The effect of self-efficacy program on functional capacity among patients with post coronary artery bypass graft

Authors

  • Porntip Onpetch Intensive Care Unit, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Noraluk Ua-Kit Faculty of Nursing, Chulalongkorn University

Keywords:

self-efficacy, functional capacity, post coronary artery bypass graft

Abstract

This quasi-experimental research aimed to study the effects of self-efficacy program on functional capacity among patients with post coronary artery bypass graft. Sample was under postoperative coronary artery bypass graft, both male and female, aged 31-59 years, admitted in Surgical Out Patients Department, Ramathibodi Hospital, purposive selection and allocate to an experimental group (n=21) and a control group (n=21) with matching technique for gender, age, and left ventricular ejection fraction efficiency (LVEF). The tools were composed of the functional capacity evaluation form the 6-minute walk test, self-efficacy program for 8 weeks post discharge, perceived self-efficacy questionnaire and the home activities and exercises record form after discharge. Data were analysis by using descriptive statistic and t-test.

 The results revealed that: the mean score of functional capacity after treating with self-efficacy program in the experimental group was higher than that in the control group (t = 2.958, p<.05).

This study suggests that self-efficacy program should be applied for among patients with post coronary artery bypass graft in order to increase functional capacity continuously.

References

Hardin SR, Kaplow R. Cardiac surgery essentials for critical care nursing. Sudbury, MA:Jones & Bartlett Learning; 2019.

Haxhibeqiri-Karabdic I, Hasanovic A, Kabil E, Straus S. Improvement of ejection fraction after coronary artery bypass grafting surgery in patients with impaired left ventricular function. Med Arch. 2014; 68(5):332-34.

Soppa G, Woodford C, Yates M, Shetty R, Moore M, Valencia O, et al. Functional status and survival after prolonged intensive care unit stay following cardiac surgery. Interact Cardiovasc Thorac Surg. 2013;16(6):750-54.

Corrêa B, Cardoso DM. Functional capacity and mental state of patients undergoing cardiac surgery. Fisioterapia em Movimento. 2017;30 (4) :805-11.

Routledge FS, Tsuyuki RT, Hervas-Malo M, LeBlanc P, McFetridge-Durdle JA, King KM. The influence of coronary artery bypass graft harvest site on women's pain, functional status, and health services utilization throughout the first post-operative year: a longitudinal study. Int J Nurs Stud. 2009;46(8):1054-60.

LaPier TK, Wintz G, Holmes W, Cartmell E, Hartl S, Kostoff N, et al. Analysis of activities of daily living performance in patients recovering from coronary artery bypass surgery. Phys. Occup. Ther. Geriatr. 2008;27(1):16-35.

Panagopoulou E, Montgomery A, Benos A. Quality of life after coronary artery bypass grafting: evaluating the influence of preoperative physical and psychosocial functioning. J Psychosom Res. 2006;60(6):639-44.

Wintz G, LaPier TK. Functional status in patients during the first two months following hospital discharge for coronary artery bypass surgery. Cardiopulm. Phys. Ther. J. 2007;18(2):13-20.

Bittner V. Functional status and outcome after coronary artery bypass grafting. JACC Heart Fail. 2014; 2(4):344-6.

Stewart RA, Szalewska D, She L, Lee KL, Drazner MH, Lubiszewska B, et al. Exercise capacity and mortality in patients with ischemic left ventricular dysfunction randomized to coronary artery bypass graft surgery or medical therapy: an analysis from the STICH trial (surgical treatment for ischemic heart failure). JACC Heart Fail. 2014;2(4):335-43.

Gutierrez MG, Umeda IIK, Bergamascki LM, Leão MAS. Six minutes-walk test and respiratory function tests predict complications and mortality in coronary artery bypass grafting? Cardiac. 2019;1(1):1-10.

LaPier TK. Functional status of patients during subacute recovery from coronary artery bypass surgery. Heart Lung. 2007;36(2):114-24.

DiMattio MJK, Tulman L. A longitudinal study of functional status and correlates following coronary artery bypass graft surgery in women. Nurs. Res. 2003;52(2):98-107.

LaPier TK. Indicators of functional deficits after coronary artery bypass surgery.J Cardiopulm Rehabil. 2007;27(3):161-5.

Cervera R, Bakaeen FG, Cornwell LD, Wang XL, Coselli JS, LeMaire SA, et al. Impact of functional status on survival after coronary artery bypass grafting in a veteran population. Ann. Thorac. Surg. 2012;93(6):1950-5.

