PMID- 35971525
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220817
IS  - 1178-7074 (Print)
IS  - 1178-7074 (Electronic)
IS  - 1178-7074 (Linking)
VI  - 15
DP  - 2022
TI  - A Study of the Nursing Intervention Based on Self-Efficacy Theory for Patients 
      After Mechanical Heart Valve Replacement: A Randomized Controlled Trial.
PG  - 6539-6547
LID - 10.2147/IJGM.S353977 [doi]
AB  - AIM: To explore the practicability and efficiency of self-efficacy intervention 
      on the nursing for patients after mechanical heart valve replacement (MHVR), so 
      as to provide a theoretical and data foundation for the implementation of 
      self-efficacy intervention in clinical practice. METHODS: This study adopted a 
      randomized controlled trial (RCT). A total of 140 patients undergoing MHVR were 
      randomly divided into the experimental group (normal nursing + self-efficacy 
      intervention) or the control group (normal nursing only) based on a random number 
      table. The primary goal was to evaluate the effect of self-efficacy theory on the 
      self-efficacy of postoperative MHVR patients by General Self-Efficacy Scale 
      (GSES). The secondary goal was to assess the improvement of mental health of 
      postoperative patients as well as their pain through Symptom Checklist 90 
      (SCL-90) and the visual analogue scale (VAS). The incidence of infection during 
      hospitalization was analyzed, as well as the medication compliance of patients 
      during 3-month follow-up after discharge. RESULTS: Finally, 136 patients 
      completed the whole trial. The GSES score of the experimental group was notably 
      superior over the control group (p < 0.001), and the SCL-90 scores were lower 
      over the control group. The VAS score of the experimental group was remarkably 
      lower than that of the control group (p < 0.001). The incidence of infection in 
      the experimental group was lower than that in the control group (p = 0.026). The 
      medication compliance of the experimental group was superior to that of the 
      control group (p = 0.030). CONCLUSION: Self-efficacy intervention for patients 
      after MHVR could mobilize their self-efficacy, enhance their postoperative 
      medication compliance, and improve their postoperative recovery. This study 
      provides evidence-based medicine (EBM) evidence for the application of 
      self-efficacy theory to postoperative nursing for patients receiving MHVR.
CI  - (c) 2022 Jiang et al.
FAU - Jiang, Fei
AU  - Jiang F
AD  - Heart Medicine Research Center, Fujian Medical University Union Hospital, Fuzhou, 
      350001, Fujian, People's Republic of China.
FAU - Lin, Yanjuan
AU  - Lin Y
AD  - Nursing Department, Fujian Medical University Union Hospital, Fuzhou, 350001, 
      Fujian, People's Republic of China.
FAU - Li, Sailan
AU  - Li S
AD  - Heart Medicine Research Center, Fujian Medical University Union Hospital, Fuzhou, 
      350001, Fujian, People's Republic of China.
FAU - Peng, Yanchun
AU  - Peng Y
AD  - Heart Medicine Research Center, Fujian Medical University Union Hospital, Fuzhou, 
      350001, Fujian, People's Republic of China.
FAU - Huang, Xizhen
AU  - Huang X
AD  - Heart Medicine Research Center, Fujian Medical University Union Hospital, Fuzhou, 
      350001, Fujian, People's Republic of China.
FAU - Chen, Liangwan
AU  - Chen L
AD  - Heart Medicine Research Center, Fujian Medical University Union Hospital, Fuzhou, 
      350001, Fujian, People's Republic of China.
LA  - eng
PT  - Journal Article
DEP - 20220809
PL  - New Zealand
TA  - Int J Gen Med
JT  - International journal of general medicine
JID - 101515487
PMC - PMC9375546
OTO - NOTNLM
OT  - mechanical valve replacement
OT  - nursing
OT  - self-efficacy intervention
COIS- The authors declare no conflicts of interest.
EDAT- 2022/08/17 06:00
MHDA- 2022/08/17 06:01
PMCR- 2022/08/09
CRDT- 2022/08/16 01:49
PHST- 2021/12/14 00:00 [received]
PHST- 2022/03/23 00:00 [accepted]
PHST- 2022/08/16 01:49 [entrez]
PHST- 2022/08/17 06:00 [pubmed]
PHST- 2022/08/17 06:01 [medline]
PHST- 2022/08/09 00:00 [pmc-release]
AID - 353977 [pii]
AID - 10.2147/IJGM.S353977 [doi]
PST - epublish
SO  - Int J Gen Med. 2022 Aug 9;15:6539-6547. doi: 10.2147/IJGM.S353977. eCollection 
      2022.