Cardiac self-efficacy in bypass patients strongly correlated with caregiver perceptions (r = 0.874), with 67.1% of both groups demonstrating a good perception of patient self-efficacy.
Patients and their caregivers generally share a closely correlated perception of cardiac self-efficacy following coronary artery bypass surgery, which may be influenced by patient education and cognitive status.
Introduction Self‐efficacy of a patient undergoing heart surgery is one of the variables that can affect self‐care by the patient as well as the care of the patient’s caregivers. The purpose of this study is to compare the perception of cardiac self‐efficacy of patients undergoing coronary artery bypass surgery from the perspective of patients and their caregivers. Methods and Materials In this cross‐sectional study, 246 patients undergoing coronary artery bypass grafting surgery and their caregivers were studied by the sequential sampling method and three questionnaires; t ‐tests, one‐way analysis of variance, Mann–Whitney U, Kruskal–Wallis, Kolmogorov–Smirnov, Shapiro–Wilk, and linear regression were used to determine the relationships between variables. Results The results of the study showed that the majority of patients and caregivers (67.1%) had a good perception of cardiac self‐efficacy. The patient’s heart self‐efficacy score has an inverse relationship with the duration of the disease ( r = −0.162, p = 0.011) and the personal control score ( r = 0.159, p = 0.013) There was a direct relationship with treatment control ( r = 0.151, p = 0.018) and with disease recognition ( r = 0.146, p = 0.022). The patient’s cardiac self‐efficacy score with the cardiac self‐efficacy score based on the caregiver’s understanding ( r = 0.874, p < 0.001) has a strong direct relationship with the cognitive impairment score ( r = −0.428, 001). There was a moderate inverse relationship. Also, the difference between the perception of the patient’s cardiac self‐efficacy and the perception of the patient’s cardiac self‐efficacy from the perspective of the caregiver was significant only according to the patient’s education ( p = 0.033), and with the increase in the patient’s cognitive status disorder score, the difference in the perception of the patient’s self‐efficacy compared to the caregiver decreased. ( β = −0.079, p = 0.040). Conclusion Considering the effect of the patient’s and caregiver’s educational level as well as the patient’s cognitive status on the difference in the perception of patients and their caregivers about cardiac self‐efficacy in patients, it seems that the implementation of rehabilitation programs and the follow‐up of patients and caregivers after surgery can bring the closer understanding of self‐efficacy between patients and their caregivers.
Ghasemnataj et al. (2026) studied this question. Cardiac self-efficacy in bypass patients strongly correlated with caregiver perceptions (r = 0.874), with 67.1% of both groups demonstrating a good perception of patient self-efficacy.