Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure
Health beliefs, disease acceptance, and self-efficacy significantly influence patients’ behavior. This study examined factors associated with self-efficacy and illness acceptance in patients with heart failure (HF). The study, conducted from June 2022 to June 2024, included 231 patients aged ≥ 65 ye...
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MDPI AG
2025-05-01
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| Online Access: | https://www.mdpi.com/2076-328X/15/5/679 |
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| author | Urszula Religioni Małgorzata Kupisz-Urbańska Wiktoria Niegowska Agnieszka Drab Piotr Czapski Katarzyna Januszewska-Mukarker Jarosław Pinkas Beata Gellert Janusz Ostrowski Piotr Jankowski |
| author_facet | Urszula Religioni Małgorzata Kupisz-Urbańska Wiktoria Niegowska Agnieszka Drab Piotr Czapski Katarzyna Januszewska-Mukarker Jarosław Pinkas Beata Gellert Janusz Ostrowski Piotr Jankowski |
| author_sort | Urszula Religioni |
| collection | DOAJ |
| description | Health beliefs, disease acceptance, and self-efficacy significantly influence patients’ behavior. This study examined factors associated with self-efficacy and illness acceptance in patients with heart failure (HF). The study, conducted from June 2022 to June 2024, included 231 patients aged ≥ 65 years hospitalized for HF. Self-efficacy and illness acceptance were assessed using the Generalized Self-Efficacy Scale (GSES) and Acceptance of Illness Scale (AIS). The median age of participants was 80 years (72–86); a total of 63.6% were women. The AIS score median was 25, indicating moderate disease acceptance, while the GSES score median was 30, reflecting relatively high self-efficacy. Lower GSES scores were associated with a history of cancer (<i>p</i> = 0.002) and geriatric depression (<i>p</i> = 0.000). Poor illness acceptance was linked to prior myocardial infarction (<i>p</i> = 0.020), atrial fibrillation (<i>p</i> = 0.008), stroke (<i>p</i> = 0.040), depression (<i>p</i> = 0.000), and frailty (<i>p</i> = 0.000). Frailty (OR 0.81) and cancer history (OR 3.08) independently predicted self-efficacy, while lower illness acceptance was linked to older age (OR 0.95), stressful events (OR 0.53), stroke (OR 0.26), and improved by physical activity (OR 1.22). Our results indicated that older HF patients exhibit high self-efficacy but moderate illness acceptance. Self-efficacy is influenced by frailty and cancer history, while illness acceptance by age, stress, stroke, and physical activity. |
| format | Article |
| id | doaj-art-96a0897bcf2c435aa97831c886562ca7 |
| institution | OA Journals |
| issn | 2076-328X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj-art-96a0897bcf2c435aa97831c886562ca72025-08-20T02:33:39ZengMDPI AGBehavioral Sciences2076-328X2025-05-0115567910.3390/bs15050679Self-Efficacy and Acceptance of Illness Among Older Patients with Heart FailureUrszula Religioni0Małgorzata Kupisz-Urbańska1Wiktoria Niegowska2Agnieszka Drab3Piotr Czapski4Katarzyna Januszewska-Mukarker5Jarosław Pinkas6Beata Gellert7Janusz Ostrowski8Piotr Jankowski9School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, PolandDepartment of Geriatrics, Medical Centre of Postgraduate Education, 00-416 Warsaw, PolandDepartment of Internal Medicine and Geriatric Cardiology, Medical Centre of Postgraduate Education, 00-416 Warsaw, PolandDepartment of Medical Informatics and Statistics with E-Learning Laboratory, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Internal Medicine and Geriatric Cardiology, Medical Centre of Postgraduate Education, 00-416 Warsaw, PolandDepartment of Geriatrics, Medical Centre of Postgraduate Education, 00-416 Warsaw, PolandSchool of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, PolandSchool of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, PolandSchool of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, PolandDepartment of Internal Medicine and Geriatric Cardiology, Medical Centre of Postgraduate Education, 00-416 Warsaw, PolandHealth beliefs, disease acceptance, and self-efficacy significantly influence patients’ behavior. This study examined factors associated with self-efficacy and illness acceptance in patients with heart failure (HF). The study, conducted from June 2022 to June 2024, included 231 patients aged ≥ 65 years hospitalized for HF. Self-efficacy and illness acceptance were assessed using the Generalized Self-Efficacy Scale (GSES) and Acceptance of Illness Scale (AIS). The median age of participants was 80 years (72–86); a total of 63.6% were women. The AIS score median was 25, indicating moderate disease acceptance, while the GSES score median was 30, reflecting relatively high self-efficacy. Lower GSES scores were associated with a history of cancer (<i>p</i> = 0.002) and geriatric depression (<i>p</i> = 0.000). Poor illness acceptance was linked to prior myocardial infarction (<i>p</i> = 0.020), atrial fibrillation (<i>p</i> = 0.008), stroke (<i>p</i> = 0.040), depression (<i>p</i> = 0.000), and frailty (<i>p</i> = 0.000). Frailty (OR 0.81) and cancer history (OR 3.08) independently predicted self-efficacy, while lower illness acceptance was linked to older age (OR 0.95), stressful events (OR 0.53), stroke (OR 0.26), and improved by physical activity (OR 1.22). Our results indicated that older HF patients exhibit high self-efficacy but moderate illness acceptance. Self-efficacy is influenced by frailty and cancer history, while illness acceptance by age, stress, stroke, and physical activity.https://www.mdpi.com/2076-328X/15/5/679self-efficacyacceptance of illnesshealth failurequality of lifeAISGSES |
| spellingShingle | Urszula Religioni Małgorzata Kupisz-Urbańska Wiktoria Niegowska Agnieszka Drab Piotr Czapski Katarzyna Januszewska-Mukarker Jarosław Pinkas Beata Gellert Janusz Ostrowski Piotr Jankowski Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure Behavioral Sciences self-efficacy acceptance of illness health failure quality of life AIS GSES |
| title | Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure |
| title_full | Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure |
| title_fullStr | Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure |
| title_full_unstemmed | Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure |
| title_short | Self-Efficacy and Acceptance of Illness Among Older Patients with Heart Failure |
| title_sort | self efficacy and acceptance of illness among older patients with heart failure |
| topic | self-efficacy acceptance of illness health failure quality of life AIS GSES |
| url | https://www.mdpi.com/2076-328X/15/5/679 |
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