Health Beliefs Related to Physical Activity in Patients Living with Implantable Cardioverter Defibrillators

2.50
Hdl Handle:
http://hdl.handle.net/10755/602051
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Health Beliefs Related to Physical Activity in Patients Living with Implantable Cardioverter Defibrillators
Author(s):
Crawford, Rebecca Susan
Lead Author STTI Affiliation:
Nu Omega
Author Details:
Rebecca Susan Crawford, RN, crawfordr@uncw.edu
Abstract:
Session presented on Friday, July 24, 2015: Background: Low levels of physical activity (PA) are a significant predictor of early death among recipients of implantable cardioverter defibrillators (ICDs). Regular, moderate PA is associated with improved quality of life (QOL), reduced arrhythmia burden, and improved health outcomes in adult ICD recipients yet many do not engage in PA and reasons for lack of engagement are unclear. Purpose: The purpose of this study was to examine health beliefs related to PA and QOL in adults with ICDs. ' Methods: This study was a descriptive, cross-sectional design measuring the concepts, perceived benefits, perceived barriers and self-efficacy from the Health Belief Model as a theoretical framework. 'Results: The sample (n = 81) was primarily male (71.6%) and white (77.8%), with a mean age of 70.23 years. Most were insured by Medicare (79%) and live in rural areas/small towns (75.3%). Most had heart failure (HF) (98.2%) and almost 40 % reported decreased PA levels since ICD implant. There were no differences in health beliefs and QOL scores between subjects who had an ICD as a primary or secondary prevention of sudden cardiac death. Almost 33 percent of variance in total PA participation can be explained by Self-Efficacy for Exercise (SEE) (? = .390, p < .01); Self-efficacy after ICD (SEICD) (? = .215, p < .05); age (? = -.234, p < .01); New York Heart Association (NYHA) Classification (? =-.198, p <.05); and ICD type (? = .014, p > 05). SEE alone accounted for almost 23 % of variance. Perceived barriers (? = -.310, p < .01) accounted for 9.3 % of variance in planned PA. Conclusion: Findings indicate the strength of self-efficacy in predicting PA participation; and, perceived barriers predicting planned PA in adult ICD recipients. Findings support the need for more research in identifying barriers and predictors of PA participation more specific to adult, ICD recipients. Findings also support interventions aimed at increasing SE beliefs related secondary prevention behaviors, specifically physical activity.
Keywords:
Implantable Cardioverter Defibrillator; Secondary Prevention; Physical Activity
CINAHL Headings:
Defibrillators,�Implantable; Physical�Activity
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST52
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleHealth Beliefs Related to Physical Activity in Patients Living with Implantable Cardioverter Defibrillatorsen
dc.contributor.authorCrawford, Rebecca Susanen
dc.contributor.departmentNu Omegaen
dc.author.detailsRebecca Susan Crawford, RN, crawfordr@uncw.eduen
dc.identifier.urihttp://hdl.handle.net/10755/602051-
dc.description.abstractSession presented on Friday, July 24, 2015: Background: Low levels of physical activity (PA) are a significant predictor of early death among recipients of implantable cardioverter defibrillators (ICDs). Regular, moderate PA is associated with improved quality of life (QOL), reduced arrhythmia burden, and improved health outcomes in adult ICD recipients yet many do not engage in PA and reasons for lack of engagement are unclear. Purpose: The purpose of this study was to examine health beliefs related to PA and QOL in adults with ICDs. ' Methods: This study was a descriptive, cross-sectional design measuring the concepts, perceived benefits, perceived barriers and self-efficacy from the Health Belief Model as a theoretical framework. 'Results: The sample (n = 81) was primarily male (71.6%) and white (77.8%), with a mean age of 70.23 years. Most were insured by Medicare (79%) and live in rural areas/small towns (75.3%). Most had heart failure (HF) (98.2%) and almost 40 % reported decreased PA levels since ICD implant. There were no differences in health beliefs and QOL scores between subjects who had an ICD as a primary or secondary prevention of sudden cardiac death. Almost 33 percent of variance in total PA participation can be explained by Self-Efficacy for Exercise (SEE) (? = .390, p < .01); Self-efficacy after ICD (SEICD) (? = .215, p < .05); age (? = -.234, p < .01); New York Heart Association (NYHA) Classification (? =-.198, p <.05); and ICD type (? = .014, p > 05). SEE alone accounted for almost 23 % of variance. Perceived barriers (? = -.310, p < .01) accounted for 9.3 % of variance in planned PA. Conclusion: Findings indicate the strength of self-efficacy in predicting PA participation; and, perceived barriers predicting planned PA in adult ICD recipients. Findings support the need for more research in identifying barriers and predictors of PA participation more specific to adult, ICD recipients. Findings also support interventions aimed at increasing SE beliefs related secondary prevention behaviors, specifically physical activity.en
dc.subjectImplantable Cardioverter Defibrillatoren
dc.subjectSecondary Preventionen
dc.subjectPhysical Activityen
dc.subject.cinahlDefibrillators,�Implantableen
dc.subject.cinahlPhysical�Activityen
dc.date.available2016-03-17T13:02:43Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T13:02:43Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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