Cardiac self-efficacy, the belief in one's ability to manage and control cardiac-related situations, plays a crucial role in the self-care behaviors and outcomes of individuals with heart conditions. This paper investigates the multifaceted factors that influence cardiac self-efficacy, drawing on psychological, social, and medical perspectives. Through a comprehensive review of existing literature, we identify key determinants such as perceived social support, coping strategies, health literacy, and disease severity. Additionally, we explore the interplay between these factors and their impact on cardiac self-efficacy levels. Understanding these influences is essential for developing targeted interventions to enhance cardiac self-efficacy and improve the overall well-being of individuals with cardiovascular conditions.

Cardiac self-efficacy, cardiovascular health, self-care behaviors

WHO. Cardiovascular Diseases 2020. Available from: https://www.who.int/health-topics/cardiovasculardiseases/#tab=tab_1

American Heart Association. Coronary Artery Disease - Coronary Heart Disease Jul 31, 2015. Available from: https://www.heart.org/en/health-topics/consumerhealthcare/what-is-cardiovascular-disease/coronary-arterydisease

Dhungana RR, Pandey AR, Bista B, Joshi S, Devkota S. Prevalence and associated factors of hypertension: A community- based cross-sectional study in municipalities of Kathmandu, Nepal. Int J Hypertens 2016;2016:1656938.

Rawal LB, Kanda K, Mahumud RAet al. Prevalence of underweight, overweight and obesity and their associated risk factors in Nepalese adults: Data from a Nationwide Survey, 2016. PLoS One 2018;13:e0205912.

Dhitali SM, Karkiii A. Dealing with the burden of hypertension in Nepal: current status, challenges and health system issues. Regional Health Forum; 2013.

Dhimal M, Karki KB, Sharma SKet al. Prevalence of selected chronic non-communicable diseases in Nepal. J Nepal Health Res Counc 2019;17:394–401.

Gautam R. NCDs in Nepal: Burgeoning Burden amid low priority and the ways forward. Health Prospect: J Public Health 2013;11:4–5.

Bandura A. Self Efficacy. In: Ramachaudran VS, editor. Encyclopedia of Human behavior: New York: Academic Press; 1994. p. 71–81.

Fors A, Ulin K, Cliffordson Cet al. The cardiac self-efficacy scale, a useful tool with potential to evaluate person-centred care. Eur J Cardiovasc Nurs 2014;14:536–43.

Kang Y, Yang IS, Kim N. Correlates of health behaviors in patients with coronary artery disease. Asian Nurs Res (Korean Soc Nurs Sci) 2010;4:45–55.

Kang Y, Yang I-S. Cardiac self-efficacy and its predictors in patients with coronary artery diseases. J Clin Nurs 2013;22:2465–73.

O'Neil A, Berk M, Davis J, Stafford L. Cardiac-self efficacy predicts adverse outcomes in coronary artery disease (CAD) patients. Health 2013;05:6–14.

Hajar R. Risk factors for coronary artery disease: Historical perspectives. Heart Views 2017;18:109–

Ahn S, Song R, Choi SW. Effects of self-care health behaviors on quality of life mediated by cardiovascular risk factors among individuals with coronary artery disease: A structural equation modeling approach. Asian Nurs Res 2016;10:158–63.

Song R, Oh H, Ahn S, Moorhead S. Validation of the cardiac health behavior scale for Korean adults with cardiovascular risks or diseases. Appl Nurs Res 2018;39:252–8.

Kayaniyil S, Ardern CI, Winstanley Jet al. Degree and correlates of cardiac knowledge and awareness among cardiac inpatients. Patient Educ Couns 2009;75:99–107.

Salari A, Rouhi Balasi L, Moaddab Fet al. Patients’ cardiac self-efficacy after coronary artery angioplasty. Jundishapur J Chronic Dis Care 2016;5:e60308.

Carroll DL. The importance of self-efficacy expectations in elderly patients recovering from coronary artery bypass surgery. Heart Lung 1995;24:50–9.

Yehle KS, Plake KS. Self-efficacy and educational interventions in heart failure: a review of the literature. J Cardiovasc Nurs 2010;25:175–88.