The effect of perceived self-efficacy promoting program on self-efficacy perception and success weaning ventilator in surgical patients
Keywords:Perceived self-efficacy promoting program, Surgical patient, Self-efficacy perception, Success weaning ventilator
The study was a quasi-experimental research, two group pretest-posttest design, it aimed to examine the effects to self-efficacy promoting program on self-efficacy perception and success weaning ventilator of surgical patients. The subjects were 10 patients who recived usual nuring care and then 10 patients who received self-efficacy promoting program base on concept self-efficacy of Bandura theory. The research intruments were 1) The general information and health literacy questionnaire including with the form of the measurement of of self-efficacy perception in weaning the surgery patients from mechanical ventilation. Clinical nursing practice guideline for successful weaning from mechanical ventilation of Naresuan University Hospital consisted of taking care those patients and the evaluation form of successful in weaning the surgical patients from mechanical ventilation post operation. 2) A program to promoting self-efficacy of surgical patients include A manual weaning ventilator after and a video "To...Friend" which has been verified for content by experts. The self-efficacy assessment form has a Pearson's Correlation Coefficient equal of 0.98 The data was analyzed by using frequency, percentage and standard deviation of Wilcox on signed ranks test and Mann- Whitney Test. The results showed that 1) The surgical patients which used ventilator after receiving the promoting program of self-efficacy perception was higher than that before receiving the program. (p = 0.005) 2) The surgical patients which used ventilator after receiving the promoting program of self-efficacy perception was higher than the group of usual nuring care with receiving program at level of self-efficacy perception. (p = 0.001) 3) The surgical patients which used ventilator after receiving the promoting program of self-efficacy perception and the usual nuring care had successful in weaning the surgery patients from mechanical ventilationnot different but the study also found that patients who received the promoting program of self-efficacy perception in weaning the surgery patients from mechanical ventilation was higher than the usual nuring care and level of patients readiness in weaning from mechanical ventilation program of patients who received the program of self-efficacy perception were be able to use the intensive spirometer efficiently better the group of usual nuring care.
Bandura, A. (1997). Self -efficacy: The exercise of control. United states of America: Freeman and company.
Boles, J. M., Bion, J., Connors, A., Herridge, M., Marsh, B., Melot, C., … Welte, T. (2007). Weaning from mechanical ventilation. European Respiratory Journal, 29(5), 1033-1056.
Burns, S. M., Fisher, C., Earven T. S. S., Lewis, R., Merrel, P., Conaway, M. R., & bleck, T.P. (2010). Multifactor clinical score and outcome of mechanical ventilation weaning trials: Burns wean assessment program. American Journal of Critical Care, 19(5), 431-439.
Chamraksa, P., & Srimad, T. (2014). Factors predicting weaning time in surgical respiratory care unit. Princess of Naradhiwas Unniversity Joural, 6(2), 36-46. [In Thai].
Chartramthitikun, P. (2012). The effects of perceived self-efficacy promoting program on postoperative performance among patients undergoing open surgery for renal calculi. Master Thesis (Nusing), Khon kaen University, Khon kaen. [In Thai].
Chobarunsitti, S., Kasemkitwattana, S., & Chanruangvanich, W. (2008). Effects of self-efficacy enhancement on patients post abdominalSurgery recovery at Phaphuttabath Hospital, Saraburi. Thai Journal of Nursing Council, 23(1), 100-114. [In Thai].
Esteban, A., Anzueto, A., Frutos, F., Alía, I., Brochard, L., Stewart, T. E., … Tobin, M. J. (2002). Characteristics and outcomes in adult patients receiving mechanical ventilation: A 28-day international study. The Journal of the American Medical Association, 287(3), 345-355.
Funk, G. C., Anders, S., Breyer, M. K., Burghber, O. C., Edelmann, G., Heindl, W., … Hartl, S. (2010). Incidence and outcome of weaning from mechanical ventilation according to new categories. European Respiratory Journal, 35: 88-94.
Heffelfinger, S., Calamari, J. E., Workman, D. E., Lawn, G., & Kelly, J. (2006). Anxiety sensitivity and ventilator weaning: A preliminary analysis. Anxiety Stress and Coping, 19(3), 211-226.
Kalanuria, A. A., Zai, W., & Mirski, M. (2014). Ventilator-associated pneumonia in the ICU. Critical Care, 18(2), 208.
Karakurt, Z., Funfulla, F., Ceriana, P., Carlucci, A., Grassi, M., Colombo, R., … Nava, S. (2012). Physiologic determinants of prolonged mechanical ventilati on in patients after major surgery. Journal of Critical Care, 27(2), 9-16.
Klinmai, S. (2011). The Effect of promoting self-efficacy and outcome expectancy in qigong exercise program on functional acpacity in heart failure patients. Master Thesis (Nursing), Chulalongkorn University, Bangkok. [In Thai].
Ledoux, D., & Luikart, H. (2005). Cardiac surgery. In S. L. Wood, E. S. S. Froelicher, S. U. Motzer & E. J. Bridges (Eds.), Cardiac nursing (pp. 628-658). Philadelphia: Lippincott Williams & Wilkins.
Lemone, P., Burke, K., & Bauldoff, G. (2011). Medical surgical nursing: Critical thinking in patient care (5th ed.). Upper Saddle River, N.J. : Pearson.
Mongkolsawat, S. (2010). The effect of edcational program for patients with colostomy in Khon Kaen Hospital. Master Thesis (Nusing), Khon kaen University, Khon kaen. [In Thai].
Pathomjaruwat, T., Wattanakitkrileart, D., Pinyopasakul, W., & Wongsurakiat, P. (2013). Correlation between awareness of self performance of disorder severity and of anxiety and duration of spontaneous breathing trial in patients not having been weaned off respirators. Thai Journal of Nursing Council, 28(1), 49-63. [In Thai].
Perren, A., Previsdomini, M., Llamas, M., Cerutti, B., Györik, S., Merlani, G., & Juliet, P. (2010). Patients' prediction of extubation success. Intensive Care Medicine, 36(12), 2045-2052.
Phomjumpa, S. (2008). Effects of a perceived self-efficacy promoting program on breastfeeding behavior among adolescent mothers. Master Thesis (Nusing), Thammasat University, Bangkok. [In Thai].
Safdar, N., Dezfulian, C., Collard, H. R., & Saint, S. (2005). Clinical and economic consequences of ventilator associated pneumonia: A systematic review. Critical Care Medicine, 33(10), 2184-2193.
Sanee, N. (2011). Effect of perceived self-efficacy promoting program on rehabilitation behavior in patients with femoral fracture receiving internal fixation. Master Thesis (Nursing), Chulalongkorn University, Bangkok. [In Thai].
Suaroon, P., Thosingha, O., Danaidusadeekul, S., & Chaiwat, O. (2015). Risk factors in prolonged use of mechanical ventilators in post-operative abdominal surgery patients. Thai Journal of Nursing Council, 30(4), 107-120. [In Thai].
Twibell, R., Siela, D., & Mahmoodi, M. (2003). Subjective perceptions and physiological variables during weaning from mechanical ventilation. American Journal of Critical Care, 12(2), 101-112.
Watanakijkrilert, D., Pathomjaruvat, T., & Kedcham, D. (2013) Factors predicting weaning success in patients with respiratory failure receiving invasive mechanical ventilator. Nursing Science Journal of Thailand, 31(3), 57-66. [In Thai].