Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery
Yıl: 2019 Cilt: 10 Sayı: 22 Sayfa Aralığı: 41 - 49 Metin Dili: İngilizce DOI: 10.5543/khd.2019.73644 İndeks Tarihi: 23-12-2020
Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery
Öz: Objective: In this study it was aimed to determine the dynamics of postoperative coronary artery bypass graft surgerypatients’ coping strategies and detect the effects of self-efficacy levels in these dynamics.Methods: This analytical cross-sectional study done between 01 October 2015-30 January 2016 in an Education andResearch Hospital in Bursa, Turkey. 384 patients included to study and all of them were over 18 years old, had coronaryartery bypass graft operation, at least on 4th day after surgery, conscious, no loss of hearing or visual function and volunteerfor study. “Patient Information Form”, “The Coping Strategy Indicator” and “Barnason Efficacy Expectation ScaleCardiac Surgical Version” are used for data collection. SPSS 21.0 statically analyse programme was used for evaluationof data with one and multivariate analyses.Results: Age means of patients was 60.8±10.23. 51.6% of patients were literate or primary school graduated and manyof them (82%) were married. 21.9% patients had serious disease history. Score mean of patients' The Coping Strategy Indicatorwas 70.69±8.32. Problem Solving Subscale had the highest score and Avoidance Subscale had the lowest score.Barnason Efficacy Expectation Scale Cardiac Surgical Version total score mean was 51.94±6.15 and it was positively mildrelated to The Coping Strategy Indicator (r=.519, p<.005). Multivariate analyses showed that Coping score increases ifafter coronary artery bypass graft surgery performed patients self-efficacy score is high, had serious disease historybefore and decreased age (p<.05, R²=.299).Conclusion: In conclusion, the study showed that coping levels of after coronary artery bypass graft surgery related toself-efficacy level, age and disease history of patients.
Anahtar Kelime: Koroner Arter Bypass Greft Cerrahisi Sonrası Hastaların Başa Çıkmasında Öz Etkililik Algıları
Öz: Amaç: Bu araştırmada, bir devlet hastanesinde koroner arter bypass greft cerrahisi sonrası hastaların başaçıkma stratejilerinin dinamiklerini tanımlamak ve bu dinamiklerde öz etkililik düzeylerinin etkisini belirlemek amaçlandı. Yöntemler: Analitik kesitsel tipte olan araştırma Türkiye’de Bursa’da bir Eğitim ve Araştırma Hastanesinde 15 Aralık 2015- 30 Ocak 2016 tarihleri arasında yürütüldü. Araştırmaya 18 yaş üzeri, koroner arter bypass greft cerrahisi geçirmiş post operatif en az 4. günde olan, bilinci açık, işitme ve konuşma fonksiyon kaybı olmayan ve çalışmaya katılmayı gönüllü olan 384 hasta dahil edildi. Araştırmada veri toplamada “Hasta Tanıtıcı Bilgi Formu”, “Başaçıkma Stratejisi Ölçeği” ve “Barnason Etkililik Beklenti exÖlçeği” kullanıldı. Veriler SPSS 21.0 (Statistical Package For Social Science) istatistik analiz programında, tek değişkenli ve çok değişkenli analizler ile değerlendirildi. Bulgular: Hastaların yaş ortalaması 60.8±10.23 olup, %51.6’sı okuryazar veya ilkokul mezunu ve çoğunluğu (%82.0) evlidir. Özgeçmişinde önemli bir hastalık bildirenler %21.9’dur. Hastaların Başaçıkma Stratejisi Ölçeği puan ortalaması 70.69±8.32 olup, en yüksek Problem Çözme alt ölçeği, en düşük ise Kaçınma alt ölçeği idi. Barnason Etkililik Beklenti Ölçeği Kardiak Cerrahi Versiyonu toplam puan ortalaması ise 51.94±6.15 olup, Başaçıkma Stratejisi Ölçeği puanları ile pozitif yönde orta derecede ilişki gösterdiği saptandı (r=0.519, p<0.005). Yapılan çok değişkenli analizlerde, koroner arter bypass greft cerrahisi geçirmiş hastaların öz etkililik puanları arttıkça, yaşları küçüldükçe, daha önce hastalık geçirme durumları varsa başaçıkma puanlarının artış gösterdiği belirlendi (p<0.05, R²=0.299). Sonuç: Sonuçta koroner arter bypass greft cerrahisi sonrası hastaların başaçıkma düzeylerinde; öz etkililik düzeyleri, yaşları ve hastalık öyküleri belirleyici bulundu.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. World Health Organization. Noncommunicable diseases country profiles 2018. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO.p:9-10 Available at: https://www.who.int/nmh/publications/ncd-profiles-2018/ en/. Accessed April 02, 2019.
