Evaluation on the efficacy of nursing intervention based on the self-efficacy theory model in elderly patients undergoing total laparoscopic hysterectomy

Abstract

The effectiveness of nursing interventions based on the self-efficacy in elderly patients receiving total laparoscopic hysterectomy was assessed. 100 senior patients undergoing total laparoscopic hysterectomy were committed to our hospital from January 2020 to February 2021. Patients were randomized into the study group (n = 51) and control group (n = 49), according to the time of surgery. The control group was given a conventional care plan, while the study group was given conventional care plus a nurse intervention based on a self-efficacy plan. The total post-operative disease uncertainty scores were relatively lower than before surgery both in the control group and the study group (p < 0.05). In particular, the disease uncertainty scale in the post-operative group was reduced in the study group as compared to that in the control group (p < 0.05). The post-operative self-efficacy scale scores of patients in the control group and the study group were increased than that in the pre-operative patients (p < 0.05). In particular, the post-operative self-efficacy scale scores of patients in the study group were higher than that in the control group. Patients in the study group had a lower incidence of post-operative complications than that in the control group. After one year of follow-up, the overall Pelvic Floor Distress Inventory-20 (PFDI-20) scores at 3 months and 12 months were statistically significant higher than pre-operative scores (p < 0.05). In particular, the post-operative patients’ pelvic floor function in the study group were lower than that in the control group. It seems that a self-efficacy-based nursing intervention program applied to elderly patients after laparoscopic total hysterectomy was effective in improving patients’ disease uncertainty and self-efficacy, shortening the length of hospital stay and reducing the incidence of postoperative complications, with little impact on pelvic floor function.