THE IMPACT OF SELF-MANAGEMENT PROGRAM ON SELFEFFICACY OF ELDERLY PATIENTS WITH HEART FAILURE

Heart failure is one of the most common chronic diseases which forces a huge
cost to the health system. To manage the heart failure, there are several strategies. One of these methods
is self-management program. This study aimed to determine the effect of self-management program on
self-efficacy in elderly patients with heart failure.
Materials & Methods: This study was a single blind clinical trial which was carried out on 90 patients
with heart failure class 2 and 3 who referred to Neyshabour 22 Bahman hospital.
The participations were randomly assigned into two (n=45) interaction & control groups. Selfmanagement program included awareness and recognition, problem-solving process, diet, exercise,
stress management, who were trained for six weeks. The patients were followed for two months. Data
were collected with using of demographic characteristics questionnaire and self -efficacy of cardiac
patients before, after, and eight weeks after intervention
Data analyses were done by chi-square, independent t-test, Fisher, and ANOVA with repeated measures.
Results: The results showed that patients in both groups were matched in terms of background factors
before the intervention, there was no significant difference between the mean efficacy in two groups
(p>0/05). However, by measuring twice after the intervention, there was a significant difference between
the mean efficacy in two groups (p<0/001).
Conclusion: According to the findings, we can conclude convincing the patients to perform long-term
behavior changes, and adhering them to drug regimens may be an appropriate method. Therefore this
program can be used strategically to promote the health of patients with heart failure