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Chen PY, Chou CY, Lien MH, Chen SW, Lu SH, Lo C. Psychological factors associated with exercise self-efficacy in the recipients of an implantable cardioverter defibrillator. PLoS One 2024; 19:e0305606. [PMID: 38917145 PMCID: PMC11198776 DOI: 10.1371/journal.pone.0305606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 06/03/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Insufficient exercise affects the health of patients who have implantable cardioverter defibrillators (ICD). The purpose of this study was to investigate the correlations between exercise self-efficacy (ESE) and its associated psychological factors in ICD recipients. METHODS This cross-sectional study included individuals who had undergone ICD implantation at the cardiology department of a medical centre in Taiwan. A face-to-face survey was conducted. The survey questionnaire included questions regarding the participants' demographics, perceived health (PH), ICD shock-related anxiety (ICD-SRA), self-care self-efficacy (SSE), perceived exercise benefit (PE-benefit), perceived exercise barrier (PE-barrier), and ESE. Data were analysed using SPSS 20.0 Software. Stepwise multiple regression analyses were also performed to evaluate the predictive effects of the aforementioned factors on ESE. RESULTS A total of 52 ICD recipients were enrolled. ESE was negatively correlated with ICD-SRA (r = -0.511; p < 0.01) and PE-barrier (r = -0.563; p < 0.01), but positively correlated with SSE (r = 0.339; p < 0.05) and PE-benefit (r = 0.464; p < 0.01). The stepwise multiple regression analysis revealed that PE-barrier, PE-benefit, and ICD-SRA effectively predicted ESE in the participants. CONCLUSIONS ESE may be improved by overcoming PE-barrier, ICD-SRA and enhancing PE-benefit. Consequently, improving ESE may enhance the health benefits of exercise.
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Affiliation(s)
- Pei-Yun Chen
- Department of Nursing, Jen-Teh Junior College of Medicine Nursing and Management, Miaoli County, Taiwan, R.O.C
| | - Ching-Yi Chou
- Department of Nursing, China Medical University Hospital, Taichung, Taiwan, R.O.C
| | - Miao-Hsin Lien
- Department of Nursing, China Medical University Hospital, Taichung, Taiwan, R.O.C
| | - Shu-Wen Chen
- Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan, R.O.C
| | - Shu-Hua Lu
- Department of Nursing, China Medical University Hospital, Taichung, Taiwan, R.O.C
- School and Graduate Institute of Nursing, China Medical University, Taichung, Taiwan, R.O.C
| | - Chyi Lo
- Department of Nursing, China Medical University Hospital, Taichung, Taiwan, R.O.C
- School and Graduate Institute of Nursing, China Medical University, Taichung, Taiwan, R.O.C
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Genç H, Tanrıverdi S, Şen MA. Determination of body image and self-efficacy levels in patients after cornea transplantation. ENFERMERIA CLINICA (ENGLISH EDITION) 2024; 34:49-55. [PMID: 38185369 DOI: 10.1016/j.enfcle.2023.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 10/18/2023] [Indexed: 01/09/2024]
Abstract
PURPOSE The study aimed to determine body image and levels after surgery in cornea transplant patients. MATERIALS AND METHODS The population of this cross-sectional study was composed of 383 patients presented to the Eye Bank unit of a University Hospital after corneal transplantation. Sample size of 193 patients was calculated with 0.5 power, a margin of error of 5%, representing 95% of the universe. The data were collected through face-to-face interviews with the patients by the researcher and the study was completed with 178 patients in September-November 2022. The data were collected using a Patient Information Form, the Body Image Scale, and the General Self-Efficacy Scale. Parametric tests, Pearson Correlation, Student's t-test, and One-Way Analysis of Variance tests were performed were used in the data analysis. RESULTS It was determined that the mean Body Image Scale score of the transplant patients participating in the study was 159.41 ± 36.99 and the mean Self-Efficacy Scale score was 30.37 ± 8.31. When the comparison of the mean scores was examined, the difference between the mean scores of gender, marital status, occupation, and body image scale was statistically significant (p < .05), while the difference between the self-efficacy mean scores was not statistically significant (p > .05). There was a positive, moderately strong significant relationship between body image and the self-efficacy of the patients (p < .01) (r = .57). CONCLUSION It was found that the patient's body image and self-efficacy levels were high, and self-efficacy increased as the body image increased.
