Date of Award

11-30-2020

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Dr Rubina Barolia

Second Advisor

Dr Saima Hirani

Third Advisor

Ms Shireen Shehzad Bhamani

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Acute Coronary Syndrome (ACS) is a serious health concern, globally. The high prevalence of ACS is causing increased morbidity and mortality rates also in Pakistan. In addition to severe physical consequences, patients with ACS also face poor psychological health and, as a result, a severe decline in their quality of life. Therefore, resilience and cardiac self-efficacy are two major positive psychological concepts that are known to play an essential role in improving the physical and mental health of cardiac patients.|
Purpose:The purpose of this study was to determine the resilience and cardiac self-efficacy scores, estimate the relationship between resilience and cardiac self-efficacy, and evaluate factors that affect resilience and cardiac self-efficacy, among adult patients, coming to the outpatient clinic with ACS, in a private tertiary care hospital in Karachi, Pakistan.
Methodology :The analytical cross-sectional design was used to achieve the study purpose. The purposive sampling technique was used for recruiting 80 patients with ACS, in a tertiary care hospital. Resilience and cardiac self-efficacy were assessed through the Wagnild and Young’s resilience scale (RS-14) and the Sullivan cardiac self-efficacy scale, respectively.
Results: In this study, the mean score of resilience was 74.6± 15.7, and 58.8% of the participants were found to be more resilient. The overall score of cardiac self-efficacy was 38.3± 10.1; 55% of the participants achieved a score that was above the mean. A positive moderate significant correlation was found between resilience and cardiac self-efficacy (r=0.391, p< 0.05). The v employment status (β= -10.44, p=0.046) and average income (β= -22.98, p= 0.017) were significantly associated with resilience (p< 0.05). However, no variables were found to be significantly associated with cardiac self-efficacy (p< 0.05).
Conclusion: The study identified high scores of resilience and cardiac self-efficacy, and a positive relationship was shown between resilience and cardiac self-efficacy among the patients with ACS. However, participants who had low scores need attention to improve their psychological health. The findings suggest that these concepts should be introduced in the clinical practice, where HCPs could provide support to patients in managing their disease and addressing their mental and physical health. The study identified certain key recommendations for education, practice, and research.

First Page

1

Last Page

92

Download

Share

COinS