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

Authors
A. Asri 1
A. SUSWANI 1
S. Safruddin 1
M. Muriyati 2
A. AB 1
1 Community and Family Nursing Department, Panrita Husada College of Health Sciences Bulukumba, South Sulawesi, Indonesia
2 Medical Surgical Nursing Department, Panrita Husada College of Health Sciences Bulukumba, South Sulawesi, Indonesia
Abstract
Aim: assess the effect of a self-efficacy-based nursing intervention on stress, anxiety, depression, and quality of life in patients in heart failure..

Materials and Methods : A quasi-experimental study carried out to include 252 participants, with 126 selected to the intervention group and 126 to the control group, at community cardiology locations 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 (DASS-21), quality of life (WHOQOL-BREF), and functional independence (FIM) were evaluated at baseline and during the intervention..

Findings: The intervention study participants shown significant reductions in stress (p = 0.001), anxiety (p < 0.001), and depression (p = 0.010) compared to the control group. Quality of life improves in physical (MD = 63.00), psychological (MD = 69.00), and social domains (MD = 69.00). Functional independence shown a significant increase (p = 0.002).

Conclusion: The self-efficacy-based nursing intervention significantly decreased psychological distress and improved quality of life in patients with heart failure. integrating empowerment-focused education and counseling into community nursing practice can improve emotional resilience and self-management in chronic cardiac care.

Keywords : Self-efficacy-based intervention; Heart failure; Psychological distress; Quality of life; Community nursing.

Keywords

Subjects

Health Education and Health Promotion
Volume 1, Issue 0
Winter 2022