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Volume 14, Issue 1 (2026)                   Health Educ Health Promot 2026, 14(1): 69-75 | Back to browse issues page
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Asri A, SUSWANI A, Safruddin S, Muriyati M, AB A. Effect of Self-Efficacy-Based Intervention on Stress, Anxiety, Depression, and Quality of Life in Heart Failure Patients. Health Educ Health Promot 2026; 14 (1) :69-75
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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
* Corresponding Author Address: 92561
Abstract   (545 Views)
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=0.001) 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.
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References
1. Khan MS, Shahid I, Bennis A, Rakisheva A, Metra M, Butler J. Global epidemiology of heart failure. Nat Rev Cardiol. 2024;21(10):717-34. [Link] [DOI:10.1038/s41569-024-01046-6]
2. Rashid S, Qureshi AG, Noor TA, Yaseen K, Sheikh MAA, Malik M, et al. Anxiety and depression in heart failure: An updated review. Curr Probl Cardiol. 2023;48(11):101987. [Link] [DOI:10.1016/j.cpcardiol.2023.101987]
3. Veskovic J, Cvetkovic M, Tahirovic E, Zdravkovic M, Apostolovic S, Kosevic D, et al. Depression, anxiety, and quality of life as predictors of rehospitalization in patients with chronic heart failure. BMC Cardiovasc Disord. 2023;23(1):525. [Link] [DOI:10.1186/s12872-023-03500-8]
4. Tsatsou I. From prognosis to palliation: A holistic framework for heart failure management. J Nurs Holist Healthc. 2025;1(1). [Link]
5. Bibi N, Tabassum A, Tabassum A, Tabassum N, Sultania B, Akbar S. The role of self-efficacy in predicting psychological well-being and physical recovery among patients with burn injuries in Peshawar, Pakistan. Dialog Soc Sci Rev. 2024;2(4):658-84. [Link]
6. Jones T. Impact of self-management education on the self-efficacy of people with chronic pain [dissertation]. Jonesboro: Arkansas State University; 2023. [Link]
7. Chen X, Qin Y, Chaimongkol N. Effectiveness of a phone-based support program on self-care self-efficacy, psychological distress, and quality of life among women newly diagnosed with breast cancer: A randomized controlled trial. Eur J Oncol Nurs. 2024;71:102643. [Link] [DOI:10.1016/j.ejon.2024.102643]
8. Cao H, Leerkes EM, Zhou N. Origins and development of maternal self-efficacy in emotion-related parenting during the transition to parenthood: Toward an integrative process framework beyond Bandura's model. Psychol Rev. 2023;130(6):1612-52. [Link] [DOI:10.1037/rev0000382]
9. Singh RB, Sozzi FB, Fedacko J, Elkilany GN, Hristova K, Visen SS, et al. Classification of chronic heart failure as per New York Heart Association. In: Pathophysiology, risk factors, and management of chronic heart failure. Cambridge: Academic Press; 2024. p. 95-100. [Link] [DOI:10.1016/B978-0-12-822972-9.00018-3]
10. NovoPsych. Depression Anxiety Stress Scales Short Form Scoring (DASS-21) [Internet]. Melbourne: NovoPsych [cited 2025 Oct 8]. Available from: https://novopsych.com/assessments/depression/depression-anxiety-stress-scales-short-form-dass-21/ [Link]
11. WHO. WHOQOL: Measuring quality of life [Internet]. Geneva: World Health Organization [cited 2025 Oct 8]. Available from: https://www.who.int/tools/whoqol/whoqol-bref [Link]
12. Kono Y, Sakurada K, Iida Y, Iwata K, Kato M, Kamiya K, et al. Real-world evidence of feasible assessment and intervention in cardiovascular physical therapy for older patients with heart failure-insight from the J-Proof HF of the Japanese Society of Cardiovascular Physical Therapy. Circ Rep. 2024;6(10):441-7. [Link] [DOI:10.1253/circrep.CR-24-0058]
13. Cudris-Torres L, Alpi SV, Barrios-Núñez Á, Arrieta NG, Campuzano MLG, Olivella-López G, et al. Psychometric properties of the self-efficacy scale for chronic disease management (SEMCD-S) in older Colombian adults. BMC Psychology. 2023;11(1):301. [Link] [DOI:10.1186/s40359-023-01347-4]
