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Self-Efficacy, Surgical Fear and Psychological Well-Being in Abdominal Surgery

8. august 2026 opdateret af: Ezgi Arslan, Aydin Adnan Menderes University

Moderating Effect of Self-Efficacy on the Relationship Between Surgical Fear and Psychological Well-Being in Patients Undergoing Abdominal Surgery Within the Framework of Bandura's Social Cognitive Theory

Surgical fear is a common psychological response among patients undergoing abdominal surgery and may adversely affect psychological well-being during the perioperative period. Individual psychosocial characteristics, particularly self-efficacy, may influence how patients perceive and cope with surgical fear. This cross-sectional observational study aims to determine the moderating effect of self-efficacy on the relationship between surgical fear and psychological well-being in patients undergoing abdominal surgery within the framework of Bandura's Social Cognitive Theory. Data will be collected preoperatively using validated questionnaires from 300 adult patients. The findings are expected to contribute to the identification of patients at risk for poor psychological outcomes and support the development of individualized nursing interventions.

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Detaljeret beskrivelse

Abdominal surgery is associated with considerable psychological stress before the operation. Patients frequently experience fear related to anesthesia, postoperative pain, surgical complications, uncertainty regarding recovery, and changes in daily functioning. Elevated levels of surgical fear have been associated with poorer psychological outcomes and may negatively affect perioperative adaptation.

Psychological well-being reflects an individual's positive psychological functioning and ability to maintain emotional balance during stressful life events. However, not all patients experiencing surgical fear demonstrate the same level of psychological well-being, suggesting that personal characteristics may influence this relationship.

Bandura's Social Cognitive Theory provides a theoretical framework for understanding these individual differences. According to the theory, self-efficacy refers to an individual's belief in their capability to successfully perform behaviors required to manage challenging situations. Patients with higher self-efficacy are expected to perceive surgical stress as more manageable, use more effective coping strategies, and maintain better psychological well-being despite experiencing surgical fear.

Although previous studies have separately investigated surgical fear, self-efficacy, and psychological well-being, evidence regarding the moderating role of self-efficacy in the relationship between surgical fear and psychological well-being among patients undergoing abdominal surgery is limited.

This single-center analytical cross-sectional study will be conducted in the General Surgery Clinic of Aydın Adnan Menderes University Research and Application Hospital. Adult patients scheduled for abdominal surgery will be recruited consecutively before surgery. Data will be collected using a Patient Information Form, the Surgical Fear Questionnaire, the Psychological Well-Being Scale, and the Self-Efficacy Scale.

The primary objective of the study is to determine whether self-efficacy moderates the relationship between surgical fear and psychological well-being. The results are expected to contribute to theory-based nursing care by improving the identification of patients at risk for poor psychological adaptation and supporting the development of individualized psychosocial interventions.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

300

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Tyrkiet (Türkiye)
    • Zafer Mahallesi
      • Aydin, Zafer Mahallesi, Tyrkiet (Türkiye), 09010
        • Aydın Adnan Menderes University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Adult patients scheduled to undergo elective abdominal surgery at the General Surgery Clinic of Aydın Adnan Menderes University Research and Application Hospital who meet the eligibility criteria and provide informed consent will be consecutively enrolled in the study.

Beskrivelse

Inclusion Criteria:

  • Adults aged 18 years or older
  • Scheduled to undergo elective abdominal surgery
  • Able to read, speak, and understand Turkish
  • Conscious and able to complete the questionnaires
  • Willing to participate and provide informed consent

Exclusion Criteria:

  • Diagnosis of dementia
  • Visual or hearing impairment preventing questionnaire completion
  • Undergoing abdominal surgery due to cancer
  • Refusal or withdrawal of participation at any stage of the study

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Psychological Well-Being
Tidsramme: Preoperative assessment (within 24 hours before surgery)
The scale consists of a single sub-dimension and 8 items. The items are Likert-type, ranging from 1 (Strongly disagree) to 7 (Strongly agree). The lowest possible score is 8 and the highest is 56. Higher scores on the scale are interpreted as an increase in psychological well-being.
Preoperative assessment (within 24 hours before surgery)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Surgical Fear
Tidsramme: Preoperative assessment (within 24 hours before surgery)
The Surgical Fear Scale will be used for assessment. The scale consists of 8 items and is an 11-point Likert-type scale, scored from 0 to 10. Each item is scored from 0, meaning "not afraid at all," to 10, meaning "very afraid." The scale measures fear of the short-term and long-term outcomes of surgery. The minimum possible score is 0, and the maximum is 40. A higher score indicates a high level of surgical fear.
Preoperative assessment (within 24 hours before surgery)
Self-Efficacy
Tidsramme: Preoperative assessment (within 24 hours before surgery)
The Self-Efficacy Scale consists of 23 items on a 5-point Likert scale. It is used to measure general self-efficacy perception, not specific to any particular area. It has four sub-dimensions: initiating behavior, maintaining behavior, completing behavior, and overcoming obstacles. The minimum possible score on the scale is 23, and the maximum is 115. A higher score indicates a higher perception of self-efficacy.
Preoperative assessment (within 24 hours before surgery)

Samarbejdspartnere og efterforskere

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Sponsor

Aydin Adnan Menderes University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. maj 2026

Primær færdiggørelse (Anslået)

30. august 2026

Studieafslutning (Anslået)

30. september 2026

Datoer for studieregistrering

Først indsendt

5. august 2026

Først indsendt, der opfyldte QC-kriterier

5. august 2026

Først opslået (Faktiske)

10. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. august 2026

Sidst verificeret

1. april 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • Surgical Fear and Well-Being

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

The data sets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

IPD-delingstidsramme

12 months after publication

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL

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