Effects of self-efficacy and perceived social support on recovery-related behaviors after coronary artery bypass graft surgery

This research sought to better understand how older female spouses cope with a partner’s coronary artery bypass graft surgery and to explore coping’s relationships with life-change stress, cognitive appraisal, resilience, social support, and aspects of spouse’s surgery. A sample of 96 women, aged from 55 to 81 years, completed surveys after their partner’s surgery. Folkman and Lazarus’ ways of coping (WCQ) scales yielded two factors in this sample—reactive coping and adaptive coping. Reactive coping, including more emotion-focused ways of coping from the WCQ, was associated only with more time spent anticipating spouses’ surgeries. Women described the greatest use of ways of coping labeled adaptive, which in turn had significant relationships with greater resilience, social support, and positive appraisal of the surgical experience. Stepwise multiple regression found greater resilience, more frequent religious participation, and fewer children to be distinct predictors of adaptive coping. Nursing staff are encouraged to accept and normalize reactive coping, while facilitating adaptive coping with surgical stresses.

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Perceptions of Recovery, Physical Health, Personal Meaning, Role Function, and Social Support After First-Time Coronary Artery Bypass Graft Surgery

Dimensions of Critical Care Nursing ◽

10.1097/dcc.0b013e3181a471eb ◽

2009 ◽

Vol 28 (4) ◽

pp. 189-195 ◽

Cited By ~ 6

Author(s):

Eden Zabat Kan

Keyword(s):

Social Support ◽

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Physical Health ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Personal Meaning ◽

Artery Bypass Graft ◽

First Time

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Development of a Self-Efficacy Instrument for Coronary Artery Bypass Graft Patients

Journal of Nursing Measurement ◽

10.1891/jnum.10.2.123.52553 ◽

2002 ◽

Vol 10 (2) ◽

pp. 123-133 ◽

Cited By ~ 16

Author(s):

Susan Barnason ◽

Lani Zimmerman ◽

Jan Atwood ◽

Janet Nieveen ◽

Myra Schmaderer

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Coronary Artery Bypass ◽

Psychosocial Functioning ◽

Self Efficacy ◽

Disease Risk ◽

Artery Bypass ◽

Bypass Graft ◽

Artery Bypass Graft ◽

Risk Factor Modification

Research related to self-efficacy has demonstrated that measures of this concept need to be specific to the behavior of interest. Self-efficacy is the degree of confidence one has to perform an activity. This article describes the development and testing of the Barnason Efficacy Expectation Scale (BEES). The instrument is a 15-item tool that uses a Likert scale to determine the coronary-artery-bypass-graft (CABG) patient’s self-efficacy related to the risk-reduction-related aspects of recovery and lifestyle adjustment following CABG surgery (physical functioning, psychosocial functioning, coronary artery disease risk factor modification and self-care management). Internal consistency reliability of the instrument was 0.93, and principal components analysis revealed a single factor (Eigenvalue = 10.59, percent variance = 70.61%). Three phases of tool development are described in the article that document satisfactory reliability and validity (face, content, criterion, and construct).

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