Abstract
Background: Patients discharged with a Kehr T-tube after biliary surgery must perform complex self-care activities to prevent complications and support recovery. This study aimed to assess self-care self-efficacy and examine sociodemographic and clinical factors associated with self-care self-efficacy among postoperative patients with Kehr T-tube drainage.
Materials and Methods: A cross-sectional study was conducted among 120 postoperative patients with Kehr T-tube drainage at Hue University of Medicine and Pharmacy Hospital, Vietnam. Self-care self-efficacy was assessed using the Self-Care Self-Efficacy Scale. Group differences were analyzed using the Mann-Whitney U and Kruskal-Wallis H tests. Variables significant in bivariate analyses were entered into a multiple linear regression model to identify independent determinants. Statistical significance was set at p < 0.05.
Results: The mean overall self-care self-efficacy score was 3.42 ± 0.66. Among the four domains, self-efficacy based on clinical knowledge had the highest mean score. Bivariate analyses showed significant differences in overall self-care self-efficacy according to age, educational level, occupation, and primary caregiver during hospitalization and after discharge (p < 0.05). In the multiple linear regression model, secondary/high school education (β = 0.29, p = 0.01), graduate/postgraduate education (β = 0.34, p = 0.001), and primary caregiver after discharge (β = -0.30, p = 0.04) were independently associated with self-care self-efficacy. The final model explained 28.8% of the variance (adjusted R² = 0.243; F (7,112) = 6.464, p < 0.001).
Conclusion: Postoperative patients with Kehr T-tube drainage had a mean self-care self-efficacy score of 3.42 ± 0.66, with lower confidence in self-care monitoring and management than in clinical knowledge. Educational attainment and primary caregiver after discharge were independently associated with self-care self-efficacy. These findings support individualized discharge education and caregiver-inclusive postoperative support.
| Published | 2026-11-15 | |
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| Issue | Vol. 16 No. S-3 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.S-3.13 | |
| Keywords | gallstone disease, Kehr T-tube drainage, self-care self-efficacy, discharge education, caregiver support, postoperative care, nursing |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
Ma X, Cai S. The outcome and safety in laparoscopic common bile duct exploration with primary suture versus T-tube drainage: a meta-analysis. Appl Bionics Biomech. 2023;2023:7300519.
Oh DJ, Nam JH, Jang DK, Lee JK. Complications of common bile duct stones: a risk factors analysis. Hepatobiliary Pancreat Dis Int. 2021;20(4):361-5.
Padmore G, Sutherland FR, Ball CG. The art and craft of biliary T-tube use. J Trauma Acute Care Surg. 2021;91(2):e46-9.
Shemy GG, Hassan AM, Elias AA. Bile leak following T-tube removal. Al-Azhar Assiut Med J. 2021;19(3):469-76.
Wang M, Hua J, Liu Y, Liu T, Liang H. Application of a nurse-led transitional care programme for patients discharged with T-tubes after biliary surgery. Nurs Open. 2023;10(7):4570-7.
Huang C, Wang Y, Cai Y, Shen Z, Zhang H, Tan Z, et al. Correlation among self-care ability, psychological status, and quality of life in discharged patients with hepatolithiasis complicated with diabetes mellitus and T-tube. Front Surg. 2022;9:907900.
Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001;52:1-26.
Ding X, Jiao W, Gong X, Sun Y, Sang L, Yu M. Factors associated with nursing intention of discharged patients with drainage tubes during transitional care: a case-control study. J Multidiscip Healthc. 2025;18:1759-69.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60.
Yu DSF, De Maria M, Barbaranelli C, Vellone E, Matarese M, Ausili D, et al. Cross-cultural applicability of the Self-Care Self-Efficacy Scale in a multi-national study. J Adv Nurs. 2021;77(2):681-92.
Ozolins U, Hale S, Cheng X, Hyatt A, Schofield P. Translation and back-translation methodology in health research: a critique. Expert Rev Pharmacoecon Outcomes Res. 2020;20(1):69-77.
Chica-Pérez A, Dobarrio-Sanz I, Correa-Casado M, Fernández-Sola C, Ruiz-Fernández M, Hernández-Padilla J. Spanish version of the self-care self-efficacy scale: a validation study in community-dwelling older adults with chronic multimorbidity. Geriatr Nurs. 2023;53:181-90.
Bozzetti M, Marcomini I, Lo Cascio A, Magurano MR, Ribaudi E, Petralito M, et al. Exploring the mediating role of self-efficacy in the relationship between caregiver contribution and resilience in inflammatory bowel disease. Behav Sci (Basel). 2025;15(10):1381.
Rothausen CS, Dieperink KB, Ruhlmann CH, Pappot H, Tolstrup LK. Patient and caregiver education to support self-efficacy and self-management during immunotherapy-an integrative review. Psychooncology. 2025;34(3):e70100.