Faculty of Nursing, Arab American University of Palestine (AAUP), Jenin, Palestine.
Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.
Contemp Nurse. 2023 Jun;59(3):189-201. doi: 10.1080/10376178.2023.2220424. Epub 2023 Jun 4.
In Palestine, there is a lack of studies that examined self-care behaviors among patients with coronary artery disease in outpatient clinics. This study purposed to evaluate self-care behaviors, examine the relationship between self-care behaviors and selected sociodemographic and psychosocial factors (e.g. depression, anxiety, stress, and social support), and self-efficacy, and determine predictors of self-care behaviors among patients with coronary artery disease in outpatient clinics in the West Bank/Palestine. A cross-sectional study was conducted. A total of 430 Palestinian adult patients suffering from coronary artery disease attended outpatient clinics were recruited. A self-reported questionnaire consisting of the following tools: Depression, Anxiety, Stress Scale 21, Sullivian's Self-efficacy scale, and Multidimensional Social Support Scale was used to collect data during the period from the beginning of April to the beginning of July 2022. Descriptive and inferential statistics (Pearson's and Point-biserial correlation tests and multiple linear regression) were used for analyzing data. The patients reported low self-care behaviors levels and high self-efficacy levels. The psychosocial reactions endorsed by the patients were 86.3% for depression, 76.3% for anxiety, 43.3% for stress, and 98.6% had moderate and normal social support. A positive correlation was found between self-care behaviors and age ( = 0.160, < 0.01), duration of disease ( = 0.095, < 0.05), self-efficacy ( = 0.443, < 0.01), and social support ( = 0.266, < 0.01). Self-efficacy (B = 0.401, < 0.01), social support (B = 0.160, < 0.01), and age (B = 0.109, < 0.05) were significant predictors of self-care behaviors in those patients. Low self-care behaviors were a significant issue among patients with coronary artery disease in outpatient clinics. This study may help healthcare professionals develop health promotion programs for patients with coronary artery disease to improve self-care behaviors.
在巴勒斯坦，缺乏研究调查门诊冠心病患者的自我护理行为。本研究旨在评估自我护理行为，研究自我护理行为与选定的社会人口学和心理社会因素（如抑郁、焦虑、压力和社会支持）以及自我效能之间的关系，并确定门诊冠心病患者自我护理行为的预测因素。这是一项横断面研究。共招募了 430 名来自约旦河西岸/巴勒斯坦的成年冠心病门诊患者。在 2022 年 4 月初至 7 月初期间，使用自我报告问卷收集数据，问卷包括以下工具：抑郁、焦虑、压力量表 21 版、Sullivan 自我效能量表和多维社会支持量表。使用描述性和推论统计（Pearson 和点二项式相关检验和多元线性回归）分析数据。患者报告自我护理行为水平较低，自我效能水平较高。患者报告的心理社会反应为抑郁 86.3%、焦虑 76.3%、压力 43.3%、社会支持中度和正常 98.6%。自我护理行为与年龄呈正相关（ = 0.160， < 0.01）、疾病持续时间（ = 0.095， < 0.05）、自我效能（ = 0.443， < 0.01）和社会支持（ = 0.266， < 0.01）。自我效能（B = 0.401， < 0.01）、社会支持（B = 0.160， < 0.01）和年龄（B = 0.109， < 0.05）是这些患者自我护理行为的显著预测因素。门诊冠心病患者的自我护理行为水平较低是一个显著问题。本研究可能有助于医疗保健专业人员为冠心病患者制定健康促进计划，以改善自我护理行为。
