Effects of a caregiver self-efficacy program on competence and behavior caring for patients with indwelling urinary catheters at home

Abstract

This quasi-experimental study with a one-group pretest-posttest design aimed to compare the mean scores of knowledges, confidence, and caregiving behaviors of caregivers for patients with indwelling urinary catheters at home. The sample consisted of 30 caregivers from the female inpatient ward at Somdej Phra Sangharaja Hospital 19. The research instruments included: 1) a self-efficacy enhancement program comprising success experiences, modeling, verbal persuasion, and physical and emotional preparation; 2) a knowledge test; and 3) a questionnaire assessing confidence and caregiving behaviors, which were validated by five experts. The consistency values ranged from .60 to 1.00, with the reliability coefficient of the knowledge test (KR-20) being .82, and the Cronbach's alpha coefficients for the confidence and caregiving behavior questionnaires being .92 and .93, respectively. Data were analyzed using descriptive statistics, t-tests, and the Wilcoxon Signed Ranks Test.

The study results indicated that before participating in the program, the sample group had a mean knowledge score of 19.83 (SD = 4.11), a moderate level of confidence ( = 3.44, SD = 0.91), and high caregiving behavior ( = 3.82, SD = 0.86). After participating in the program, the mean knowledge score increased to 24.47 (SD = 0.73), confidence improved to a high level ( = 4.16, SD = 0.50), and caregiving behavior further increased to a high level ( = 4.42, SD = 0.50). The mean scores in all three areas showed statistically significant improvement  (p < .001).