Related Experiment Video
Updated: Aug 5, 2026
07:26
Conducting Maximal and Submaximal Endurance Exercise Testing to Measure Physiological and Biological Responses to Acute Exercise in Humans
Published on: October 17, 2018
Using self-efficacy to increase physical activity in patients with heart failure
J M Borsody1, M Courtney, K Taylor
1University of Massachusetts, Graduate School of Nursing, Worcester 01655, USA. JMB.UMASS@aol.com
Home Healthcare Nurse
|June 8, 1999
Summary
Home care nurses can boost heart failure patients
Area of Science:
- Nursing
- Cardiology
- Health Psychology
Background:
- Heart failure (HF) management requires sustained patient engagement.
- Low self-efficacy can impede adherence to physical activity recommendations in HF patients.
- Modifying illness-contributing factors is a complex, long-term process.
Observation:
- Home care nurses play a vital role in patient self-efficacy development.
- Specific strategies can be employed to foster self-efficacy in heart failure patients.
Findings:
- Performance mastery: Creating supportive environments for physical activity.
- Verbal persuasion: Offering encouragement and support.
- Vicarious experience: Providing anticipatory guidance and peer examples.
- Physiologic state: Offering realistic assessments of patient capabilities.
Implications:
- Enhancing self-efficacy in heart failure patients can increase physical activity.
- Increased physical activity is linked to reduced symptomatology.
- Improved self-efficacy contributes to a better quality of life for heart failure patients.
Related Concept Videos
01:17Exercise and Cardiac Output
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be met...
Sustained exercise increases the muscles' oxygen demand, which can be met...
01:30Heart Failure V: Medical Management
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
01:22Heart Failure VI: Adjunct Therapies
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
01:30Heart Failure VII: Nursing Interventions
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
01:29Cardiomyopathy VI: Nursing Management
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
01:29Self-Efficacy
Self-efficacy is the belief in one's capacity to organize and execute actions necessary to manage prospective situations. This belief significantly influences how individuals approach goals, tasks, and challenges across different domains of life.Psychological and Educational ImpactsIndividuals with strong self-efficacy are more resilient in the face of difficulties. They are more likely to adopt effective problem-solving strategies, persist through obstacles, and regulate emotions such as...