The survey of factors related to self-efficacy based on Orem’s theory in patients with coronary artery bypass surgery in Tehran in 2014
Advances in Nursing & Midwifery,
Vol. 25 No. 90 (2016),
8 October 2016
,
Page 9-16
Abstract
Background & Aim:
Utilization of nursing theories for finding the factors associated with self-efficacy in the patients
undergoing coronary artery bypass surgery is very important. This study was conducted to
determine the factors associated with self-efficacy based on Orem's theory in these patients after
coronary bypass surgery.
Materials and Methods:
This was a descriptive-correlative study. 150 patients undergoing coronary artery bypass surgery
were selected with convinince sampling. The data was collected by the demographic questionnaire
and the self-efficacy questionnaire. The self-efficacy questionnaire was made based on Orem’s
theory of self care. Instroments validity and relability was determined by content validity and
Cronbach Alpha(0.095). Data were analyzed using SPSS software ver19.
Findings:
Results of this research showed that self-efficacy in patients after coronary artery bypass surgery
was low(2%), medium(49%) and high(49%). Self-efficacy was significantly correlated with some
basic conditioning factors based on Orem’s theory (marital status, employment, level of education,
age, income , health insurance and education about surgery). The highest level of self-efficacy were
in regard of medication use, regular physician consultation, and low fat and low salt diet
consumption at home.
Conclusion:
Patients after coronary artery bypass surgery were more confident in regard to medication use,
regular physician consultation than exercise and stop smoking. This may indicate that Patients have
less attention to non-pharmacological aspects (healthy lifestyle and long-term adherence) and selfcare
behaviors after coronary artery bypass surgery. It seems that nurses and physicians should
emphasize on the effects of non–medical cares more clearly and enhance motivation based on selfefficacy
of the patients.
Key words:
self-efficacy, coronary artery bypass surgery, Orem’s Self Care Model
- self-efficacy
- coronary artery bypass surgery
- Orem’s Self Care Model
How to Cite
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