- 2. Turkey Statistical Institute. Death cause statistics, 2018. Number: 27620. Available at: http://tuik.gov.tr/PreTabloArama. do?metod=search&araType=hb_x. Accessed April 26, 2019.
- 3. Dursun M, Şanlı Ş. Evaluation of coronary bypass grafts. Turkish Radiology Seminars 2013;1: 83-92.
- 4. Erdil F, Özhan Elbaş N. Surgical Nursing. Ankara:Tasarım Offset 2001.
- 5. Redeker NS, Allen MN, Jensen L, Mishel MH. The relationship between uncertainty and coping after coronary bypass surgery. West J Nurs Res 1992;14:48–8.
- 6. Tung H, Hunter A, Wei J. Coping, anxiety and quality of life after coronary artery bypass graft surgery. J Adv Nurs 2008;61:651– 63.
- 7. Karabulutlu EY, Bilici M, Çayır K, Tekin SB, Kantarcı R. Coping, anxiety and depression in Turkish patients with cancer. Eur J Gen Med 2010;7:296–302.
- 8. Folkman S, Lazarus RS, Gruen RJ, DeLongis A. Appraisal, coping, health status, and psychological symptoms. J Pers Soc Psychol 1986;50: 571–9.
- 9. Theobald K, Worrau CL, Mcmurray A. Psychosocial issues facilitating recovery post-CABG surgery. Aust Crit Care 2005;18:76– 85.
- 10. Chan TH, Ward S. Coping process theory: a tool to reduce stress and cardiovascular disease. AAOHN J 1993;1:499–503.
- 11. Öztekin SD, Aksoy G, Akyolcu N, Oztekin I, Kanan N. Concerns and desires of spouses experienced by coronary artery bypass surgery (CABG). Nursing Bulletin 1999;11:187–98.
- 12. Zulkosky K. Self‐efficacy: A concept analysis. Nursing Forum 2009;44:93–102.
- 13. Glanz K, Rimer BK, Lewis FM. Health Behavior and Health Education Theory, Research and Practice. San Fransisco: Wiley & Sons; 2002.
- 14. Williams DM, Rhodes RE. The confounded self-efficacy construct: conceptual analysis and recommendations for future research. Health Psychol Rev 2014;10:113–28.
- 15. Gözüm S. The construct validity of the Turkish form of the Self Efficacy Scale: The relationship between self-efficacy competence and coping with stress. Atatürk Univ. Journal of School of Nursing 1999;2:35–43.
- 16. Sherer M, Adams CH. Construct validation of the self-efficacy scale. Psychol Rep 1983;53:899–902.
- 17. Lev EL, Owen SV. Counseling women with breast cancer using principles developed by Albert Bandura. Perspect Psychiatr Care 2000;36:131–8.
- 18. Bandura A, Cioffi D, Taylor CB, Brouillard ME. Perceived selfefficacy in coping with cognitive stressors and opioid activation. Journal of Pers Soc Psychol 1988;55:479–88.
- 19. Aysan F. Turkish Version of Coping Strategy Indicator. Ege Education Journal 2003;1:123–32.
- 20. Avcı Işık S, Karahan A. The reliability and validity of Barnason efficacy expectation scale cardiac surgery version for Turkey. Turkish Journal of Thoracic and Cardiovascular Surgery 2013;21:691–8.
- 21. Sadr Bafghi SM, Ahmadi N, Yassini Ardekani SM, Jafari L, Bitaraf Ardekani B, Heydari R, et al. A survey of coping strategies with stress in patients with acute myocardial ınfarction and ındividuals without a history of fixed myocardial infarction. Cardiol Res 2018;9:35–9.
- 22. Salari A, Rouhi Balasi L, Moaddab F, Zaersabet F, Nouri Saeed A, Habib NS. Patients' cardiac self-efficacy after coronary artery angioplasty. Jundishapur J Chronic Dis Care 2016;5:e60308.
- 23. Cebeci F, Celik SS. Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients. J Clin Nurs 2008;17:412–20.