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Affiliation(s)
- Hasan Genç
- Dicle University Atatürk Faculty of Health, Diyarbakır, Turkey
| | | | - Mehmet Ali Şen
- Atatürk Vocatıonal School of Health Services, Diyarbakır, Turkey
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Wang X, Yin X, Liu P, Wang A, Mu W, Xu J, Lu W, Chen Z, Zhou Y, Xu S, Wang Y. The effect of Baduanjin Qigong combined with five-elements music on anxiety and quality of sleep in asymptomatic patients with COVID-19 infection: A randomised controlled trial. Heliyon 2023; 9:e18962. [PMID: 37636423 PMCID: PMC10447985 DOI: 10.1016/j.heliyon.2023.e18962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 07/31/2023] [Accepted: 08/03/2023] [Indexed: 08/29/2023] Open
Abstract
Background Infections of Coronavirus Disease-2019 (COVID-19) and the subsequent quarantine can culminate in anxious mood and sleep disturbances. The objective of this clinical trial was to investigate the effect of traditional Qigong with music therapy on relieving anxiety and improving the quality of sleep in Chinese adults with COVID-19 infection. Methods A total of 200 asymptomatic COVID-19 infected patients were randomly assigned into two groups during their quarantine period in Chongming Island, Shanghai. The patients in the treatment group daily received Baduanjin Qigong, five-elements music therapy and routine care, while the patients in the control group only took the routine care. The primary outcome was anxiety levels measured by the 7-item Generalized Anxiety Disorder scale (GAD-7). Secondary outcomes included the quality of sleep measured by the Jenkins Sleep Scale (JSS), the degree of depression measured by the Patient Health Questionnaire (PHQ-9), as well as the self-efficacy in the Perceived Health Competence Scale (PHCS). An online questionnaire was given to all participants on the day of arrival to determine the baseline for all outcomes and then given again on the day of discharge. A one-way analysis of covariance was used to analyze the differences between the two groups after intervention. Results At the end of the intervention, 177 (88.5%) patients finished the questionnaire. Patients in the treatment group had clearly decreased GAD-7 scores (MD = 2.7, 95% CI = 2.3, 3.2) after the daily exercise and music. Patients in the control group had little changes in the GAD-7 (MD = -0.2, 95%CI = -0.7, 0.3, P = 0.07), as well as the PHQ-9 (MD = 0.1, 95%CI = -0.5, 0.6, P = 0.66) after the routine care, when compared to their baseline scores. There were statistical between-group differences in GAD-7 (MD = 2.9, 95% CI = 2.2, 3.6, P < 0.001)and in the PHQ-9 scores (MD = 3.6, 95% CI = 2.9, 4.4, P < 0.001) at the post-treatment. Compared with the control group, patients had significantly lower scores on the JSS (MD = 2.7, 95% CI = 2.0, 3.3, P < 0.001), and higher scores on the PHCS (MD = -5.0, 95% CI = -6.1, -3.9, P < 0.001) after receiving Qigong and the music therapy. Conclusion Traditional Baduanjin Qigong and five-elements music therapy help to relieve anxiety and depression, and improve the sleep quality in patients with COVID-19 infection. Trial registration Chinese Clinical Trial Registry ChiCTR2200059800.
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Affiliation(s)
- Xian Wang
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Xuan Yin
- The Department of Acupuncture and Moxibustion, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Ping Liu
- The Department of Nursing, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, China
| | - Anzi Wang
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Wenfang Mu
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Jun Xu
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Weiyan Lu
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Zhuping Chen
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Yan Zhou
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Shifen Xu
- The Department of Acupuncture and Moxibustion, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
| | - Yan Wang
- The Department of Nursing, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, 200071, China
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Funaki K, Adachi T, Kameshima M, Fujiyama H, Iritani N, Tanaka C, Sakui D, Hara Y, Sugiura H, Yamada S. Factors Associated With Changes in Objectively Measured Moderate to Vigorous Physical Activity in Patients After Percutaneous Coronary Intervention: A Prospective Cohort Study. J Phys Act Health 2023; 20:279-291. [PMID: 36812917 DOI: 10.1123/jpah.2022-0396] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 12/03/2022] [Accepted: 01/05/2023] [Indexed: 02/24/2023]
Abstract
BACKGROUND This study aimed to clarify factors affecting changes in moderate to vigorous physical activity (MVPA) in patients 1 to 3 months after undergoing percutaneous coronary intervention (PCI). METHODS In this prospective cohort study, we enrolled patients aged <75 years who underwent PCI. MVPA was objectively measured using an accelerometer at 1 and 3 months after hospital discharge. Factors associated with increased MVPA (≥150 min/wk at 3 mo) were analyzed in participants with MVPA < 150 minutes per week at 1 month. Univariate and multivariate logistic regression analyses were performed to explore variables potentially associated with increasing MVPA, using MVPA ≥ 150 minutes per week at 3 months as the dependent variable. Factors associated with decreased MVPA (<150 min/wk at 3 mo) were also analyzed in participants with MVPA ≥ 150 minutes per week at 1 month. Logistic regression analysis was performed to explore factors of declining MVPA, using MVPA < 150 minutes per week at 3 months as the dependent variable. RESULTS We analyzed 577 patients (median age 64 y, 13.5% female, and 20.6% acute coronary syndrome). Increased MVPA was significantly associated with participation in outpatient cardiac rehabilitation (odds ratio 3.67; 95% confidence interval, 1.22-11.0), left main trunk stenosis (13.0; 2.49-68.2), diabetes mellitus (0.42; 0.22-0.81), and hemoglobin (1.47, per 1 SD; 1.09-1.97). Decreased MVPA was significantly associated with depression (0.31; 0.14-0.74) and Self-Efficacy for Walking (0.92, per 1 point; 0.86-0.98). CONCLUSIONS Identifying patient factors associated with changes in MVPA may provide insight into behavioral changes and help with individualized PA promotion.
