Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study
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Introduction: This study aimed to determine the association of physical activity and self-efficacy in patients with coronary heart disease.
Methods: A cross-sectional study was conducted among outpatients of coronary heart disease at a cardiovascular center. A total of 238 coronary heart disease patients were included in the study using a purposive sampling technique. The self-efficacy was measured using the cardiac self-efficacy scales (CSE), and the physical activity was measured using the long form International Physical Activity Questionnaire (IPAQ). Data analysis used the Chi-square test, Spearman correlation test and multivariate linear regression.
Results: Self-efficacy was strongly positively correlated with physical activity in coronary heart disease patients (r = 0.956; p = 0.001). Domain-specific correlations included domestic (r=0.419, p<0.001), work (r=0.383, p<0.001), leisure time (r=0.296, p<0.001), and transport (r=0.247, p<0.001). Multiple linear regression analysis showed that employment status had the most significant negative impact on physical activity (B = -246.477), while age (B = 123. 889) and self-efficacy (B = 93.513) were positively associated with physical activity. These results indicate that higher self-efficacy and older age are linked to increased physical activity, whereas employment status is associated with decreased physical activity.
Conclusions: In this population, self-efficacy, remaining working status and age are important factors of physical activity in coronary heart disease patients.
Keywords: coronary heart disease, good health and well-being, physical activity, self-efficacy
Acar, B. et al. (2017) ‘Parameters influencing the physical activity of patients with a history of coronary revascularization’, Revista Portuguesa de Cardiologia, 36(10), pp. 721–728. doi: 10.1016/j.repc.2016.12.016.
Al-Zaru, I. M. et al. (2022) ‘Depression and adherence to healthy lifestyle behaviors among patients with coronary artery diseases in Jordan’, Heliyon, 8(7), p. e09752. doi: 10.1016/j.heliyon.2022.e09752.
Alamsyah, Q., Dewi, W. N. and Utomo, W. (2020) ‘Faktor-faktor yang mempengaruhi self efficacy pasien penyakit jantung koroner setelah percutaneous coronary intervention’, Jurnal Ners Indonesia, 11(1), p. 65. doi: 10.31258/jni.11.1.65-74.
Alves, A. J. et al. (2016) ‘Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated’, World Journal of Cardiology, 8(10), p. 575. doi: 10.4330/wjc.v8.i10.575.
American Heart Association (2015) Coronary Artery Disease - Coronary Heart Disease, American Heart Association.
American Heart Association (2022) 2022 Heart Disease & Stroke Statistical Update Fact Sheet Global Burden of Disease, American Heart Association.
Bachmann, J. M. et al. (2015) ‘Health Self-efficacy is Associated With Increased Physical Activity in Patients With Coronary Heart Disease’, Circulation, 132(suppl_3).
Bauman, A. E. et al. (2012) ‘Correlates of physical activity: why are some people physically active and others not?’, The Lancet, 380(9838), pp. 258–271. doi: 10.1016/S0140-6736(12)60735-1.
Carrasco, C. et al. (2021) ‘Factors influencing physical activity: A cross‐sectional study of the community‐dwelling older adults in a Portuguese rural area’, International Journal of Older People Nursing, 16(3). doi: 10.1111/opn.12371.
Cusatis, R. and Garbarski, D. (2019) ‘Different domains of physical activity: The role of leisure, housework/care work, and paid work in socioeconomic differences in reported physical activity’, SSM - Population Health, 7, p. 100387. doi: 10.1016/j.ssmph.2019.100387.
Dharmansyah, D. and Budiana, D. (2021) ‘Indonesian Adaptation of The International Physical Activity Questionnaire (IPAQ): Psychometric Properties’, Jurnal Pendidikan Keperawatan Indonesia, 7(2), pp. 159–163. doi: 10.17509/jpki.v7i2.39351.
Dhuli, K. et al. (2022) ‘Physical activity for health’, Journal of Preventive Medicine and Hygiene, 63(2 Suppl 3), pp. E150–E159. doi: 10.15167/2421-4248/jpmh2022.63.2S3.2756.
Enderlein, G. (1991) ‘Book review’, Animal Behaviour, 42(3), pp. 524–526. doi: 10.1016/s0003-3472(05)80062-4.
Farradika, Y. et al. (2019) ‘Perilaku Aktivitas Fisik dan Determinannya pada Mahasiswa Fakultas Ilmu - Ilmu Kesehatan Universitas Muhammadiyah Prof. Dr. Hamka’, ARKESMAS (Arsip Kesehatan Masyarakat), 4(1), pp. 134–142. doi: 10.22236/arkesmas.v4i1.3548.
Fors, A. et al. (2015) ‘The Cardiac Self-Efficacy Scale, a useful tool with potential to evaluate person-centred care’, European Journal of Cardiovascular Nursing, 14(6), pp. 536–543. doi: 10.1177/1474515114548622.
Francavilla, G. et al. (2007) ‘Esercizio fisico ed attivit?? sportiva in pazienti con e senza cardiopatia ischemica’, Monaldi Archives for Chest Disease - Cardiac Series, 68(2), pp. 87–95.
