The Relationship of Psychological Well-being with a Cardiac Diet Self Efficacy in Acute Coronary Syndrome Patients

Ismail Fahmi, Ade Suryaman, Mashudi Mashudi, Amelia Ganefianty


Acute Coronary Syndrome (ACS) is a cardiovascular disease that causes significant deaths in most countries. No study assessed the directly how this psychological well-being is related to Cardiac Diet Self-Efficacy (CDSE). This study aimed to identify the relationship between psychological well-being and cardiac diet self-efficacy in ACS patients after treatment. This cross-sectional study involved 150 patients at two hospitals in Jambi Province that treated heart disease, especially ACS. We used Cardiac Diet Self-Efficacy (CDSE) Scale and Psychological Well-Being questionnaire. The associations between psychological well-being a cardiac diet self-efficacy were confirmed by the Pearson Correlation test using SPSS 26.0. The correlation test showed a p-value of 0.018, indicating a relationship between psychological well-being and cardiac diet self-efficacy. Furthermore, the value of r obtained at 0.41 shows a reasonably strong relationship between psychological well-being and cardiac diet self-efficacy. Therefore, it is necessary to prepare for improving psychological well-being in ACS patients both from the discharge planning stage and post-hospital intervention so that ACS patients can have good cardiac diet self-efficacy after treatment.


Acute Coronary Syndrome; Cardiac diet self efficacy; Psychological well-being; treatment

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Barham, A., Ibraheem, R., & Zyoud, S. H. (2019). Cardiac self-efficacy and quality of life in patients with coronary heart disease: A cross-sectional study from Palestine. BMC Cardiovascular Disorders, 19(1), 1–12.

Boehm, J. K., & Kubzansky, L. D. (2012). The heart’s content: The association between positive psychological well-being and cardiovascular health. Psychological Bulletin, 138(4), 655–691.

Carro, A., & Kaski, J. C. (2011). Myocardial Infarction in the Elderly. 2(1), 116–137. Retrieved from

Castillo-Mayén, R., Cano-Espejo, C., Luque, B., Cuadrado, E., Gutiérrez-Domingo, T., Arenas, A., Rubio, S. J., Delgado-Lista, J., Pérez-Martínez, P., & Tabernero, C. (2020). Influence of self-efficacy and motivation to follow a healthy diet on life satisfaction of patients with cardiovascular disease: A longitudinal study. Nutrients, 12(7), 1–20.

Chauvet-Gelinier, J. C., & Bonin, B. (2017). Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation. Annals of Physical and Rehabilitation Medicine, 60(1), 6–12.

Chen, S. H., & Shao, J. H. (2009). Translation and testing of the cardiac diet self-efficacy scale for use with Taiwanese older adults. Public Health Nursing (Boston, Mass.), 26(5), 474–482.

Claes, J., Buys, R., Budts, W., & Smart, N. (2016). Longer-term effects of home-based exercise interventions on exercise capacity and physical activity in coronary artery disease patients : A systematic review and meta-analysis.

Estruch, R., Ros, E., Salas-Salvadó, J., Covas, M.-I., Corella, D., Arós, F., Gómez-Gracia, E., Ruiz-Gutiérrez, V., Fiol, M., Lapetra, J., Lamuela-Raventos, R. M., Serra-Majem, L., Pintó, X., Basora, J., Muñoz, M. A., Sorlí, J. V., Martínez, J. A., Fitó, M., Gea, A., … Martínez-González, M. A. (2018). Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts. New England Journal of Medicine, 378(25), e34.

Fahmi, I., Nurachmah, E., Yona, S., & Herawati, T. (2022). Physical Activity and Associated Factors in Indonesian Patients with Acute Myocardial Infarction. 12(4), 27–35.

Fors, A., Ulin, K., Cliffordson, C., Ekman, I., & Brink, E. (2015). The Cardiac Self-Efficacy Scale, a useful tool with potential to evaluate person-centred care. European Journal of Cardiovascular Nursing, 14(6), 536–543.

Frangogiannis, N. G. (2015). Pathophysiology of myocardial infarction. Comprehensive Physiology, 5(4), 1841–1875.

Hickey, M. L., Owen, S. V., & Froman, R. D. (1992). Instrument development: Cardiac diet and exercise self-efficacy. Nursing Research, 41(6), 347–351.

Hirahatake, K. M., Jiang, L., Wong, N. D., Shikany, J. M., Eaton, C. B., Allison, M. A., Martin, L., Garcia, L., Zaslavsky, O., & Odegaard, A. O. (2019). Diet Quality and Cardiovascular Disease Risk in Postmenopausal Women With Type 2 Diabetes Mellitus: The Women’s Health Initiative. Journal of the American Heart Association, 8(19).

Huffman, J. C., Legler, S. R., & Boehm, J. K. (2017). Positive psychological well-being and health in patients with heart disease: A brief review. Future Cardiology, 13(5), 443–450.

Kashani, M., Eliasson, A. H., Walizer, E. M., Fuller, C. E., Engler, R. J., Villines, T. C., & Vernalis, M. N. (2016). Early Empowerment Strategies Boost Self-Efficacy to Improve Cardiovascular Health Behaviors. Global Journal of Health Science, 8(9), 322.

