罹患糖尿病與否對冠狀動脈繞道手術後病患的自我效能、治療遵從性及其預測因子差異之比較

Translated title of the contribution: Difference in Predictors of Self Efficacy and Compliance Between Diabetic and Non Diabetic Patients Who Underwent Coronary Artery Bypass Surgery

Ru Yu Lien, Jeng Wei, Jiun Yi Li, Heng-Hsin Tung*, Chiang Yi Chen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Compared to their non-diabetic peers, diabetic patients who undergo coronary artery bypass surgery (CABG) face greater complications and poorer outcomes. Identifying related risk factors is essential to improving post-CABG outcomes in this vulnerable population. Improving self-efficacy and compliance can further improve patient outcomes over the long term.Purpose: This study compared differences in self-efficacy predictors and compliance between diabetic and nondiabetic patients who received coronary artery bypass surgeryMethod: We used a cross-sectional design with convenience sampling. A total of 350 patients were recruited from two medical centers and one teaching hospital. Instruments used included a demographics questionnaire, chronic disease self-efficacy questionnaire and compliance scale. SPSS 17.0 for Windows was used to analyze data.Results: Results found self-efficacy positively associated with compliance in both groups. The non-diabetic group had higher self-efficacy and lower compliance than the diabetic group. In the diabetic group, gender, compliance, education, employment status and marital status were all predictors of self-efficacy, with self-efficacy the single predictor of compliance. In the non-diabetic group, compliance, primary care provider, education, time since surgery, gender and exercise were predictors of self-efficacy. Self-efficacy, primary care provider, employee status prior surgery were all predictors of compliance.Conclusions: Results provide valuable information regarding the impact of diabetes on CABG patient outcomes and differences in predictors of self-efficacy and compliance between diabetic and non-diabetic patients. Healthcare providers can promote healthy behavior and enhance quality of life by providing patient support tailored to their characteristics and considering the factors associated with better self-efficacy vs. compliance.
Translated title of the contributionDifference in Predictors of Self Efficacy and Compliance Between Diabetic and Non Diabetic Patients Who Underwent Coronary Artery Bypass Surgery
Original languageChinese (Traditional)
Pages (from-to)40-50
Number of pages11
JournalJournal of Nursing
Volume59
Issue number3
DOIs
StatePublished - 1 Jun 2012

Keywords

  • coronary artery bypass graft
  • diabetes mellitus
  • self-efficacy
  • compliance with treatment

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