Self-Efficacy and Health-Related Quality of Life Among Heart Failure Patients in Singapore: A Descriptive Correlational Study

J Transcult Nurs. 2018 Jul;29(4):326-334. doi: 10.1177/1043659617723437. Epub 2017 Jul 27.

Abstract

Introduction: Heart failure (HF) accounts for 30% of all global deaths and Asians are likely to suffer from HF 10 years earlier than their Western counterparts. Low self-efficacy and poor health-related quality of life (HRQoL) have been reported in patients with HF.

Methodology: A descriptive correlational design was adopted to investigate the associations between self-efficacy and HRQoL in 91 patients with HF in Singapore.

Results: Patients with HF demonstrated moderately good self-efficacy ( M = 3.05, SD = 0.61) and HRQoL ( M = 22.48, SD = 18.99). Significant differences were found between total self-efficacy scores and education levels ( p = .05), and between overall HRQoL and smoking status ( p < .05). Self-efficacy was not significantly correlated to HRQoL. Smoking status, HF classification, and self-efficacy in maintaining function predicted HRQoL.

Discussion: Health care professionals should assess each patient's demographics, smoking status, and clinical condition before delivering individualized education to enhance their self-efficacy and, in turn, overall HRQoL.

Keywords: Singapore; health-related quality of life; heart failure; predictors; self-efficacy.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Correlation of Data
  • Cross-Sectional Studies
  • Female
  • Heart Failure / classification
  • Heart Failure / complications*
  • Heart Failure / psychology
  • Humans
  • Male
  • Middle Aged
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Quality of Life / psychology*
  • Self Efficacy*
  • Singapore
  • Smokers / psychology
  • Smokers / statistics & numerical data
  • Surveys and Questionnaires