Gonzalez-Jaramillo, N. et al. (2022) ‘Systematic Review of Physical Activity Trajectories and Mortality in Patients With Coronary Artery Disease’, Journal of the American College of Cardiology, 79(17), pp. 1690–1700. doi: 10.1016/j.jacc.2022.02.036.
Han, N. S. and Won, M. H. (2022) ‘Association between social support and physical activity in patients with coronary artery disease: Multiple mediating roles of self-efficacy and autonomous motivation’, Healthcare (Switzerland), 10(3). doi: 10.3390/healthcare10030425.
Kargar, L., Khademian, Z. and Rambod, M. (2021) ‘Association between perception of caring behaviors and self-efficacy in patients with cardiovascular disease at coronary care units: A cross-sectional study’, Acute and Critical Care, 36(2), pp. 118–125. doi: 10.4266/ACC.2020.00752.
Kementrian Kesehatan Republik Indonesia (2018) Riset Kesehatan Dasar 2018. Laporan Riskesdas 2018 Nasional, Badan Penelitian dan Pengembangan Kesehatan Kementrian RI tahun 2018.
Kementrian Kesehatan Republik Indonesia (2020) Tanda & Gejala Penyakit Jantung Koroner (PJK), Kementrian Kesehatan Republik Indonesia.
Kwak, L. et al. (2016) ‘Examining differences in physical activity levels by employment status and/or job activity level: Gender-specific comparisons between the United States and Sweden’, Journal of Science and Medicine in Sport, 19(6), pp. 482–487. doi: 10.1016/j.jsams.2015.05.008.
Lu, M. et al. (2020) ‘Relationship between adherence to secondary prevention and health literacy, self-efficacy and disease knowledge among patients with coronary artery disease in China’, European Journal of Cardiovascular Nursing, 19(3), pp. 230–237. doi: 10.1177/1474515119880059.
Mahmudiono, T. et al. (2021) ‘Self-efficacy in physical activity and glycemic control among older adults with diabetes in Jagir Subdistrict, Surabaya, Indonesia’, Heliyon, 7(7), p. e07578. doi: 10.1016/j.heliyon.2021.e07578.
Mbambo, S., Tlou, B. and Dlungwane, T. (2019) ‘Factors associated with physical activity amongst patients with hypertension in two community health centres in uMgungundlovu health district , KwaZulu-Natal , 2018 Factors associated with physical activity amongst patients with hypertension in two commun’, South African Family Practice, 61(6), pp. 234–238. doi: 10.1080/20786190.2019.1664085.
Merbawani, R. (2022) ‘Physical Activity on Coronary Heart Disease Patients’, Jsret, 1(1), pp. 25–33. doi: 10.29082/jsret.v1i1.5.
Ni Kadek, D. P. M., Puspawati, N. L. P. D. and Lisnawati, K. (2023) ‘Hubungan efikasi diri dengan aktivitas fisik pada pasien penyakit jantung koroner’, Journal Nursing Research Publication Media (NURSEPEDIA), 2(1), pp. 29–38. doi: 10.55887/nrpm.v2i1.26.
Pool, L. R. et al. (2019) ‘Association of cardiovascular health through early adulthood and health-related quality of life in middle age: The Coronary Artery Risk Development in Young Adults (CARDIA) Study’, Preventive Medicine, 126(April). doi: 10.1016/j.ypmed.2019.105772.
Pusat Jantung Nasional Harapan Kita (2024) Rehabilitasi Medis, Kemenkes RSJPD Harapan Kita.
Rippe, J. M. (2019) Lifestyle Medicine, Third Edition. 3rd edn. Boca Raton: CRC Press.
Rokhayati, A. and Rumahorbo, H. (2020) ‘Gambaran efikasi diri dalam pengelolaan faktor risiko dan pemeliharaan fungsi kesehatan pasien penyakit jantung koroner’, Juriskes.Com, 12(2), pp. 285–296. doi: 10.34011/juriskesbdg.v12i2.1797.
Setyaji, D. Y., Prabandari, Y. S. and Gunawan, I. M. A. (2018) ‘Aktivitas fisik dengan penyakit jantung koroner di Indonesia’, Jurnal Gizi Klinik Indonesia, 14(3), p. 115. doi: 10.22146/ijcn.26502.
Siow, E. et al. (2018) ‘Do Depressive Symptoms Moderate the Effects of Exercise Self-efficacy on Physical Activity Among Patients With Coronary Heart Disease?’, Journal of Cardiovascular Nursing, 33(4), pp. E26–E34. doi: 10.1097/JCN.0000000000000491.
Sullivan, M. D. et al. (1998) ‘Self-efficacy and self-reported functional status in coronary heart disease’, Psychosomatic Medicine, 60(4), pp. 473–478. doi: 10.1097/00006842-199807000-00014.
Tang, M. Y. et al. (2019) ‘Behavior change techniques associated with changes in postintervention and maintained changes in self-efficacy for physical activity: A systematic review with meta-analysis’, Annals of Behavioral Medicine, 53(9), pp. 801–815. doi: 10.1093/abm/kay090.
Winzer, E. B., Woitek, F. and Linke, A. (2018) ‘Physical activity in the prevention and treatment of coronary artery disease’, Journal of the American Heart Association, 7(4), pp. 1–15. doi: 10.1161/JAHA.117.007725.
World Health Organization (2020) The top 10 causes of death, World Health Organization.
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