فهرست نشریات علمی دسترسی آزاد ایران

Background & Aim:Utilization of nursing theories for finding the factors associated with self-efficacy in the patientsundergoing coronary artery bypass surgery is very important. This study was conducted todetermine the factors associated with self-efficacy based on Orem's theory in these patients aftercoronary bypass surgery.Materials and Methods:This was a descriptive-correlative study. 150 patients undergoing coronary artery bypass surgerywere selected with convinince sampling. The data was collected by the demographic questionnaireand the self-efficacy questionnaire. The self-efficacy questionnaire was made based on Orem’stheory of self care. Instroments validity and relability was determined by content validity andCronbach Alpha(0.095). Data were analyzed using SPSS software ver19.Findings:Results of this research showed that self-efficacy in patients after coronary artery bypass surgerywas low(2%), medium(49%) and high(49%). Self-efficacy was significantly correlated with somebasic conditioning factors based on Orem’s theory (marital status, employment, level of education,age, income , health insurance and education about surgery). The highest level of self-efficacy werein regard of medication use, regular physician consultation, and low fat and low salt dietconsumption at home.Conclusion:Patients after coronary artery bypass surgery were more confident in regard to medication use,regular physician consultation than exercise and stop smoking. This may indicate that Patients haveless attention to non-pharmacological aspects (healthy lifestyle and long-term adherence) and selfcarebehaviors after coronary artery bypass surgery. It seems that nurses and physicians shouldemphasize on the effects of non–medical cares more clearly and enhance motivation based on selfefficacyof the patients.Key words:self-efficacy, coronary artery bypass surgery, Orem’s Self Care Model