566157 research-article2014

CNU0010.1177/1474515114566157European Journal of Cardiovascular NursingFan and Lv

EUROPEAN SOCIETY OF CARDIOLOGY ®

Original Article

Psychosocial factors associated with selfefficacy for managing chronic disease in patients with chronic heart failure

European Journal of Cardiovascular Nursing 1­–7 © The European Society of Cardiology 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1474515114566157 cnu.sagepub.com

Xiuzhen Fan1 and Fei Lv2

Abstract Background: Self-efficacy is crucial to the management of chronic disease. However, little is known about self-efficacy for managing chronic disease in patients with chronic heart failure. Aim: The purpose of this study was to determine the incidence of inadequate self-efficacy for managing chronic disease and to identify the associated psychosocial factors in Chinese patients with chronic heart failure. Methods: A cross-sectional design was used. One hundred and fifty-nine chronic heart failure patients (mean age 63 years, 53% female) completed instruments related to self-efficacy for managing chronic disease, general self-efficacy, anxiety and depression, perceived social support, and demographic/clinical variables. Results: Of 159 patients, 46 patients (29%) had inadequate self-efficacy for managing chronic disease (the mean score on the Self-efficacy for Managing Chronic Disease Six-Item Scale (SECD6) was