The effectiveness of the self-efficacy nursing program on self-efficacy and success weaning ventilator of surgery patient

  • Wipada Pongjit คณะพยาบาลศาสตร์ มหาวิทยาลัยนเรศวร
Keywords: The self-efficacy nursing program, Surgery patient, Self-efficacy, Success weaning ventilator.


This research is the quasi experimental, two group pretest-posttest design. The purpose was to study the effect of the self-efficacy nursing program on self-efficacy and success weaning ventilator of surgery patient. Twenty patients who were planning to use mechanical ventilation intra surgery and after surgery admitted in the surgical intensive care unit were selected by purposive sampling with the first 10patients being in the control group that received normal nursing care and the latter 10 patients being the experimental group that receiving a self-efficacy promotion program.

The instrument consisted a program which was a program to promote self-efficacy of surgical patients based on Bandura theory, manual for weaning of  ventilators for surgical patients with the video "Leave to friends”, general information record and health data of patients, the self-efficacy assessment form for weaning with a ventilator. Data were analyzed using frequency, percentage, mean, standard deviation, Wilcoxon signed ranks test and Mann-Whitney test. The results showed that

  1. Surgical patients who received mechanical ventilation after receiving a self-efficacy promotion program had a higher level of self-efficacy before receiving the program significantly (p = 005)
  2. Surgical patients receiving ventilator that received a self-efficacy promotion program and groups that received normal nursing care.There was no difference in success weaning mechanical ventilation.




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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].

How to Cite
Pongjit, W. (2020). The effectiveness of the self-efficacy nursing program on self-efficacy and success weaning ventilator of surgery patient. Journal of Nursing and Health Sciences, 14(2), 56-69. Retrieved from