Objective

Identify determinants of home care workers’ (HCW) self-efficacy in contributing to heart failure (HF) self-care.

Methods

Secondary analysis of a survey (n = 328) examining characteristics of HCWs caring for adults with HF in New York. Self-efficacy assessed using Caregiver Self-Efficacy in Contributing to Self-Care Scale. Standardized scores range 0–100; ≥ 70 points indicate adequate self-efficacy. Characteristics determined by self-efficacy (low vs. adequate). Prevalence ratios with 95% confidence intervals (PR [95% CI]) were estimated using multivariable Poisson regression with robust standard errors.

Results

Home care workers with adequate self-efficacy had at least some prior HF training (55% vs. 17%, p < .001) and greater job satisfaction (90% vs. 77%, p = .003). Significant determinants for adequate self-efficacy were employment length (1.02 [1.00–1.03], p = .027), preparation for caregiving (3.10 [2.42–3.96], p < .001), and HF training (1.48 [1.20–1.84], p < .001).

Conclusion

Home care agencies and policy-makers can target caregiving preparation and HF training to improve HCWs’ confidence in caring for adult HF patients.

中文翻译：

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更好的准备和培训决定了家庭护理人员在促进心力衰竭自我护理方面的自我效能

客观的

确定家庭护理人员 (HCW) 在促进心力衰竭 (HF) 自我护理方面的自我效能的决定因素。

方法

对一项调查 ( n = 328) 的二次分析，该调查检查纽约护理成人 HF 的医护人员的特征。自我效能评估使用照顾者自我效能对自我护理量表的贡献。标准化分数范围为 0-100；≥ 70 分表示足够的自我效能感。由自我效能决定的特征（低与足够）。使用具有稳健标准误差的多变量泊松回归估计具有 95% 置信区间 (PR [95% CI]) 的患病率。

结果

具有足够自我效能的家庭护理人员之前至少接受过一些 HF 培训（55% 对 17%，p < .001）和更高的工作满意度（90% 对 77%，p = .003）。充分自我效能的重要决定因素是就业时间 (1.02 [1.00–1.03], p = .027)、护理准备 (3.10 [2.42–3.96], p < .001) 和 HF 培训 (1.48 [1.20–1.84) ], p < .001)。

结论

家庭护理机构和政策制定者可以针对护理准备和 HF 培训来提高 HCWs 护理成年 HF 患者的信心。