14. Huang Z, Liu T, Gao R, Chair SY. Effects of nurse‐led self‐care interventions on health outcomes among people with heart failure: A systematic review and meta‐analysis. J Clin Nurs. 2024;33(4):1282-94. [Link] [DOI:10.1111/jocn.16947]
15. Al Zaidy MH, Almotairi ST, Al-Dawsari AA, Badri MO, Alruwaili LN, Almuteri LR, et al. Effects of nurse-led selfcare interventions on health outcomes among people with heart failure. J Int Crisis Risk Commun Res. 2024;7(8):105-14. [Link]
16. Longhini J, Gauthier K, Konradsen H, Palese A, Kabir ZN, Waldréus N. The effectiveness of nursing interventions to improve self-care for patients with heart failure at home: A systematic review and meta-analysis. BMC Nurs. 2025;24(1):286. [Link] [DOI:10.1186/s12912-025-02867-7]
17. Hill EA. Self-care usage and effectiveness in managing depression, anxiety, and stress in a community sample. 2024. [Link]
18. White MS, Bush N, Hennion M, Bush B. Promoting health and improving quality of life in heart failure patients. Clin Integr Care. 2024;25:100215. [Link] [DOI:10.1016/j.intcar.2024.100215]
19. Zhang X, Gao S, Wei S. Efficacy of comprehensive nursing intervention on nursing outcomes and prognostic quality of life in elderly patients with chronic heart failure. Pak J Med Sci. 2024;40(11):2613-8. [Link] [DOI:10.12669/pjms.40.11.9241]
20. Thimm‐Kaiser M, Benzekri A, Guilamo‐Ramos V. Conceptualizing the mechanisms of social determinants of health: A heuristic framework to inform future directions for mitigation. Milbank Q. 2023;101(2):486-526. [Link] [DOI:10.1111/1468-0009.12642]
21. Eslami Jahromi M, Ayatollahi H. Impact of telecare interventions on quality of life in older adults: A systematic review. Aging Clin Exp Res. 2023;35(1):9-21. [Link] [DOI:10.1007/s40520-022-02294-7]
22. Acoba EF. Social support and mental health: The mediating role of perceived stress. Front Psychol. 2024;15:1330720. [Link] [DOI:10.3389/fpsyg.2024.1330720]
23. Ski CF, Taylor RS, McGuigan K, Long L, Lambert JD, Richards SH, et al. Psychological interventions for depression and anxiety in patients with coronary heart disease, heart failure or atrial fibrillation. Cochrane Database Syst Rev. 2024;4(4):CD013508. [Link] [DOI:10.1002/14651858.CD013508.pub3]
24. Murphy B, Le Grande M, Jackson A. Supporting mental health recovery in patients with heart disease: A commentary. Eur J Cardiovasc Nurs. 2025;24(2):205-6. [Link] [DOI:10.1093/eurjcn/zvae126]
25. Ngamvitroj A, Pitthayapong S, Dhippayom T. Theory-based self-management to improve blood pressure control in stroke survivors: A systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2025;34(11):108455. [Link] [DOI:10.1016/j.jstrokecerebrovasdis.2025.108455]
26. Li D, Huang LT, Zhang F, Wang JH. Comparative effectiveness of ehealth self-management interventions for patients with heart failure: A Bayesian network meta-analysis. Patient Educ Couns. 2024;124:108277. [Link] [DOI:10.1016/j.pec.2024.108277]
27. Scholte NT, Gürgöze MT, Aydin D, Theuns DA, Manintveld OC, Ronner E, et al. Telemonitoring for heart failure: a meta-analysis. Eur Heart J. 2023;44(31):2911-26. [Link] [DOI:10.1093/eurheartj/ehad280]
28. Guo Y, Romiti GF, Corica B, Proietti M, Bonini N, Zhang H, et al. Mobile health-technology integrated care in atrial fibrillation patients with heart failure: A report from the mAFA-II randomized clinical trial. Eur J Intern Med. 2023;107:46-51. [Link] [DOI:10.1016/j.ejim.2022.11.002]
29. Davis S. Understanding the care transition needs of black and African Americans with heart failure: A qualitative study. University of Colorado Anschutz Medical Campus ProQuest Dissertations & Theses. 2025; 32170848. [Link]
30. Minja NW, Pulle J, Rwebembera J, De Loizaga SR, Fall N, Ollberding N, et al. Evaluating the implementation of a dynamic digital application to enable community-based decentralisation of rheumatic heart disease case management in Uganda: Protocol for a hybrid type III effectiveness-implementation study. BMJ Open. 2023;13:e071540. [Link] [DOI:10.1136/bmjopen-2022-071540]

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