Development and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients With Cardiac Surgery

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dc.authorid0000-0002-8208-6113
dc.contributor.authorAksut, Rabia Saglam
dc.contributor.authorCapik, Canturk
dc.contributor.authorElmas, Tugce Bozkurt
dc.date.accessioned2026-04-04T18:56:04Z
dc.date.available2026-04-04T18:56:04Z
dc.date.issued2025
dc.departmentİstanbul Bilgi Üniversitesi
dc.description.abstractBackground and Purpose: Evaluating self-efficacy for symptom management and self-care is crucial for ensuring follow-up care after cardiac surgery. As there is not yet a validated measurement tool for this evaluation, the aim of this study was to develop the Self-Efficacy Scale for Symptom Management and Self-Care (SESMSC: Cardiac Surgery) in patients with cardiac surgery and to examine its psychometric properties. Methods: The Symptom Management Theory and Bandura's Self-Efficacy Theory were used as the theoretical background for scale development. A multiphase design was utilized. The initial development phase consisted of item generation and expert panel review. The second phase comprised a three-step validation process: (a) face and content analysis (CFA) for construct validity, and (c) Cronbach's alpha, test-retest, and item- total correlation analysis to assess internal consistency reliability. The sample (n = 401) was randomly divided into two subsamples for EFA and CFA (EFA group: n = 201; CFA group: n = 200). Results: EFA suggested a 20-item, two-factor structure with factor loadings of .342-.782. The two subscales of the scale were labeled symptom management self-efficacy and self-efficacy for ch's alpha, test-retest, and item-total correlation results demonstrated acceptable internal consistency reliability. Implications for Practice: The SESMSC: Cardiac Surgery may be a useful tool to evaluate self-efficacy for symptom management and self-care after cardiac surgery. Further evaluation in independent samples is needed to investigate its psychometric properties and usefulness in clinical practice.
dc.identifier.doi10.1891/RTNP-2024-0129
dc.identifier.doi10.1891/RTNP-2024-0129
dc.identifier.endpage587
dc.identifier.issn1541-6577
dc.identifier.issn1945-7286
dc.identifier.issue4
dc.identifier.pmid40562569
dc.identifier.scopus2-s2.0-105025358305
dc.identifier.scopusqualityQ4
dc.identifier.startpage563
dc.identifier.urihttps://doi.org/10.1891/RTNP-2024-0129
dc.identifier.urihttps://hdl.handle.net/11411/10668
dc.identifier.volume39
dc.identifier.wosWOS:001638735400007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Publishing Co
dc.relation.ispartofResearch and Theory for Nursing Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260402
dc.snmzKA_Scopus_20260402
dc.subjectCardiac Surgery
dc.subjectNursing
dc.subjectPsychometrics
dc.subjectSelf-Care
dc.subjectSelf-Efficacy
dc.subjectSymptom Management
dc.titleDevelopment and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients With Cardiac Surgery
dc.typeArticle

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