The effect of education given according to meleis' transitional theory on the level of self-effectiveness with anxiety and depression to patients with pacemaker: A single-blind randomized controlled study

Aim: This research was conducted to determine the effect of the training given according to Meleis's Transition Theory on the anxiety, depression and self-efficacy levels of patients with pacemaker implantation. Material and Method: The research was conducted as a "single-blind randomized controlled experimental study" between 10 November 2022 and 10 November 2023. The population of the research consisted of patients who were hospitalized in the Coronary Intensive Care Unit of Ordu University Training and Research Hospital and had pacemakers installed, and the sample of the research consisted of 70 patients with pacemakers who met the criteria of the research. The data of the study were collected with the "Patient Information Form", "Hospital Anxiety and Depression Scale" and "Self-Efficacy Scale in Chronic Diseases". Patients in the experimental group with pacemaker implants were given training on the 2nd day and 5th day, taking Meleis's Transition Theory as a guide. "No intervention was applied to the patients in the control group during the research process." Data were evaluated using descriptive statistics, Pearson's chi-square, Yates correction, Fisher-Freeman-Halton, Fisher's ecact test, Bonferroni test, independent two-sample t test, Mann Whitney U test and Two-way Robust test. Ethics committee approval was received for the research. Results: A statistical difference was found between the "Hospital Anxiety and Depression Scale" pretest-posttest median scores of the experimental and control group patients (p<0.001). A statistical difference was determined between the "Self-Efficacy Scale in Chronic Diseases" subscales "Exercising Regularly", "Getting Information About the Disease", "Getting Help from Society, Family and Friends", "Communicating with the Doctor", "General Disease Management", "Doing Housework", "Social/Recreational Activities", "Coping with Symptoms", "Coping with Shortness of Breath" and "Managing/Controlling Depression" pretest-posttest difference median scores of the experimental and control group patients (p<0.001). Conclusions: In the study, it was found that the training given to patients with pacemakers according to Meleis's Transition Theory reduced the level of anxiety and depression and increased the level of self-efficacy. Keywords: Meleis's Transition Theory, Education, Self-Efficacy, Anxiety, Depression, Nursing.