Development and effects of a self-management efficacy promotion program for adult patients with congenital heart disease. (February 2019)

• Record Type: Journal Article
• Authors: Lee, Mi-Ja; Jung, Dukyoo
• Is Part Of: European journal of cardiovascular nursing. Volume 18:Number 2(2019)
• Page Start: 140
• Page End: 148
• Publication Date: 2019-02
• Subjects: Adults with congenital heart disease -- self-management -- self-efficacy -- quality of life; Cardiovascular system -- Diseases -- Nursing -- Periodicals; Cardiovascular Diseases -- nursing -- Periodicals; Cardiology -- Periodicals; Nursing -- Periodicals; Vascular Diseases -- Periodicals; 610.7369105
• DOI: 10.1177/1474515118800099
• Languages: English
• ISSNs: 1474-5151

Abstract

Background: With the recent advances in medicine, patients with congenital heart disease are surviving to adulthood. Adults with congenital heart disease must practice self-management to recognize the symptoms of complications and the appropriate response. Aims: The purpose of this study was to develop a self-management efficacy promotion program for adults with congenital heart disease and to test the effects of the developed program on disease-related knowledge, self-management implementation and health-related quality of life. Methods: A non-equivalent, control group, pre–post test design was used. The intervention group received the self-management efficacy promotion program for six weeks. The control group received only the usual care. Results: The study results showed that disease-related knowledge ( F =91.095, p <0.001) was significantly different between the two groups, as was the self-management performance ( F =11.846, p <0.001). However, health-related quality of life (generic core scale: F =0.023, p =0.881, cardiac module scale: F =0.174, p =0.678) was not significantly different between groups. Conclusion: The self-management efficacy promotion program for adults with congenital heart disease had a significant effect on disease-related knowledge and self-management implementation, but did not affect health-related quality of life.