Date Approved

2001

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

Abstract

This secondary analysis examined the relationship between perceived self-efficacy of disease management and hospital admissions for heart failure patients based on Bandura’s social learning theory. A convenience sample of 76 patients who were receiving home care services were visited over the course of several weeks. Data were collected at baseline, 3, and 6 months using the Self-Management Tool adapted from the work of Lorig et al. (1996).

Data indicated a weak negative statistically significant relationship between perceived self-efficacy of disease management and hospital utilization at 3 months (r = -.33, p = .01). In addition, hospital utilization decreased over time, and this decrease was statistically significant at all measures. Although this secondary analysis did not support a significant change in self-efficacy over time, it does enhance the knowledge of self-efficacy perceptions in disease management. Implications for nursing are discussed.

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