Effects of postoperative recovery program on self–efficacy, quality of postoperative recovery, and postoperative complications among patients with cholangiocarcinoma
Keywords:
patients with cholangiocarcinoma, postoperative recovery program, self-efficacy, quality of postoperative recovery, postoperative complicationAbstract
This quasi-experimental research aimed to study the effects of a postoperative recovery program on self-efficacy, quality of postoperative recovery, and postoperative complications among patients with cholangiocarcinoma (CCA). Samples were 32 patients with CCA who had undergone surgery and were admitted to inpatient wards of a tertiary hospital in the Northeast Thailand. Participants were divided into either the control group or the experimental group, with 16 patients for each group. The control group received standard care, whereas the experimental group received a postoperative recovery program that was developed based on Bandura’s self-efficacy theory. Instruments for data collection were: a self-efficacy assessment tool, a quality of postoperative recovery evaluation form, and a postoperative complication scale. Validity test of these instruments obtained Cronbach’s alpha coefficient of .81, .83, and 1, respectively. Data were analyzed using descriptive statistics, ANCOVA, Chi-square, and Fisher’s exact test.
The results showed that after receiving a postoperative recovery program, the experimental group had significantly higher perceived self-efficacy than before receiving the program (p < .05). The overall self-efficacy and the quality of postoperative recovery of the experimental group were significantly statistically higher than those of the control group (p<.05). The experimental group had significantly less postoperative complications, especially flatulence and constipation, than the control group (p<.05). Nurses should apply this program in caring for patients with CCA after surgery to promote self-efficacy, enhance quality of postoperative recovery,
and reduce postoperative complications.
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