BACKGROUND:The issue of self-perceived health control and related sense of self-efficacy has not received any attention in patients with heart failure (HF), although these psychological features have been established to determine the patients' approach towards healthcare professionals and their recommendations, which strongly affects compliance.METHODS:758 patients with systolic HF (age: 64±11years, men:79%, NYHA classIII-IV:40%, ischaemic aetiology:61%) were included in a prospective Polish multicenter Caps-Lock-HF study. A Multidimensional Health Locus of Control (MHLC) scale was used to assess subjective perception of health control in 3 dimensions (internal control, external control by-the-others & by-chance); Generalised Self-efficacy scale (GSES) was used to estimate subjective sense of self-efficacy; Beck Depression Inventory (BDI) was used to determine depressive symptoms.RESULTS:Majority of patients perceived the external control (by-the-others) and internal control of their health as high (77%and 63%,respectively) or moderate (22%and 36%), whereas self-efficacy as high or moderate (63%and 27%), which was homogenous across the whole spectrum of HF cohort, being related to neither HF severity, HF duration, the presence of co-morbidities nor the applied treatment. The stronger perception of internal health control the higher self-efficacy (p<0.05); both features were related to less pronounced depressive symptoms (p<0.05).CONCLUSIONS:
The established pattern of self-perceived control of own health and self-efficacy indicates that patients with HF acknowledge the role of the others (i.e. healthcare providers) and themselves in the process of the management of HF, and are convinced about high efficacy of their undertaken efforts. Such evidence is in favour of an implementation of a partnership model of specialists' care of patients with HF.
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