Evaluation of the Determinant Factors and Clinical Implications of Self-Care Agency Among Patients with Acute Myocardial Infarction

Abstract

<jats:p> In patients with acute myocardial infarction treated with percutaneous coronary intervention (PCI), effective post-hospital care, partially determined by self-care agency, is critical for long-term prognosis. However, the relationship between agency and sociodemographic characteristics requires elucidation. One hundred and six outpatients participated in our study. Self-care agency was assessed with the Self-care Agency Questionnaire (SCAQ). We evaluated its correlation with patients’ sociodemographic characteristics and morale on the Ikigai-9 Questionnaire. Mean SCAQ scores were higher in those who were younger, male, living with someone, and more educated compared to their counterparts. Furthermore, SCAQ scores were correlated with Ikigai-9 scores. Multivariate logistic regression analyses indicated that social participation, employment status, and morale were independent predictors of high SCAQ scores. A comprehensive approach utilizing medical professionals, families, and the local community is needed to promote self-care agency in patients receiving primary PCI. </jats:p>

Self‐care in coronary heart disease patient and caregiver dyads (HEARTS‐IN‐DYADS)—Protocol of a multicenter longitudinal study

“…At the patient level, we identify socio-demographic characteristics, the severity of CHD, and the presence of other comorbidities. Literature reports that self-care is better in males, younger people, and those with better education (Maruta et al, 2021).…”

“…To date, the literature on CHD self‐care has been limited due to the inclusion of only a few components of patient self‐care (e.g., self‐care maintenance behaviors) or changes in self‐care during the CHD trajectory (Maruta et al, 2021; Saeidzadeh et al, 2016). Furthermore, to the best of our knowledge, no study has described the predictors and outcomes of the self‐care process.…”

“…At the patient level, we identify socio‐demographic characteristics, the severity of CHD, and the presence of other comorbidities. Literature reports that self‐care is better in males, younger people, and those with better education (Maruta et al, 2021). Social factors are also known to positively influence self‐care, such as higher household income, being married (Saeidzadeh et al, 2016), and living with others (Maruta et al, 2021).…”

“…Literature reports that self‐care is better in males, younger people, and those with better education (Maruta et al, 2021). Social factors are also known to positively influence self‐care, such as higher household income, being married (Saeidzadeh et al, 2016), and living with others (Maruta et al, 2021). Although we do not have evidence in the context of CHD, we know that the severity of chronic illness (Lee et al, 2015) and the presence of other comorbidities (Buck, Dickson, et al, 2015) can reduce self‐care.…”

The Appraisal of Self-Care Agency Scale-Revised (ASAS-R): Reliability and Validity among Portuguese Medical Students

“…The biopsychosocial context factors, previous life experiences, and life expectations influence one’s self-care agency. Thus, there are determining factors of self-care agency that vary according to the individual’s (1) physical developmental level (functional capacity, activity tolerance); (2) cognitive developmental level (knowledge about healthy lifestyle and disease, ability to seek information and make decisions); (3) psychological development level (proactivity and motivation, previous experiences, resilience, adaptability, satisfaction with life, emotional/mental state); (4) sociodemographic characteristics (age, sex, marital status, employment situation); (5) social context (support network perceived and used); (6) spiritual beliefs and cultural context; and (7) economic and financial condition [ 1 , 6 , 7 , 8 , 9 ]. The individual’s self-care agency enables oneself to carry out self-care actions that have a direct impact on the promotion of one’s well-being, health, and disease management [ 4 ].…”