The purpose of this study was to examine reported levels of self-efficacy and functional ability in patients with primary elective total hip replacements (THR) at two distinct timeframes: pre-operative and six weeks post-operative. Albert Bandura's Self-efficacy Theory (SET) (1977, 1997, and 2004) is the theoretical framework for this study. The theoretical framework guided the dynamic relationship between a patient's belief in his/her ability to exercise control over motivation and self-regulating behavioral expectations. The impact of THR surgery on patient's psychological and functional ability has been empirically studied in the literature by the nursing, medical and the occupational and rehabilitation professions. This study examined pre-operative and post-operative THR patients' level of self-efficacy and their functional ability, benchmarks of personal and surgical outcomes. The results of this study indicated that THR patients are not fully aware pre-operatively of what they may encounter following THR surgery. Participants reported sustained self-efficacy within the six week post-operative timeframe despite a decrease in their functional ability. A comparison of selected predictors for self-efficacy demonstrated that age, income, household composition and the ability to carry out everyday physical activities such as walking, climbing, carrying groceries moderated self-efficacy changes between T1 to T2 and that education moderated changes in functional ability from T1 to T2. The role of pain must be considered on the participants' post-operative quality of life. Following THR surgery the relief from pain may be more important than the level of functional ability achieved by individuals.
|School Location:||United States -- New York|
|Source:||DAI-B 72/10, Dissertation Abstracts International|
|Keywords:||Elective surgery, Functional ability, Hip replacement, Self-efficacy|
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