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Journal : Jurnal NERS

Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study Muliantino, Mulyanti Roberto; Qadri, Nindy Zumratul; Afriyanti, Esi; Sarfika , Rika
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.51941

Abstract

Introduction: This study aimed to determine the association of physical activity and self-efficacy in patients with coronary heart disease. Methods: A cross-sectional study was conducted among outpatients of coronary heart disease at a cardiovascular center. A total of 238 coronary heart disease patients were included in the study using a purposive sampling technique. The self-efficacy was measured using the cardiac self-efficacy scales (CSE), and the physical activity was measured using the long form International Physical Activity Questionnaire  (IPAQ). Data analysis used the Chi-square test, Spearman correlation test and multivariate linear regression. Results: Self-efficacy was strongly positively correlated with physical activity in coronary heart disease patients (r = 0.956; p = 0.001). Domain-specific correlations included domestic (r=0.419, p<0.001), work (r=0.383, p<0.001), leisure time (r=0.296, p<0.001), and transport (r=0.247, p<0.001). Multiple linear regression analysis showed that employment status had the most significant negative impact on physical activity (B = -246.477), while age (B = 123. 889) and self-efficacy (B = 93.513) were positively associated with physical activity. These results indicate that higher self-efficacy and older age are linked to increased physical activity, whereas employment status is associated with decreased physical activity. Conclusions: In this population, self-efficacy, remaining working status and age are important factors of physical activity in coronary heart disease patients. Keywords: coronary heart disease, good health and well-being, physical activity, self-efficacy
Predictors of nutritional status and fluid balance among ESRD patients undergoing hemodialysis Afriyanti, Esi; Krisdianto, Boby Febri; Transyah, Chichi Hafifa
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.71179

Abstract

Introduction: Patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis must accommodate significant lifestyle modifications, emphasizing nutritional management and fluid restriction, to realize optimal therapeutic outcomes due to the stringent adherence required by the treatment. Deviations from adherence can precipitate complications, compromising the clinical status of patients. Methods: This study employed a quantitative, correlational, and cross-sectional methodology to evaluate 245 ESRD patients undergoing hemodialysis who met the inclusion criteria. Data were acquired utilizing a multistage sampling technique, incorporating proportional random and consecutive sampling, and employing questionnaires addressing knowledge, family support, and perception (B-IPQ). Results: The participants' average age was 51.37±11.804 years, with males representing 60% (147 individuals) of the sample. A significant 81.6% (200 participants) demonstrated proficient knowledge levels. Family support was assessed as satisfactory for 90.6% (222 participants), and 82% (201 participants) exhibited positive perceptions. The analysis identified a significant correlation between Duration of Illness and IDWG (p<0.05), evidenced by a Pearson's correlation coefficient (r) of 0.153. A noteworthy inverse relationship between knowledge levels and Ureum (p<0.05) was also observed. Conclusions: The findings suggest a correlation between knowledge and nutritional management, particularly regarding urea levels, while the duration of hemodialysis is correlated with IDWG. Conversely, factors related to family support did not demonstrate a significant correlation with aspects of nutrition and fluid management, such as urea, creatinine, Hb, sodium, and potassium.