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Self-efficacy, recovery and psychological wellbeing one to five years after heart transplantation : a Swedish cross-sectional study

Almgren, Matilda LU ; Lundqvist, Pia LU ; Lennerling, Annette and Forsberg, Anna LU (2020) In European Journal of Cardiovascular Nursing
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
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Heart transplantation, recovery, self-efficacy, self-management, wellbeing
in
European Journal of Cardiovascular Nursing
publisher
Elsevier
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
2020-07-01 05:34:51
@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},
  language     = {eng},
  publisher    = {Elsevier},
  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},
  year         = {2020},
}