Tóm tắt
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.
| Đã xuất bản | 15-11-2026 | |
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| Số tạp chí | Tập 16 Số S-3 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.S-3.13 | |
| Từ khóa | gallstone disease, Kehr T-tube drainage, self-care self-efficacy, discharge education, caregiver support, postoperative care, nursing |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2026 Hue Journal of Medicine and Pharmacy
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