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Affiliation(s)
- Kuya Funaki
- Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, Nagoya,Japan
| | - Takuji Adachi
- Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya,Japan
| | | | - Hiroaki Fujiyama
- Department of Cardiac Rehabilitation, Nagoya Heart Center, Nagoya,Japan
| | - Naoki Iritani
- Department of Cardiac Rehabilitation, Toyohashi Heart Center, Toyohashi,Japan
| | - Chikako Tanaka
- Department of Cardiac Rehabilitation, Toyohashi Heart Center, Toyohashi,Japan
| | - Daisuke Sakui
- Department of Cardiac Rehabilitation, Gifu Heart Center, Gifu,Japan
| | - Yasutaka Hara
- Department of Cardiac Rehabilitation, Gifu Heart Center, Gifu,Japan
| | - Hideshi Sugiura
- Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya,Japan
| | - Sumio Yamada
- Department of Cardiology, Aichi Medical University, Nagakute,Japan
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Hu JR, Huang S, Bosworth HB, Freedland KE, Mayberry LS, Kripalani S, Wallston KA, Roumie CL, Bachmann JM. Association of Perceived Health Competence With Cardiac Rehabilitation Initiation. J Cardiopulm Rehabil Prev 2023; 43:93-100. [PMID: 36730182 PMCID: PMC9974554 DOI: 10.1097/hcr.0000000000000749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE Cardiac rehabilitation (CR), a program of supervised exercise and cardiovascular risk management, is widely underutilized. Psychological factors such as perceived health competence, or belief in one's ability to achieve health-related goals, may play a role in CR initiation. The aim of this study was to evaluate the association of perceived health competence with CR initiation among patients hospitalized for acute coronary syndrome (ACS) after adjusting for demographic, clinical, and psychosocial characteristics. METHODS The Vanderbilt Inpatient Cohort Study (VICS) characterized the effect of psychosocial characteristics on post-discharge outcomes in ACS inpatients hospitalized from 2011 to 2015. The primary outcome for this analysis was participation in an outpatient CR program. The primary predictor was the two-item Perceived Health Competence Scale (PHCS-2), which yields a score from 2 to 10 (higher scores indicate greater perceived health competence). Multiple logistic regression was used to evaluate the relationship between the PHCS-2 and CR initiation. RESULTS A total of 1809 VICS participants (median age: 61 yr, 39% female) with ACS were studied, of whom 294 (16%) initiated CR. The PHCS-2 was associated with a higher odds of CR initiation (OR = 1.15/point increase: 95% CI, 1.06-1.26, P = .001) after adjusting for covariates. Participants with comorbid heart failure had a lower odds of CR initiation (OR = 0.31: 95% CI, 0.16-0.60, P < .001) as did current smokers (OR = 0.64: 95% CI, 0.43-0.96, P = .030). CONCLUSION Perceived health competence is associated with outpatient CR initiation in patients hospitalized with ACS. Interventions designed to support perceived health competence may be useful for improving CR participation.
