of LSNS-6 score was 17 points (the area under the ROC curve: 0.62, p<0.05, sensitivity: 82.5%, specificity 42.4%). Kaplan-Meier survival curves showed that those patients with greater SI (LSNS-6≤17) presented significantly higher HF rehospitalization rate (Figure). After adjusting for several pre-existing prognostic factors, LSNS-6≤17 was independently associated with HF rehospitalization (hazard ratio2.15,95% confidence interval 1.00–4.89). Conclusion The present study shows that SI is a independent predictor of HF rehospitalization in patients with HF. Assessing SI in the clinical practice with a brief screening tool may help identify patients with heart failure at greater risk of rehospitalization.

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