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Sex-related differences in self-efficacy in patients with heart failure: a pooled cross-sectional study of the German Competence Network Heart Failure

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 Ge...

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Main Authors: Kerwagen, Fabian (Author) , Sahiti, Floran (Author) , Albert, Judith (Author) , Bauser, Maximilian (Author) , Morbach, Caroline (Author) , Güder, Gülmisal (Author) , Frantz, Stefan (Author) , Strömberg, Anna (Author) , Kerber, Sebastian (Author) , Gebhard, Brigitte (Author) , Friederich, Hans-Christoph (Author) , Müller-Tasch, Thomas (Author) , Peters-Klimm, Frank (Author) , Angermann, Christiane E (Author) , Störk, Stefan (Author)
Format: Article (Journal)
Language:English
Published: 20 August 2024
In: European journal of cardiovascular nursing
Year: 2024, Pages: 1-10
ISSN:1873-1953
DOI:10.1093/eurjcn/zvae112
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/eurjcn/zvae112
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Author Notes: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
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Summary: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.
Item Description:Gesehen am 07.10.2024
Physical Description:Online Resource
ISSN:1873-1953
DOI:10.1093/eurjcn/zvae112

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