ผลของโปรแกรมส่งเสริมการรับรู้สมรรถนะแห่งตนต่อความรู้ การรับรู้ความสามารถ และพฤติกรรมการดูแลตนเองของผู้ป่วยสูงอายุที่ผ่าตัดเปลี่ยนข้อสะโพกเทียม

Siripone  Chaikum; Pannee Paisarntuksin

Authors

Siripone Chaikum Lampang Hospital
Pannee Paisarntuksin Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Hip Replacement Surgery, Knowledge, Perceived Competence, Self-Care Behavior, Self-Efficacy Enhancement Program

Abstract

This quasi-experimental research utilized a one-group pretest-posttest design to investigate the impact of a self-efficacy enhancement program on knowledge, perceived competence, and self-care behaviors in elderly patients undergoing hip replacement surgery at Lampang Hospital. The study encompassed 30 elderly patients who underwent hip replacement surgery and engaged in a self-efficacy enhancement program. The research instruments comprised 1) a self-efficacy enhancement program and 2) data collection tools, which included questionnaires on personal information, self-care knowledge, self-care efficacy perception, and self-care behavior following hip replacement surgery. The content validity index (IOC) varied between 0.67 and 1.00. The knowledge questionnaire demonstrated a reliability coefficient of 0.74 (K-R 20), while the efficacy perception and behavior questionnaires exhibited Cronbach's alpha values of 0.84 and 0.72, respectively. We analyzed the data using descriptive statistics and the Wilcoxon Signed Ranks Test.
The findings indicated that following the intervention, the average scores for knowledge, perceived competence, and self-care behavior among the subjects were significantly higher than prior to the intervention, with statistical significance at the .001 level. Nurses can implement self-efficacy enhancement strategies to encourage optimal post-operative recovery behaviors in patients, facilitating a return to their daily activities as closely as possible to normalcy.

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