Factors Influencing Physical Activity among Patients with Heart Failure
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Abstract
Purpose: This study aimed to explore the influences of perceived severity of disease, fatigue, attitude toward physical activity and knowledge of heart failure on physical activity among patients with heart failure.
Design: Predictive correlational research design.
Methods: The sample consisted of 118 patients with heart failure, followed up at the medical outpatient department of a tertiary hospital in Bangkok. Data were collected using demographic questionnaire, the global physical activity questionnaire, the perceived severity of cardiac-related illness questionnaire, the Piper fatigue scale-12, attitude toward physical activity questionnaire, and the Dutch heart failure knowledge scale. Data were analyzed by descriptive statistics and logistic regression statistics.
Main findings: The findings revealed that 50.8 percent of the participants were males with an average age of 63.45 years (SD = 13.15). Of the sample, 76.3 percent had insufficient physical activity. Perceived severity of disease, fatigue, attitude toward physical activity and knowledge of heart failure could together account for 38 percent of the variance explained in the physical activity among patients with heart failure. Moderate attitude toward physical activity (OR = .07; 95%I [ .01, .63], p = .017), good attitude toward physical activity (OR = .06; 95%I [ .01, .55], p = .013), moderate knowledge of heart failure (OR = .13; 95% [ .03, .46], p = .002) and high knowledge of heart failure (OR = .07; 95% [ .02, .33], p = .001) significantly predicted physical activity.
Conclusion and recommendations: Attitude toward physical activity and knowledge of heart failure could predict physical activity among patients with heart failure. Thus, nurses should develop program or arrange activities that can promote good attitude toward physical activity and provide knowledge of heart failure to this group of patients.
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