- 24. Yılmaz M, Çiftçi ES. A model defining the needs of patient care at home after open heart surgery: Functional health patterns. Turkish Journal of Thoracic and Cardiovascular Surgery 2010;18:183–9.
- 25. Schröder KEE, Schwarzer R, Konertz W. Coping as a mediator in recovery from cardiac surgery Psychology and Health 1998;13:83–97.
- 26. Ewart CK. Self-Efficacy and Recovery from Heart Attack. In: Maddux JE. editör. Self-Efficacy, Adaptation, and Adjustment. The Plenum Series in Social/Clinical Psychology. Boston: Springer, MA, 1995.
- 27. Borzou SR, Amiri S, Salavati M, Soltanian AR, Safarpoor G. Effects of the first phase of cardiac rehabilitation training on self-efficacy among patients undergoing coronary artery bypass graft surgery. J TEH UNIV HEART CTR 2018;13:126–31.
- 28. Mohsenipoua H, Majlessi F, Shojaeizadeh D, Rahimiforooshani A, Ghafari R, Habibi V. Predictors of health-promoting behaviors in coronary artery bypass surgery patients: An application of Pender's Health Promotion Model. Iran Red Crescent Med J 2016;18:e38871.
- 29. Carroll DL. The importance of self-efficacy expectations in elderly patients recovering from coronary artery bypass surgery. Heart Lung 1995;24:50–9.
- 30. Alizadeh M, Feizollahzadeh H, Abdollahzadeh F, Hasankhani H, Dadashzadeh A, Rezaei T. The Relationship between selfefficacy and compliance with self-care behaviors in patients with acute coronary syndrome after coronary angioplasty in Shahid Madani Hospital, 2016: A Health Belief Model. Journal of Research in Medical and Dental Science 2018;6:415–20.
| APA | EŞLİK M, Çetinkaya A (2019). Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. , 41 - 49. 10.5543/khd.2019.73644 |
| Chicago | EŞLİK Miray,Çetinkaya Aynur Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. (2019): 41 - 49. 10.5543/khd.2019.73644 |
| MLA | EŞLİK Miray,Çetinkaya Aynur Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. , 2019, ss.41 - 49. 10.5543/khd.2019.73644 |
| AMA | EŞLİK M,Çetinkaya A Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. . 2019; 41 - 49. 10.5543/khd.2019.73644 |
| Vancouver | EŞLİK M,Çetinkaya A Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. . 2019; 41 - 49. 10.5543/khd.2019.73644 |
| IEEE | EŞLİK M,Çetinkaya A "Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery." , ss.41 - 49, 2019. 10.5543/khd.2019.73644 |
| ISNAD | EŞLİK, Miray - Çetinkaya, Aynur. "Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery". (2019), 41-49. https://doi.org/10.5543/khd.2019.73644 |
| APA | EŞLİK M, Çetinkaya A (2019). Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. Kardiyovasküler Hemşirelik Dergisi, 10(22), 41 - 49. 10.5543/khd.2019.73644 |
| Chicago | EŞLİK Miray,Çetinkaya Aynur Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. Kardiyovasküler Hemşirelik Dergisi 10, no.22 (2019): 41 - 49. 10.5543/khd.2019.73644 |
| MLA | EŞLİK Miray,Çetinkaya Aynur Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. Kardiyovasküler Hemşirelik Dergisi, vol.10, no.22, 2019, ss.41 - 49. 10.5543/khd.2019.73644 |
| AMA | EŞLİK M,Çetinkaya A Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. Kardiyovasküler Hemşirelik Dergisi. 2019; 10(22): 41 - 49. 10.5543/khd.2019.73644 |
| Vancouver | EŞLİK M,Çetinkaya A Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery. Kardiyovasküler Hemşirelik Dergisi. 2019; 10(22): 41 - 49. 10.5543/khd.2019.73644 |
| IEEE | EŞLİK M,Çetinkaya A "Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery." Kardiyovasküler Hemşirelik Dergisi, 10, ss.41 - 49, 2019. 10.5543/khd.2019.73644 |
| ISNAD | EŞLİK, Miray - Çetinkaya, Aynur. "Self-Efficacy Perceptions in Coping of the Patients’ Post-Coronary Artery Bypass Graft Surgery". Kardiyovasküler Hemşirelik Dergisi 10/22 (2019), 41-49. https://doi.org/10.5543/khd.2019.73644 |
