Sex-related differences in self-efficacy in patients with heart failure

• Verfasst von: Kerwagen, Fabian [VerfasserIn]
• Verfasst von: Sahiti, Floran [VerfasserIn]
• Verfasst von: Albert, Judith [VerfasserIn]
• Verfasst von: Bauser, Maximilian [VerfasserIn]
• Verfasst von: Morbach, Caroline [VerfasserIn]
• Verfasst von: Güder, Gülmisal [VerfasserIn]
• Verfasst von: Frantz, Stefan [VerfasserIn]
• Verfasst von: Strömberg, Anna [VerfasserIn]
• Verfasst von: Kerber, Sebastian [VerfasserIn]
• Verfasst von: Gebhard, Brigitte [VerfasserIn]
• Verfasst von: Friederich, Hans-Christoph [VerfasserIn]
• Verfasst von: Müller-Tasch, Thomas [VerfasserIn]
• Verfasst von: Peters-Klimm, Frank [VerfasserIn]
• Verfasst von: Angermann, Christiane E [VerfasserIn]
• Verfasst von: Störk, Stefan [VerfasserIn]
• Titel: Sex-related differences in self-efficacy in patients with heart failure
• Titelzusatz: a pooled cross-sectional study of the German Competence Network Heart Failure
• Verf.angabe: Fabian Kerwagen, Floran Sahiti, Judith Albert, Maximilian Bauser, Caroline Morbach, Gülmisal Güder, Stefan Frantz, Anna Strömberg, Sebastian Kerber, Brigitte Gebhard, Hans-Christoph Friederich, Thomas Müller-Tasch, Frank Peters-Klimm, Christiane E. Angermann, and Stefan Störk
• E-Jahr: 2024
• Jahr: 20 August 2024
• Umfang: 10 S.
• Illustrationen: Illustrationen
• Fussnoten: Gesehen am 07.10.2024
• Titel Quelle: Enthalten in: European journal of cardiovascular nursing
• Ort Quelle: Oxford : Oxford University Press, 2002
• Jahr Quelle: 2024
• Band/Heft Quelle: (2024), Artikel-ID zvae112, Seite 1-10
• ISSN Quelle: 1873-1953
• DOI: doi:10.1093/eurjcn/zvae112
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1904926185

Abstract

To assess the level of self-efficacy in patients with heart failure (HF), identify differences between important subgroups including sex, and identify the determinants of high self-efficacy.This was a pooled cross-sectional analysis of 2030 patients from 4 prospective studies conducted within the German Competence Network Heart Failure. We used the self-efficacy subscale and the overall summary score (OSS) of the Kansas City Cardiomyopathy Questionnaire (KCCQ-23) to assess self-efficacy and health-related quality of life. The cut-off of 75 score points was used for the dichotomization into high (≥75) vs. low (<75) self-efficacy. Depressive symptoms were measured by the Patient Health Questionnaire (PHQ-9). A total of 1615 patients with HF provided complete self-efficacy scores: mean age 66.6 ± 12.3 years and 431 (27%) women. The mean self-efficacy score was 67.5 ± 24.9, with 907 patients (56.2%) showing high self-efficacy and 708 patients (43.8%) showing low self-efficacy. Men had higher self-efficacy scores than women (68.7 ± 24.5 vs. 64.2 ± 26.0; P = 0.001). Multivariable logistic regression identified the KCCQ-OSS [odds ratio (OR) per five-point increase 1.08, 95% confidence interval (CI) 1.04-1.12], female sex (OR 0.72, 95% CI 0.56-0.94), depressive symptoms (OR per three-point increase in PHQ-9 0.90, 95% CI 0.83-0.98), and acute HF (OR 0.46, 95% CI 0.34-0.62) as important predictors of high self-efficacy.In patients with HF, women seemed to exhibit lower self-efficacy than men. Health-related quality of life and psychological well-being were dominant determinants of self-efficacy. Future studies should investigate the role of self-efficacy as a therapeutic target for tailored and sex-specific nursing interventions.