Effect of Self-Efficacy-Based Intervention on Stress, Anxiety, Depression, and Quality of Life in Heart Failure Patients

Document Type : Original Research

Authors
A. Asri 1
A. Suswani 1
S. Safruddin 1
M. Muriyati 2
A.B. Aszrul 1
1 Community and Family Nursing Department, Panrita Husada College of Health Sciences, Bulukumba, Indonesia
2 Medical Surgical Nursing Department, Panrita Husada College of Health Sciences, Bulukumba, Indonesia
10.58209/hehp.14.1.69
Abstract
Aims: Heart failure is a major global public health problem. This study aimed to assess the effect of a self-efficacy-based nursing intervention on stress, anxiety, depression, and quality of life in patients with heart failure.
Materials & Methods: This quasi-experimental study was conducted involving 252 participants, with 126 assigned to the intervention group and 126 to the control group, at community cardiology centers in South Sulawesi, Indonesia. The intervention group participated in a twelve-week structured program centered on knowledge, motivation, and self-monitoring, based on Bandura’s self-efficacy theory. Psychological distress, quality of life, and functional independence were evaluated at baseline and during the intervention.
Findings: Participants in the intervention group showed significant reductions in stress (p=0.001), anxiety (p<0.001), and depression (p=0.010) compared to the control group. Quality of life improved in physical (median 63.00), psychological (median=69.00), and social (median=69.00) domains. Functional independence showed a significant increase (p=0.002).
Conclusion: The self-efficacy-based nursing intervention significantly decreases psychological distress and improves quality of life in patients with heart failure.
Keywords
Heart Failure
Psychological Distress
Quality of Life
Subjects
Health Education and Health Promotion
Volume 14, Issue 1
Winter 2026
Pages 69-75