WOMEN'S HEART STUDY: SELF-EFFICACY AND THE REHABILITATION EXPERIENCES FOLLOWING ACUTE MYOCARDIAL INFARCTION.
Contributors: Michigan State University.
Published: 1992
Number of pages: 221
Subjects: Health Sciences, Nursing.; Education, Health.; Psychology, Behavioral.
Description: Life-style readjustment and recovery after myocardial infarction (MI) present challenges for patients, families and health care professionals assisting in the rehabilitation process. Few studies related to cardiac rehab have included women, yet nearly 250,000 women have heart attacks yearly. Women often fail to attend cardiac rehab programs and fare less well than men in recovery from bypass surgery. This descriptive study explores factors that influenced the perception of the rehabilitation process and the role of self-efficacy in recovering post-MI women. Based on Bandura's (1986) Self-efficacy theory and Orem's (1971) Self-Care theory, three instruments were developed. A sample of 46 recovering post-MI female subjects, age 40 to 87 (X = 65) years, self-administered the Knowledge Test (Po =.90) and Self-efficacy Scale (a =.95) one day prior to discharge. The Rehab Success Scale (a =.92) was administered via telephone 10 weeks post-discharge by the nurse investigator. Pearson correlation was computed for Rehabilitation Success, Knowledge, and Self-efficacy. Significant relationships were found between Rehabilitation and Self-efficacy (r =.69, p =.001), but not for Rehabilitation and Knowledge. Multiple regression revealed Self-efficacy as the main contributor to perceived Rehabilitation Success (adjusted r =.47, p =.0001). Self-efficacy assessment and supportive strategies should be an integral part of discharge planning and rehabilitation for post-MI women.
Notes: Source: Dissertation Abstracts International, Volume: 53-03, Section: B, page: 1291.

Thesis (PH.D.)--MICHIGAN STATE UNIVERSITY, 1992.

School code: 0128.