Predictors of Self-care Behaviors Compliance in Acute Coronary Syndrome Patients following Percutaneous Coronary Intervention in Shahid Madani Hospital in 1395: Health Belief Model with Self-efficacy Supporting Individual’s Long-term Lifestyle Changes Master of Internal Surgical Nursing

Abstract

Abstract: Introduction & Objective: Due to the increasing number of people with coronary artery disease in Iran, there are many problems such as length of illness and frequent hospitalization in hospitals, social, economic and emotional problems of patients and family And the financial burden imposed on the economy of the country due to its illness and its complications. The aim of this study was to determine the relationship between effective factors (knowledge, self-efficacy, depression anxiety, perceived social support, perceived benefits and barriers) on the acceptance of self-care in patients with acute coronary syndrome after coronary angioplasty. Methodology: A descriptive-correlational study was performed on 400 patients with acute coronary syndrome after coronary angioplasty using available sampling method. To collect data, self-care behaviors, knowledge about heart disease, perceived social support, hospital anxiety and depression, cardiovascular self-efficacy questionnaire and perceived benefits and barriers were used. Findings: The average age of the participants was 63 years, of which 65% were male. 84.5% were married and most of them (61.5%) had elementary and non-literate education. 43% had U/A type ACS (acute coronary syndrome). Among the variables in the model, there was a significant correlation between knowledge constructs, self-efficacy, anxiety and depression with the acceptance of self-care behaviors (p <0.05). In multiple linear regressions, age, anxiety, and autoimulation were also found to be suitable variables for preventative behavior of cardiovascular disease. Conclusion: Based on the results, there is a correlation between the acceptance of self-care behaviors and age, anxiety and autoimmunity variables.