Cronin S, Logsdon C, Miracle V. Psychosocial and functional outcomes in women after coronary artery bypass surgery. Crit Care Nurse. 1997; 17(2):19-24.

LaPier TK. Functional status during immediate recovery after hospitalization for coronary heart disease. J Cardiopulm Rehabil. 2003; 23(3):203-7.

Whitcomb JJ. Functional status versus quality of life: where does the evidence lead us? ANS Adv Nurs Sci. 2011;34(2):97-105.

Coyne KS, Allen JK. Assessment of functional status in patients with cardiac disease. Heart Lung. 1998;27(4):263-73.

Paorod P, Chidnok W, Panomchaisawang P, Sayasathid J. The study of exercise capacity by 6 minute walk test in open heart surgery patients at Naresuan university hospital before discharge. Songkla Med J. 2016;34(6):321-9. (in Thai).

Nedeljković UD, Krstić NM, Varagić-Marković SL, Putnik SM. Quality of life and functional capacity one year after coronary artery bypass graft surgery. Acta Chirurgica Iugoslavica. 2011;58(3):81-6.

Waiwaree D, Sindhu S, Utriyaprasit K, Slisatkorn W. Factors predicting functional status in patients coronary artery. Thai Journal of Cardio-Thoracic Nursing. 2017;28(2):126-39. (in Thai).

Sullivan MD, LaCroix AZ, Russo J, Katon WJ. Self-efficacy and self-reported functional status in coronary heart disease: a six-month prospective study. Psychosom. Med. 1998;60(4):473-8.

Allen JK, Becker DM, Swank R. Factors related to functional status after coronary artery bypass surgery. Heart and Lung: Crit. Care Med. 1990;19(4):337-43.

O’Neil A, Berk M, Davis J, Stafford L. Cardiac-self efficacy predicts adverse outcomes in coronary artery disease (CAD) patients. Health 2013;5(7A3):6-14.

Allahverdipour H, AsghariJafarabadi M, Heshmati R, Hashemiparast M. Functional status, anxiety, cardiac self-efficacy, and health beliefs of patients with coronary heart disease. Health Promot. Perspect. 2013;3(2):217-229.

Pornsawan C. Effect of self-efficacy enhancement on activities of daily living among patients undergoing coronary artery bypass graft surgery surgery [Master of Nursing Science]. Chiang Mai University; 2001. (in Thai).

Intarat B. Effect of an enhancing self-efficacy in phase I cardiac rehabilitation program on physical fitness and satisfaction of patients with coronary artery bypass graft surgery [Master of Nursing Science]. Songkla: Prince of Songkla University; 2013. (in Thai).

Putdee P, Tantikosoom P, Ua-Kit N. The effect of perceived self efficacy promoting program on physical activity among coronary artery disease patient after. Kuakarun Journal of Nursing. 2017;24(1):147-62. (in Thai).

Somsiri V, Asdornwised U, O’Connor M, Suwanugsorn S, Chansatitporn N. Effects of a transitional telehealth program on functional status, rehospitalization, and satisfaction with care in Thai patients with heart failure. Home Health Care Manag Pract. 2021;33(2):72-80. (in Thai).

Machompoo N, Jitpanya C. The effect of unpleasant symptom management program on functional status in post coronary artery bypass graft patients. Songklanagarind J Nurs. 2017;37(3):97-108. (in Thai).

Bandura A.Self-efficacy: toward a unifying theory of behavioral change.Psychol Rev. 1977;84 (2):191-215.

Bloom BS, Hastings JT, Madaus GF. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill;1971. p.129.

Gortner SR, Jenkins LS. Self-efficacy and activity level following cardiac surgery. J. Adv. Nurs. 1990;15(10):1132-8.

Muthukrishnan A. Augmented walking program: a novel approach to functional status after coronary artery bypass grafting surgery. GSTF Journal of Nursing and Health Care (JNHC). 2016;4(1):10-8.

Downloads

Published

2022-03-12

How to Cite

1.
Onpetch P, Ua-Kit N. The effect of self-efficacy program on functional capacity among patients with post coronary artery bypass graft. Thai J Cardio-Thorac Nurs. [Internet]. 2022 Mar. 12 [cited 2024 Nov. 5];32(2):89-104. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/244682

Issue

Section

Research Articles