Abstract
This case is a single case where Mr. A with chronic heart failure gains self-efficacy through a successful experience and leads to behavioral modification. Patients with heart failure need to acquire health behaviors such as water management throughout their lives to prevent disease progression. Self-efficacy is a psychosocial factor related to individual behavior, and it is said that it is a predecessor of behavioral self-confidence, recognition of potential, and target behavior.
Mr. A (80-year-old male) with chronic heart failure has been in the hospital for 20 years, and this is the 12th hospitalization. Mr. A was hospitalized three times in half a year, and medical doctors and nurses educated the need for water restriction, but reported that self-care behavior could not be continued. The author, nurse MM, visited to confirm Mr. A's medical condition and medical treatment, but listened to Mr. A's narrative rather than confirming his self-management. MM built a trusting relationship by respecting Mr. A, rather than focusing on only the problems focused by health professionals. In addition, he and we set goals that respect the background of life, such as linking Mr. A's life and difficulties. And by using a method that can be executed when returning home, he was able to gain successful experiences. Such support increased Mr. A's self-efficacy and encouraged behavior modification.
