Randomized controlled trial of a self-efficacy enhancement program for the cardiac rehabilitation of Thai patients with myocardial infarction

Nurs Health Sci. 2016 Jun;18(2):188-95. doi: 10.1111/nhs.12243. Epub 2015 Sep 29.

Abstract

This study examined the effects of a self-efficacy enhancement program for the cardiac rehabilitation of Thai patients who had a myocardial infarction. Sixty-six hospitalized patients of various ages and both genders were randomly assigned to either an experimental or a control group. Participants in the experimental group took part in three individualized in-hospital education sessions and three weekly sessions of telephone counseling. The control group primarily engaged in a supervised exercise and activities of a daily living performance regimen, and received education in this regard. Self-efficacy and functional status were measured via questionnaire. Four weeks after discharge, the experimental group was found to have significantly higher total self-efficacy and functional status scores than the control group. In addition, the experimental group exhibited significantly higher subscale scores on social activity, household tasks, occupation, and exercise self-efficacy than the control group. These results indicate that the program is effective in improving the self-efficacy and functional status of Thai patients who have had a myocardial infarction.

Keywords: Thailand; cardiac rehabilitation; functional status; myocardial infarction; self-efficacy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Cardiac Rehabilitation / standards*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / rehabilitation*
  • Program Evaluation / methods*
  • Self Efficacy*
  • Thailand