Self-Care Program for Phacoemulsification with Intraocular Lens Patiens, Faculty of Medicine Vajira Hospital*

Abstract

The purpose of this quasi-experimental research was to explore the effectiveness of the
application of the perceived self-efficacy concept in association with social support in the
implementation of a self-care program for phacoemulsification with intraocular lens patients in Faculty
of Medicine, Vajira Hospital. The samples were purposively selected and consisted of 88 people, half
were allocated to the experimental group and half were allocated to the comparison group. The
experimental group participated in the self-care program developed by the researcher, while the
comparison group did not. Data were collected by using scheduled interviews, knowledge
measurement, perceived self-efficacy, perceived outcome expectation and self-care behaviors postsurgery before and after the experiment. Then, the data were analyzed by percentage, mean,
standard deviation, t-test, and repeated measures ANOVA. The findings of the study revealed that
after the experiment knowledge, perceived self-efficacy, and outcome expectations of the
experimental group were higher than before the experiment and those of the comparison group with
statistical significance overall (p < 0.001). According to three follow-ups on self-care behaviors after
the surgery, including pre-discharge, a one-week follow-up appointment, and a one-month follow-up
appointment after surgery, mean scores of self-care behaviors of the experimental group were higher
than those of the comparison group with statistical significance (pre-discharge day: p =< 0.005, oneweek and one-month follow-up appointments: p < 0.001). The results indicated that the self-care
program encouraged patients to have proper self-care behaviors.