Influence of self-efficacy on self-management behaviors of patients after heart transplantation:a qualitative study
10.3969/j.issn.1671-8283.2024.12.006
- VernacularTitle:心脏移植术后患者自我效能水平对自我管理行为影响体验的质性研究
- Author:
Shengnan SUN
1
;
Li LI
;
Yalan CHENG
;
Jianwei SU
;
Binbin CHEN
Author Information
1. 南方医科大学珠江医院临床护理教研室,广东 广州,510282;南方医科大学护理学院,广东 广州,510515;中山市人民医院心胸外科,广东 中山,528403
- Publication Type:Journal Article
- Keywords:
self efficacy;
self-management behavior;
heart transplantation,patient;
descriptive qualitative study
- From:
Modern Clinical Nursing
2024;23(12):35-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of self-efficacy on self-management behaviors in patients undergoing heart transplantation to provide guidance for proposing self-management support strategies.Methods Using descriptive qualitative research approach,a purposive sample of 12 patients undergoing heart transplantation was recruited from a tertiary general hospital in Zhongshan City from May to June,2024.Semi-structured interviews were conducted among the participants.The NVivo 14.0 was used to analyse the data and content analysis method was employed to extract the themes.Results Two main themes and six sub-themes were extracted.The themes included patients'self-management confidence influenced by the differences in efficacy expectations and patients'self-management behaviors enhanced by positive outcome expectations.The former comprised four sub-themes:different level of mastery experience,varied experience of vicarious experience,beneficial verbal persuasion by healthcare professionals and family members,and different ability to adjust emotion and physiological state.The latter encompassed two sub-themes:adherence to self-management behaviors influenced by rehabilitation outcomes and maintenance of self-management behaviors promoted by successful return to society.Conclusion Both efficacy expectations and outcome expectations of patients undergoing heart transplantation influence their confidence and self-management behaviors.Targeted strategies should be developed to enhance patients'self-efficacy and improve their self-management behaviors.
