Vascular Health and Risk Management (Nov 2023)
A Scoping Review of Predictors Associated with Self-Efficacy Among Patients with Coronary Heart Disease
Abstract
Firman Sugiharto,1 Aan Nuraeni,2 Yanny Trisyani,2 Azalia Melati Putri,3 Nuraulia Aghnia Armansyah,3 Asroful Hulam Zamroni4 1Master Study Program Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 3Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 4Regional General Hospital Dr. Soetomo, Surabaya, East Java, IndonesiaCorrespondence: Firman Sugiharto, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6282218235600, Fax +6202287793411, Email [email protected]: Self-efficacy (SE) is the main predictor of self-care behaviour in patients with coronary heart disease (CHD). Several studies identified factors that influence SE in CHD patients. However, review studies have yet to synthesize these results systematically. This review aims to identify SE and the factors influencing SE in CHD patients. This scoping review is reported based on the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched using relevant keywords using five databases: CINAHL Plus with Full Text and Academic Search Complete, PubMed, ScienceDirect, Scopus, Taylor and Francis, and one search engine: Google Scholar, which was accessed on June 23, 2023. Articles with an observational design were included without date restrictions. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist, and data synthesis used thematic analysis. We found 11 articles discussing SE and the factors influencing SE in CHD patients. In this review, most studies reported that the SE level of CHD patients tends to be low to moderate. Factors associated with SE in this population are classified into three categories (low, moderate, and high). Cardiac knowledge and patient activation are the most influential predictors of SE in CHD patients. Public health interventions such as raising awareness about heart disease, modifying health behaviours, early screening, diagnosis, and appropriate treatment are critical to improving SE and cardiac care outcomes.Keywords: coronary heart disease, self-care, self-efficacy