Health Beliefs Related to Physical Activity in Patients Living with Implantable Cardioverter Defibrillators
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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.
Description
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.
Repository Posting Date
2016-03-17T13:02:43Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Category Information
Evidence Level | |
Keywords | Implantable Cardioverter Defibrillator; Secondary Prevention; Physical Activity |
CINAHL Subject(s) | Defibrillators, Implantable; Physical Activity |
Conference Information
Name | 26th international Nursing Research Congress |
Host | Sigma Theta Tau international, the Honor Society of Nursing |
Location | San Juan, Puerto Rico |
Date | 2015 |
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