Factors Predicting Self-Care in Patients with Atrial Fibrillation

Main Article Content

Phannathorn Ophasirikhosit
Sarinrut Sriprasong
Doungrut Wattanakitkrileart
Komsing Methavigul


Purpose: To explore the predictive correlation of eHealth literacy, trust in health care provider, self-efficacy, and perception of symptom severity on self-care in patients with atrial fibrillation.

Design: Predictive correlational research.

Methods: The study included 108 individuals who were followed up for diagnosis of atrial fibrillation at a tertiary hospital in the metropolitan region. Data were collected using a demographic data questionnaire, Self-Care of Chronic Illness Inventory, eHealth Literacy Questionnaire, Health Care Relationship Trust Scale, and Atrial Fibrillation Symptom and Burden. Data were analyzed using descriptive statistics and multiple linear regression.

Main findings: The overall self-care level was very good (73.2%). The results showed that eHealth literacy, trust in health care providers, self-efficacy, and perception of symptom severity could together explain 28.7% of the variance in self-care in patients with atrial fibrillation. The significant predicting factors on self-care in patients with atrial fibrillation were self-efficacy (gif.latex?\beta = .46, p < .001), and trust in health care provider (gif.latex?\beta = .21, p = .012).

Conclusion and recommendations: Self-efficacy and trust in health care provider can predict self-care in patients with atrial fibrillation. Health care providers should support patients to develop self-efficacy by reflecting on the outcomes of their self-care, providing positive reinforcement, and introducing a patient model of good self-care. In addition, health care providers should establish a trust between them and patients by actively listening to their problems and encouraging decision-making participation.

Article Details

How to Cite
Ophasirikhosit, P., Sriprasong, S., Wattanakitkrileart, D., & Methavigul, K. (2024). Factors Predicting Self-Care in Patients with Atrial Fibrillation. Nursing Science Journal of Thailand, 42(2), 19–31. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/265937
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