The Effects of Self-efficacy Promoting Program on Knowledge and Self-Care Behaviors of Patients undergoing Cataract Surgery, Bangrakam Hospital, Phitsanulok Province
Main Article Content
Abstract
This quasi-experimental research with a two-group pretest-posttest design aimed to examine the self-efficacy promoting program's effects on the knowledge and self-care behaviors of patients undergoing cataract surgery. The sample comprised 60 patients undergoing cataract surgery at Bangrakam Hospital, Phitsanulok Province. Samples were selected using the purposive sampling method and divided into an experimental and a control group, with 30 persons in each group. Research instruments included 1) the self-efficacy promoting program, 2) the cataract knowledge test, and 3) the self-care behavioral assessment form. The content validities were approved by three experts with IOC = .67-1.00, and the reliability of the second tool by K-R20 and the third tools by Cronbach alpha coefficient were .78 and .84, respectively. Data was analyzed using frequency, percentage, mean, standard deviation, Dependent t-test, and Independent- t-test.
The study's results found that after participating in the self-efficacy promotion program, The experimental group had knowledge scores about cataracts. and self-care behaviors better than before joining the program and better than the control group, with statistical significance at the .05 level.
This research showed that the self-efficacy promoting program helped to enhance the knowledge and self-care behaviors of patients undergoing cataract surgery. Therefore, nurses should use this program in other patients undergoing cataract surgery.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Assawaboonyadech, A. & Puranawit, W. (2022). Video education for cataract surgery patients implementing post-operative self-care. Burapha Journal of Medicine, 9(1), 13-27. (in Thai).
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215.
Bangrakam Hospital. (2023). Cataract surgery statistics 2019-2023. Bangrakam Hospital.
Best, J. W. (1977). Research in education. 3rd ed. New Jersey: Prentice Hall, Inc.
Bhattad, P. B. & Pacifico, L. (2022). Empowering patients: promoting patient education and health literacy. Cureus, 14(7), e27336.
Chen, X., Zhou, D., Zhen, J., Wu, Y. B., Sun, Q. Z., Dong, J. M. & Yu, J. C. (2020). Prevalence and risk factors on age-related cataract and surgery in adults over 50 years old in Binhu District, Wuxi, China. International Journal of Ophthalmology, 13(3), 445–451.
Davis, G. (2016). The evolution of cataract surgery. Missouri Medicine, 113(1), 58–62.
Faul, F., Erdfelder, E., Lang, A. G. & Buchner, A. (2007). G*Power 3: a flexible statistical power
analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.
Li, X. (2021). Application of evidence-based nursing in patients after cataract surgery and its impacts on visual acuity recovery and psychological status. American Journal of Translational Research, 13(8), 9784–9789.
Lopez-Garrido, G. (2023). Bandura’s Self-Efficacy Theory of motivation in psychology. Retrieved (2024, November 5). from https://www.simplypsychology.org/self-efficacy.html
Mencucci, R., Stefanini, S., Favuzza, E., Cennamo, M., De Vitto, C. & Mossello, E. (2023). Beyond vision: Cataract and health status in old age, a narrative review. Frontiers in Medicine, 10, 1110383.
Pankasikorn, P. & Kitsripisarn, S. (2020). Benefits of a self-care-promoting programme for cataract surgery patients’ knowledge and self-care behaviour. Journal of Thailand Nursing and Midwifery Council, 35(4), 84-98. (in Thai).
Siswoyo, S., Kushariyadi, K. & Joni, D. I. (2020). Relationship between self-efficacy and anxiety level in pre-operative cataract patient at Balung Hospital Jember. NurseLine Journal, 5(2), 225–230.
Statista Research Department. (2023). Number of cataract surgeries on senile cataract patients under the universal coverage (UC) scheme in Thailand from fiscal year 2018 to 2022. Retrieved (2024, November 5). from
https://www.statista.com/statistics/1425532/thailand-number-of-cataract-surgeries-under-uc-scheme/
World Health Organization. (2023). Blindness and vision impairment. Retrieved (2024, November 5). from https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
Yotkumlue, N. (2023). Factors affecting postoperative self-care behavior of cataract patients undergoing cataract surgery with an intraocular lens in Suthavej Hospital. Journal of Prapokklao Hospital Clinical Medical Education Center, 40(1), 87-95. (in Thai).
Yusuk, S & kuntawee, S. (2022). Development of management systems for cataract surgery patients. Journal of Nursing Science Christian University of Thailand, 9(2), 19-39. (in Thai).