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Effects of a Self-efficacy Enhanced Program on Self Care
Behavior and Revisit Rates Among Patients with Heart Failure
at Siriraj Hospital
Surasak Mulsrisuk, Jatuporn Yotha*, Amaraporn Chirakorn, Naris Jaiborisuttikul, Patamaporn Ruangpi-
yasakil, Chanikan Thammakul
Nursing Department, Faculty of Medicine, Siriraj Hospital, Mahidol University
*Corresponding Author E-mail: jatupornyotha@gmail.com
Background: Abstract
Heart failure is a chronic condition that significantly impacts public health worldwide,
affecting patients’ daily functioning and quality of life. Promoting consistent health
management behaviors is crucial for improving patients’ outcomes and reducing hospital
revisits.
Objective: This study investigated the effectiveness of a self-efficacy enhancement program on heart
failure care behaviors and hospital revisit rates, employing Bandura’s self-efficacy concept
as the theoretical framework.
Methods: A quasi-experimental, one-group pre-posttest design was utilized. The study recruited
30 heart failure patients through purposive sampling from a super tertiary hospital’s
emergency department. The intervention program incorporated health education, skill
training, instruction on using a heart failure care manual, and care monitoring. The
program’s content validity index was .83, and the care behaviors questionnaire
demonstrated reliability with a Cronbach’s alpha of .81. Data were analyzed using
descriptive statistics, Paired t-test, and Wilcoxon Signed Ranks test.
Results: The participant demographics showed a predominantly female sample (73.33%), with
ages ranging from 42 to 80 years (mean = 69.97, SD = 9.90). Post-intervention results
revealed significantly improved overall heart failure care behaviors (M = 75.09, SD = 19.15)
compared to pre-intervention scores (M = 55.56, SD = 18.70; t = -4.143, p < .001). Significant
improvements were observed in specific subscales: following healthcare team advice (Z =
-2.890), seeking consultation (Z = -2.470), and self-regulation (Z = -3.330), all at p < .001.
No participants required heart failure-related hospital revisits after completing the program.
Conclusions: The study demonstrates the effectiveness of the self-efficacy enhancement program in
improving heart failure care behaviors and reducing hospital revisits. Healthcare teams
can implement this program to enhance patient care outcomes. Future research should
employ experimental designs with extended monitoring periods to validate the program’s
long-term effectiveness.
Harmony in health: Innovation for Sustainable Medicine
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