The Effect of a Enhancing Self-Efficacy Guideline on Postoperative Recovery and Activities of Daily Living among Open Heart Surgery Patients
Keywords:
self-efficacy, postoperative recovery, activities of daily living, open heart surgeryAbstract
This quasi-experimental research aimed to investigate the effects of employing self-efficacy guidelines to enhance the postoperative recovery and activities of daily living among open-heart surgery patients. The sample was comprised of 50 open-heart surgery patients selected based on predefined criteria and divided into comparative and experimental groups, each consisting of 25 individuals. The 25 individuals in the comparative group received standard care, while the remaining 25 individuals in the experimental group received care augmented with the self-efficacy guidelines through educational interventions, multimedia presentations, and support for cardiac rehabilitation once daily until discharge from the hospital. The research tools included the self-efficacy guideline developed for open-heart surgery patients which incorporated self-efficacy concepts and evidence-based practices. The tools' quality was validated by five experts, resulting in a content validity index of 0.98. The research instruments also included self-efficacy questionnaires, postoperative recovery questionnaires for open-heart surgery, and assessments of daily activity capabilities. The internal consistency of these instruments was tested using Cronbach's alpha, yielding acceptable values of 0.87, 0.83, and 0.87, respectively. Data were analyzed using descriptive statistics, chi-square tests, independent t-tests, and Mann-Whitney U tests.
The findings indicated that, following the experiment, the average postoperative recovery score for the experimental group was 12, whereas the comparative group only achieved an average postoperative recovery score of 6, which is statistically significant at the .01 significance level. Regarding the ability to perform daily activities, after the experiment, the experimental group had an average score of 95, while the comparative group had an average score of 90, which is statistically significant at the .01 significance level. Therefore, it can be concluded that the self-efficacy guideline approach can be utilized to encourage desired behaviors in open-heart surgery patients in order to specifically promote good postoperative recovery and enable them to return to performing their daily activities as close to their preoperative normal.
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