The Effects of Self-efficacy Enhancement Program on Quality of Recovery and Activities of Daily Living among Post-Operative Lumbar Laminectomy Patients

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ศศิกรณิศ สันติวรบุตร
ทิพา ต่อสกุลแก้ว
วีนัส ลีฬหกุล

Abstract

The study was a Quasi-experimental research with two group pretest posttest design. The purpose of the study was to examine the effects of Self-efficacy Enhancement Program on Quality of Recovery and Activities of Daily Living among post-operative lumbar laminectomy patients. This program was developed based on the self-efficacy theory of Bandura. The sample was comprised of 50 laminectomy patients at Veterans General Hospital. The sample was  conveniently selected according to the inclusion criteria. They were assigned into the control and the experimental groups  with 25 subjects in each group. The control group recieved the usual nursing care and the experimental group recieved the Self-efficacy Enhancement Program on admission until follow up. The research instruments consisted of Self-efficacy Enhancement Program, the demographic data quationaire, QOR-15 and Barthel Index. The data were analyzed by using descriptive statistics and Repeated Measures ANOVA.


                The results revealed that the experimental group (1) had significantly higher mean scores of qualities of recovery than the control group (p<.05), and (2) had significantly higher mean scores of activities of daily living during 24 hrs and the third day after surgery than the control group (p<.05). However, the mean scores of activities of daily living of the experimental group and the control group were not different on the day of follow up. Based on the results, it is suggested that nurses should add the self-efficacy Enhancement Program to the usual nursing care for the patients undergoing laminectomy in order to promote better quality of nursing.

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บทความวิจัย