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Original Research

Open Access

Evaluation on the efficacy of nursing intervention based on the self-efficacy theory model in elderly patients undergoing total laparoscopic hysterectomy

  • Beibei Liu1
  • Yuling Liu2,*,
  • Xue Ge3

1Department of Geriatrics, The Fifth Affiliated Hospital of Xinjiang Medical University, 830011 Urumqi, Xinjiang, China

2Department of Orthopedic, The Fifth Affiliated Hospital of Xinjiang Medical University, 830011 Urumqi, Xinjiang, China

3Department of Urinary Surgery, The Fifth Affiliated Hospital of Xinjiang Medical University, 830011 Urumqi, Xinjiang, China

DOI: 10.22514/ejgo.2023.011 Vol.44,Issue 1,February 2023 pp.93-97

Submitted: 19 July 2022 Accepted: 30 August 2022

Published: 15 February 2023

*Corresponding Author(s): Yuling Liu E-mail:


The effectiveness of nursing interventions based on the self-efficacy in elderly patients receiving total laparoscopic hysterectomy was assessed. 100 senior patients undergoing total laparoscopic hysterectomy were committed to our hospital from January 2020 to February 2021. Patients were randomized into the study group (n = 51) and control group (n = 49), according to the time of surgery. The control group was given a conventional care plan, while the study group was given conventional care plus a nurse intervention based on a self-efficacy plan. The total post-operative disease uncertainty scores were relatively lower than before surgery both in the control group and the study group (p < 0.05). In particular, the disease uncertainty scale in the post-operative group was reduced in the study group as compared to that in the control group (p < 0.05). The post-operative self-efficacy scale scores of patients in the control group and the study group were increased than that in the pre-operative patients (p < 0.05). In particular, the post-operative self-efficacy scale scores of patients in the study group were higher than that in the control group. Patients in the study group had a lower incidence of post-operative complications than that in the control group. After one year of follow-up, the overall Pelvic Floor Distress Inventory-20 (PFDI-20) scores at 3 months and 12 months were statistically significant higher than pre-operative scores (p < 0.05). In particular, the post-operative patients’ pelvic floor function in the study group were lower than that in the control group. It seems that a self-efficacy-based nursing intervention program applied to elderly patients after laparoscopic total hysterectomy was effective in improving patients’ disease uncertainty and self-efficacy, shortening the length of hospital stay and reducing the incidence of postoperative complications, with little impact on pelvic floor function.


Elderly patient; Total laparoscopic hysterectomy; Self-efficacy theory; Nursing intervention; Pelvic floor function

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Beibei Liu,Yuling Liu,Xue Ge. Evaluation on the efficacy of nursing intervention based on the self-efficacy theory model in elderly patients undergoing total laparoscopic hysterectomy. European Journal of Gynaecological Oncology. 2023. 44(1);93-97.


[1] Caruso R, Pittella F, Zaghini F, Fida R, Sili A. Development and validation of the nursing profession self-efficacy scale. International Nursing Review. 2016; 63: 455–464.

[2] Sheeran P, Maki A, Montanaro E, Avishai-Yitshak A, Bryan A, Klein WMP, et al. The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a meta-analysis. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association. 2016; 35: 1178–1188.

[3] Barreiro RG, Lopes MVdO, Cavalcante LDP. Middle-range theory for the nursing diagnosis of low self-efficacy in health. Revista Brasileira de Enfermagem. 2020; 73: e20190370.

[4] Zhang Y. Uncertainty in illness: theory review, application, and extension. Oncology Nursing Forum. 2017; 44: 645–649.

[5] Wu X, Xu H, Zhang X, Han S, Ge L, Li X, et al. Self-efficacy, hope as mediators between positive coping and resilience among patients with gastric cancer before the first chemotherapy. Cancer Nursing. 2021; 44: 79–85.

[6] Spencer JE, Brown HW, Oliphant SS. Health literacy and PFDI-20 and PFIQ-7 completion in urogynecology patients. International Urogynecology Journal. 2021; 32: 3209–3215.

[7] Li Y, Chen S, Xu M, Liu J. Effect of crisis intervention nursing on perioperative psychological state and self-efficacy of patients undergoing laparoscopic radical hysterectomy. American Journal of Translational Research. 2021; 13: 12988–12995.

[8] Epstein RM. Facing epistemic and complex uncertainty in serious illness: the role of mindfulness and shared mind. Patient Education and Counseling. 2021; 104: 2635–2642.

[9] Grønning K, Bratås O, Steinsbekk A. Which factors influence self-efficacy in patients with chronic inflammatory polyarthritis? Muscu-loskeletal Care. 2016; 14: 77–86.

[10] Zhang Y, Kwekkeboom K, Petrini M. Uncertainty, self-efficacy, and self-care behavior in patients with breast cancer undergoing chemotherapy in China. Cancer Nursing. 2015; 38: E19–E26.

[11] Casarin J, Cromi A, Bogani G, Multinu F, Uccella S, Ghezzi F. Surgical morbidity of total laparoscopic hysterectomy for benign disease: predictors of major postoperative complications. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2021; 263: 210–215.

[12] Dojki SS, Bano A. Outcome of total laparoscopic hysterectomy. Journal of the College of Physicians and Surgeons Pakistan. 2018; 28: 427–430.

[13] Yu H, Zhao Z, Duan X, Zhou J, Su D. Ultrasound image under artificial intelligence algorithm to evaluate the intervention effect of accelerated rehabilitation surgery nursing on laparoscopic hysterectomy. Computational Intelligence and Neuroscience. 2022; 2022: 9042954.

[14] Pan K, Cao L, Ryan NA, Wang Y, Xu H. Laparoscopic sacral hysteropexy versus laparoscopic sacrocolpopexy with hysterectomy for pelvic organ prolapse. International Urogynecology Journal. 2016; 27: 93–101.

[15] Şükür YE, Dökmeci F, Çetinkaya ŞE, Seval MM. Comparison of patient reported outcomes, pelvic floor function and recurrence after laparoscopic sacrohysteropexy versus vaginal hysterectomy with McCall suspension for advanced uterine prolapse. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2020; 247: 127–131.

[16] Wang L, Shi L, Wang L, Wu Y, Zhang X, Chen T, et al. The effect of psychological support intervention based on structure-process-result three-dimensional quality assessment on maternal role adaptation and pelvic floor rehabilitation exercise compliance of women in spontaneous labor. Computational and Mathematical Methods in Medicine. 2022; 2022: 8993144.

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