Krok, D., & Zarzycka, B. (2020). Self-Efficacy and Psychological Well-Being in Cardiac Patients: Moderated Mediation by Affect and Meaning-Making. Journal of Psychology: Interdisciplinary and Applied, 154(6), 411–425.

Kubzansky, L. D., Huffman, J. C., Boehm, J. K., Hernandez, R., Kim, E. S., Koga, H. K., Feig, E. H., Lloyd-Jones, D. M., Seligman, M. E. P., & Labarthe, D. R. (2018). Positive Psychological Well-Being and Cardiovascular Disease: JACC Health Promotion Series. Journal of the American College of Cardiology, 72(12), 1382–1396.

Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., Labarthe, D. R., Lavretsky, H., Michos, E. D., Spatz, E. S., Kubzansky, L. D., Boehm, J. K., Carney, R. M., & Smith, S. C. (2021). Psychological Health, Well-Being, and the Mind-Heart-Body Connection A Scientific Statement From the American Heart Association. Circulation, 143(10), E763–E783.

Li, R., Yan, B. P., Dong, M., Zhang, Q., Yip, G. W. K., Chan, C. P., Zhang, M., Zhang, Q., Sanderson, J. E., & Yu, C. M. (2012). Quality of life after percutaneous coronary intervention in the elderly with acute coronary syndrome. International Journal of Cardiology, 155(1), 90–96.

Liblik, K., Théberge, E., Gomes, Z., Burbidge, E., Menon, N., Gobran, J., & Johri, A. M. (2022). Improving Wellbeing After Acute Coronary Syndrome. Current Problems in Cardiology.

Liu, C. H., Yeh, M. K., Wang, J. H., Weng, S. C., Bai, M. Y., & Chang, J. C. (2016). Acute coronary syndrome and suicide: A case-referent study. Journal of the American Heart Association, 5(12), 1–8.

Mack, M., & Gopal, A. (2016). Epidemiology, Traditional and Novel Risk Factors in Coronary Artery Disease. Heart Failure Clinics, 12(1), 1–10.

Maria, C., Costa, C., Bilitario, L., Tapioca, L., & Cunha, J. (2014). Quality of Life of Patients After an Acute Coronary Event : Hospital Discharge. 6(5), 362–368. https://doi:10.14740/jocmr1865w

Neil, A. O., & Scovelle, A. J. (2018). Gender / Sex as a Social Determinant of Cardiovascular Risk. Cvd, 854–864.

Piepoli, M. F., Corrà, U., Dendale, P., Frederix, I., Prescott, E., Schmid, J. P., Cupples, M., Deaton, C., Doherty, P., Giannuzzi, P., Graham, I., Hansen, T. B., Jennings, C., Landmesser, U., Marques-Vidal, P., Vrints, C., Walker, D., Bueno, H., Fitzsimons, D., & Pelliccia, A. (2016). Challenges in secondary prevention after acute myocardial infarction: A call for action. European Journal of Preventive Cardiology, 23(18), 1994–2006.

Salari, A., Rouhi Balasi, L., Moaddab, F., Zaersabet, F., Nouri Saeed, A., & Habib Nejad, S. (2016). Patients’ Cardiac Self-Efficacy After Coronary Artery Angioplasty. Jundishapur Journal of Chronic Disease Care, inpress(inpress), 1–5.

Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of Translational Medicine, 4(13), 256–256.

Sharp, P. B., & Salyer, J. (2012). Self-efficacy and barriers to healthy diet in cardiac rehabilitation participants and nonparticipants. Journal of Cardiovascular Nursing, 27(3), 253–262.

Soo Hoo, S. Y., Gallagher, R., & Elliott, D. (2016). Predictors of cardiac rehabilitation attendance following primary percutaneous coronary intervention for ST-elevation myocardial infarction in Australia. Nursing & Health Sciences, 18(2), 230–237.

Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Cheng, S., Delling, F. N., Elkind, M. S. V., Evenson, K. R., Ferguson, J. F., Gupta, D. K., Khan, S. S., Kissela, B. M., Knutson, K. L., Lee, C. D., Lewis, T. T., … Tsao, C. W. (2021). Heart Disease and Stroke Statistics - 2021 Update: A Report From the American Heart Association. In Circulation (Vol. 143, Issue 8).

Yu, E., Malik, V. S., & Hu, F. B. (2018). Cardiovascular Disease Prevention by Diet Modification: JACC Health Promotion Series. Journal of the American College of Cardiology, 72(8), 914–926.

Zhang, Y. J., Iqbal, J., Van Klaveren, D., Campos, C. M., Holmes, D. R., Kappetein, A. P., Morice, M. C., Banning, A. P., Grech, E. D., Bourantas, C. V., Onuma, Y., Garcia-Garcia, H. M., MacK, M. J., Colombo, A., Mohr, F. W., Steyerberg, E. W., & Serruys, P. W. (2015). Smoking is associated with adverse clinical outcomes in patients undergoing revascularization with PCI or CABG: The SYNTAX trial at 5-year follow-up. Journal of the American College of Cardiology, 65(11), 1107–1115.



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