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Affiliation(s)
- Jiun-Ruey Hu
- Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut (Dr Hu); Departments of Biostatistics (Dr Huang) and Medicine (Drs Mayberry, Kripalani, Roumie, and Bachmann), Vanderbilt University Medical Center, Nashville, Tennessee; Departments of Population Health Sciences and Medicine, Duke University Medical Center and Durham Veterans Affairs Medical Center, Durham, North Carolina (Dr Bosworth); Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri (Dr Freedland); Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee (Drs Mayberry, Kripalani, Wallston, Roumie and Bachmann); and Medicine Service, Veterans Affairs Tennessee Valley Healthcare System-Nashville Campus, Nashville, Tennessee (Drs Roumie and Bachmann)
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Liu F, Han J, Wang Y, Jin Y. The Later Status and Impact Factors of Physical Activity among Patients after Percutaneous Coronary Intervention in China. Am J Health Behav 2022; 46:654-663. [PMID: 36721281 DOI: 10.5993/ajhb.46.6.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Objectives: In this study, we investigated the physical activity status and impact factors in patients after percutaneous coronary intervention in China. Methods: This cross-sectional survey was conducted from January to October 2019. A total of 260 participants were recruited in the cardiovascular department who had successfully undergone percutaneous coronary intervention after one year for physical re-examination at 2 hospitals in Henan Province. They were investigated using 5 questionnaires - the International Physical Activity Questionnaire-Long Form, the Exercise Self-efficacy Questionnaire, the Multi-dimensional Fatigue Scale, the Social Support Rating Scale, and the Hospital Anxiety and Depression scale. Results: After percutaneous coronary intervention, most patients were at low and moderate intensity physical activity and 60.8% of patients did not meet the recommended amount of guidelines. Through the analysis of the influencing factors of physical activity in patients with coronary heart disease stent implantation, the status of physical activity was affected by the NYHA classification, LVEF, exercise self-efficacy, fatigue, and social support. Conclusions: The level of physical activity of patients after percutaneous coronary intervention needs to be improved further. In clinical practice, nursing practitioners should strengthen the health education of patients' exercise rehabilitation to improve the level of physical activity and reduce the occurrence of cardiovascular events.
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Affiliation(s)
- Fangli Liu
- Fangli Liu, College of Nursing and Health, Henan University, Kaifeng, China;,
| | - Jingyi Han
- Jingyi Han, Nursing Department, Nanyang Center Hospital, Nanyang, China
| | - Yingying Wang
- Yingying Wang, College of Nursing and Health, Henan University, Kaifeng, China
| | - Yongping Jin
- Yongping Jin, College of Nursing and Health, Henan University, Kaifeng, China
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Effect of Integrated Nursing Care Based on Medical Alliance Mode on the Prevention and Treatment of Complications and Self-Efficacy of Patients with Coronary Heart Disease after PCI. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:7727953. [PMID: 35310197 PMCID: PMC8926518 DOI: 10.1155/2022/7727953] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 02/16/2022] [Accepted: 02/17/2022] [Indexed: 12/11/2022]
Abstract
Objective. To explore the effect of integrated nursing care based on the medical alliance model on prevention and treatment of complications and self-efficacy in patients with coronary heart disease (CHD) after PCI. Methods. The data of CHD patients treated in our hospital from January 2019 to January 2021 were analyzed in this retrospective study. One hundred and twenty patients were selected as the research subjects according to the inclusion and exclusion criteria and equally split into the observation group and reference group according to the order of admission. Both groups received routine nursing care, while the observation group was additionally given integrated nursing care based on the medical alliance model to compare the self-efficacy scores, scores of self-management abilities, and incidence of postoperative complications between the two groups before and after nursing. Both groups were nursed for 6 months. Results. Compared with the reference group, the observation group after nursing achieved a notably higher GSES score (26.10 ± 1.30 vs 22.18 ± 1.30, t = 16.516,
), higher scores of self-management ability
, and a lower incidence of postoperative complications
. Conclusion. Integrated nursing care based on the medical alliance model can improve the self-efficacy of CHD patients undergoing PCI, enhance their self-management ability, and reduce the incidence of postoperative complications, which is conducive to improving the prognosis of patients.
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James D. Hardiness and attitudes toward professional healthcare services: Implications for healthcare service utilization among Black American adults. Health Psychol Open 2021; 8:20551029211029157. [PMID: 34377525 PMCID: PMC8323433 DOI: 10.1177/20551029211029157] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
This study (N = 780) examines the indirect effects of
hardiness—health locus of control (HLOC), health competence (HC), health value
(HV)—on past-year healthcare provider visit via attitudes toward seeking and
receiving professional healthcare services (ATSRPHS). Across four health domains
(dental, general health, mental, vision), ATSRPHS mediated the indirect effect
of (1) HV and (2) internal HLoC on past-year healthcare provider visit. ATSRPHS
also mediated the indirect effect of external HLoC on past-year visit to
healthcare provider visit for general medical, mental, and vision health.
ATSRPHS did not mediate any indirect effect of HC on past-year healthcare
provider visit. This research contributes to understanding determinants of
healthcare service utilization among Black American adults.
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