Physical Activity and Cardiac Self-Efficacy Levels During Early Recovery After Acute Myocardial Infarction: A Jordanian Study.
Abedalmajeed Shajrawi, Malcolm Granat, Ian Jones and 1 others
PMID 33136697WHAT IT FOUND
After first heart attack, Jordanian patients' measured physical activity did not improve, although their confidence in managing their heart health increased.
They remained highly sedentary. Nurses should not assume confidence alone changes behaviour.
Key findings
01Self-reported global cardiac self-efficacy increased significantly over time.
02Objectively measured physical activity did not change significantly over the measured follow-up period.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single centre in Jordan, so the findings may not transfer to other health systems. More than 50% of screened patients were ineligible, and 30% of eligible patients refused, so the sample may not represent all patients with AMI. No control group or intervention was tested, so the study describes change over time rather than proving what caused it. Self-efficacy was self-reported and physical activity was measured only at 2 weeks and 6 weeks after discharge.
The easy way to misread this
Do not conclude that higher cardiac self-efficacy will make patients more active. In this study self-efficacy increased significantly, but objectively measured activity did not change significantly.