[Difference in predictors of self efficacy and compliance between diabetic and non diabetic patients who underwent coronary artery bypass surgery].
BACKGROUND
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.


OBJECTIVE
This study compared differences in self-efficacy predictors and compliance between diabetic and non-diabetic patients who received coronary artery bypass surgery.


METHODS
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.
National Taipei University of Nursing and Health Science, Republic of China.
Ru-Yu
RY
Lien
Jeng
J
Wei
Jiun-Yi
JY
Li
Heng-Hsin
HH
Tung
Chiang-Yi
CY
Chen
D000368:Aged; D001026:Coronary Artery Bypass; D003920:Diabetes Mellitus / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D020377:Self Efficacy