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

8 août 2026 mis à jour par: 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.

Aperçu de l'étude

Statut

Actif, ne recrute pas

Les conditions

Description détaillée

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.

Type d'étude

Observationnel

Inscription (Estimé)

300

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

Turquie (Türkiye)
- Zafer Mahallesi
  - Aydin, Zafer Mahallesi, Turquie (Türkiye), 09010
    - Aydın Adnan Menderes University

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

Adulte
Adulte plus âgé

Accepte les volontaires sains

Non

Méthode d'échantillonnage

Échantillon non probabiliste

Population étudiée

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.

La description

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

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats	Description de la mesure	Délai
Psychological Well-Being Délai: 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)

Mesures de résultats secondaires

Mesure des résultats	Description de la mesure	Délai
Surgical Fear Délai: 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 Délai: 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)

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Aydin Adnan Menderes University

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

15 mai 2026

Achèvement primaire (Estimé)

30 août 2026

Achèvement de l'étude (Estimé)

30 septembre 2026

Dates d'inscription aux études

Première soumission

5 août 2026

Première soumission répondant aux critères de contrôle qualité

5 août 2026

Première publication (Réel)

10 août 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

12 août 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

8 août 2026

Dernière vérification

1 avril 2026

Plus d'information

Termes liés à cette étude

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

Surgical Fear and Well-Being

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

OUI

Description du régime IPD

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

Délai de partage IPD

12 months after publication

Type d'informations de prise en charge du partage d'IPD

PROTOCOLE D'ÉTUDE

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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