Self-efficacy, recovery and psychological wellbeing one to five years after heart transplantation : a Swedish cross-sectional study
(2021) In European Journal of Cardiovascular Nursing 20(1). p.34-39- Abstract
Background: Self-efficacy refers to a person´s confidence in carrying out treatment-related activities and constitutes the foundation of self-management as well as long-term follow-up after heart transplantation. Exploring the heart recipients´ experiences by means of self-report instruments provides healthcare professionals with valuable information on how to supply self-management support after heart transplantation. Aims: The aim was to explore self-efficacy in relation to the self-reported level of recovery and psychological wellbeing, among adult heart recipients, one to 5 years after transplantation. Methods: This cross-sectional study includes 79 heart recipients, due for follow-up one to 5 years after transplantation. Three... (More)
Background: Self-efficacy refers to a person´s confidence in carrying out treatment-related activities and constitutes the foundation of self-management as well as long-term follow-up after heart transplantation. Exploring the heart recipients´ experiences by means of self-report instruments provides healthcare professionals with valuable information on how to supply self-management support after heart transplantation. Aims: The aim was to explore self-efficacy in relation to the self-reported level of recovery and psychological wellbeing, among adult heart recipients, one to 5 years after transplantation. Methods: This cross-sectional study includes 79 heart recipients, due for follow-up one to 5 years after transplantation. Three different self-assessment instruments were employed: the self-efficacy for managing chronic disease 6-item scale; the postoperative recovery profile; and the psychological general wellbeing instrument. Results: The reported level of self-efficacy was high (median 8.3, maximum score 10). Significantly higher self-efficacy was seen among those who had returned to work (P = 0.003) and those without pre-transplant mechanical circulatory support (P = 0.033). In total, 65.5% (n = 52) reported being reasonably recovered, while 18.8% (n = 12) were not recovered. The median total psychological general wellbeing score was 108 (P25 = 24, P75 = 117), suggesting overall good psychological wellbeing in the whole group of heart recipients. Conclusion: The heart transplant recipients in our study had an overall high level of self-efficacy. Low self-efficacy was found among those with a low self-reported level of recovery, pre-transplant treatment with mechanical circulatory support or who had not returned to work. This is important information for transplant professionals when helping heart recipients to balance their expectations about recovery.
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- author
- Almgren, Matilda LU ; Lundqvist, Pia LU ; Lennerling, Annette and Forsberg, Anna LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Heart transplantation, recovery, self-efficacy, self-management, wellbeing
- in
- European Journal of Cardiovascular Nursing
- volume
- 20
- issue
- 1
- pages
- 34 - 39
- publisher
- Oxford University Press
- external identifiers
-
- pmid:32515213
- scopus:85086268789
- ISSN
- 1474-5151
- DOI
- 10.1177/1474515120927121
- language
- English
- LU publication?
- yes
- id
- ab80f178-c4bd-4634-b572-4f17651f8e11
- date added to LUP
- 2020-06-30 15:37:53
- date last changed
- 2024-09-19 01:33:56
@article{ab80f178-c4bd-4634-b572-4f17651f8e11, abstract = {{<p>Background: Self-efficacy refers to a person´s confidence in carrying out treatment-related activities and constitutes the foundation of self-management as well as long-term follow-up after heart transplantation. Exploring the heart recipients´ experiences by means of self-report instruments provides healthcare professionals with valuable information on how to supply self-management support after heart transplantation. Aims: The aim was to explore self-efficacy in relation to the self-reported level of recovery and psychological wellbeing, among adult heart recipients, one to 5 years after transplantation. Methods: This cross-sectional study includes 79 heart recipients, due for follow-up one to 5 years after transplantation. Three different self-assessment instruments were employed: the self-efficacy for managing chronic disease 6-item scale; the postoperative recovery profile; and the psychological general wellbeing instrument. Results: The reported level of self-efficacy was high (median 8.3, maximum score 10). Significantly higher self-efficacy was seen among those who had returned to work (P = 0.003) and those without pre-transplant mechanical circulatory support (P = 0.033). In total, 65.5% (n = 52) reported being reasonably recovered, while 18.8% (n = 12) were not recovered. The median total psychological general wellbeing score was 108 (P<sub>25</sub> = 24, P<sub>75</sub> = 117), suggesting overall good psychological wellbeing in the whole group of heart recipients. Conclusion: The heart transplant recipients in our study had an overall high level of self-efficacy. Low self-efficacy was found among those with a low self-reported level of recovery, pre-transplant treatment with mechanical circulatory support or who had not returned to work. This is important information for transplant professionals when helping heart recipients to balance their expectations about recovery.</p>}}, author = {{Almgren, Matilda and Lundqvist, Pia and Lennerling, Annette and Forsberg, Anna}}, issn = {{1474-5151}}, keywords = {{Heart transplantation; recovery; self-efficacy; self-management; wellbeing}}, language = {{eng}}, number = {{1}}, pages = {{34--39}}, publisher = {{Oxford University Press}}, series = {{European Journal of Cardiovascular Nursing}}, title = {{Self-efficacy, recovery and psychological wellbeing one to five years after heart transplantation : a Swedish cross-sectional study}}, url = {{http://dx.doi.org/10.1177/1474515120927121}}, doi = {{10.1177/1474515120927121}}, volume = {{20}}, year = {{2021}}, }