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Literature Review
Abstract Individuals undergoing cardiac surgery can be of any age and functional ability. This literature review examines the correlation between the patient’s ability to engage in self-care behaviors and the efficacy of their rehabilitation. Using Orem’s Self-Care Nursing Deficit Theory and Bandura’s Self-Efficacy Theory peer-reviewed research studies were selected from accredited journals using CINHAL, Ovid, PubMed and Google Scholar ranging from 1988 to 2009. The literature reviewed indicated that the patients’ perceived ability to engage in self-care behaviors impacted their recovery after they were discharge from the hospital. The literature also suggests that nursing interventions can promote and enable self-care while the patients is in the hospital and throughout their recovery at home.

Recovery After Cardiac Surgery: A Literature Review During the last thirty years, invasive procedures have been able to improve the survival and quality of life despite a deteriorating risk profile of the patients undergoing them. (Zarani, Besharat, Sarami, & Sadeghian, 2011) The presence of pre-existing conditions and increased age can be difficult for patients that are undergoing cardiac surgery and challenging for the nurses involved in the recovery and rehabilitative plans for these patients. Many theories have been utilized in research to develop interventions and improve outcomes for these patients. Two of most commonly used theories are Orem’s Self-Care Deficit Nursing Theory and Bandura’s Self-Efficacy Theory. The principle philosophy of the Self-Care Deficit Theory is that all patients want to care for themselves and by encouraging the independence they are able to heal quickly and holistically. The overall purpose is to view the patient as a whole person and to utilize nursing knowledge to restore and maintain the patient’s ideal health. (Orem, 1995)
Definitions
Self-care is defined as the activities that individuals do to themselves to maintain



References: Barnason, S., Zimmerman, L., Atwood, J., Nieveen, J., & Schmaderer, M. (2002). Development of a Self-Efficacy Instrument for Coronary Artery Bypass Graft Patients. Journal of Nursing Measurement, 10(2), 123-133. Callaghan, D Gortner, S. R., & Jenkins, L. S. (1990). Self-efficacy and activity level following cardiac surgery. Journal of Advanced Nursing, 15(10), 1132-1138. doi: 10.1111/j.1365-2648.1990.tb01704.x Hartweg, D Moore, J. B., & Pichler, V. H. (2000). Measurement of Orem‚ Basic Conditioning Factors: A Review of Published Research. Nursing Science Quarterly, 13(2), 137-142. doi: 10.1177/08943180022107573 Orem, D

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