Effects of Self-efficacy Enhancement on Patients’ Post Abdominal Surgery Recovery at Phaphuttabath Hospital, Saraburi
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Date
2010-04-01
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Thailand Nursing and Midwifery Council
Abstract
This quasi-experimental research explored the effects of perceived self-efficacy enhancement on the postoperative recovery of abdominal surgery patients through the development of a perceived self-efficacy enhancement program based on Bandura’s theory. The sample group consisted of 80 abdominal surgery patients who had been admitted to the men’s and women’s surgical wards at Phaphutthabath Hospital, Saraburi. Data collection began with the control group of 40 patients who received only routine nursing care, after which the experimental group of another 40 patients were provided with the program for perceived self-efficacy enhancement in addition to routine nursing care. Perceived self-efficacy was assessed before and after participation in the program, after which recoveries were compared in terms of postoperative complications, activity of daily living (ADL) ability and the duration of hospital treatment. Statistical analysis of the data was performed in terms of chi-square test, independent t-test, pair-t test and ancova. The study found that the experimental group had significantly higher perceived self-efficacy post-test scores than pre-test scores (p \< .001). Furthermore, the postoperative recoveries of these patients were significantly better with fewer complications (p \< .05). Moreover, their ADL ability was improved and they had shorter durations of hospitalization (p \< .001). Lastly, it was found that the patients in the experimental group were prescribed significantly fewer postoperative pain relievers than the control group (p \< .001). In view of the research findings, nursing care for the continual enhancement of perceived self-efficacy of patients from the pre-operative to the post-operative periods.
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Thai Journal of Nursing Council; Vol.23 No.1 January-March 2008; 100-114