Using self-efficacy to increase physical activity in patients with heart failure.
Increasing self-efficacy is not a state that develops quickly. It is unrealistic to expect that the factors contributing to illness and disability will be modified easily. The home care nurse can positively influence self-efficacy expectations in the heart failure population by creating a supportive environment to perform physical activities (performance mastery), assisting with encouragement and support (verbal persuasion), providing anticipatory guidance and sharing how others perform (vicarious experience), and providing a realistic assessment of a person's abilities (physiologic state). By enhancing self-efficacy, the home care nurse can increase physical activity levels in this population, leading to decreased symptomatology and improved quality of life.
Borsody
J M
JM
University of Massachusetts, Graduate School of Nursing, Worcester 01655, USA. JMB.UMASS@aol.com
Courtney
M
M
Taylor
K
K
Jairath
N
N
D000203:Activities of Daily Living; D003152:Community Health Nursing / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000451:nursing / Q000523:psychology* / Q000534:rehabilitation*; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D020377:Self Efficacy; D012720:Severity of Illness Index