ผลของระบบการพยาบาลแบบสนับสนุนและให้ความรู้ก่อนการตรวจสวนหัวใจ ต่อความพร้อมของผู้สูงอายุโรคหลอดเลือดหัวใจ

Alin Metprommarat; Ronnachai Pimsawat

Authors

Alin Metprommarat Queen Sirikit Heart Center of the Northeast, Faculty of Medicine, Khon Kaen University
Ronnachai Pimsawat Queen Sirikit Heart Center of the Northeast, Faculty of Medicine, Khon Kaen University

Keywords:

educative supportive nursing system, readiness before cardiac catheterization, older persons with psoriasis

Abstract

Introduction: Unpreparedness before cardiac catheterization could lead to the postponement of the procedure, especially among older persons. However, there is currently no study on the use of the educative-supportive nursing system to prepare patients before cardiac catheterization.

Research objectives: To investigate the effects of an educative-supportive nursing system before cardiac catheterization on the readiness among older persons with coronary artery disease.

Research methodology: This study employed a quasi-experimental research design with
a two-group pretest-posttest approach. Each of the experimental and control groups consisted of 25 participants. The participants were selected by a convenience sampling method from the patients meeting the inclusion criteria. The research instrument was an educative-supportive nursing system before cardiac catheterization. The data collection instruments was an interview questionnaire on the readiness for cardiac catheterization among older persons with coronary artery disease with the Cronbach’s alpha of .79. Data were collected at the Admission center, Khon Kaen, Thailand from April to October 2024. General data were analyzed using mean, standard deviation, Wilcoxon signed rank test, Mann Whitney U test, independent t-test and paired t-test.

Results: The scores of readiness before cardiac catheterization among older persons with coronary artery disease after receiving the educative-supportive nursing system before cardiac catheterization was significantly higher than before receiving the educative supportive nursing system (p <.001). Also, the experiment group reported higher score than control group (p <.001).

Conclusions: The use of the educative-supportive nursing system before cardiac catheterization can help the older persons with coronary artery disease to be more prepared before cardiac catheterization.

Implications: The educative-supportive nursing system before cardiac catheterization could be used as a guideline for providing information to patients for the preparation of cardiac catheterization.

Downloads

Download data is not yet available.

References

Dalen JE, Alpert JS, Goldberg RJ, Weinstein RS. The epidemic of the 20th century: coronary heart disease. American Journal of Medicine 2014;127(9):807-12.

Puymirat É. Epidemiology of coronary artery disease. La Revue Du Praticien 2015;65(3):317-20.

Department Of Medical Service, Ministry of Public Health. Health status report: cardiovascular disease rate per population [internet]. 2023 [cited 2024 Aug 8]. Available form: https://shorturl.asia/CypMU (in Thai)

Pepper GA. Critical care patients with special needs: geriatric patient. In: Alspach JG, editor. Core curriculum for critical nursing. 6th ed. St. Louise: Saunders Elservier; 2006.

Miller CA. Nursing for wellness in older adults. 5th ed. Philadelphia: Lippincott; 2009.

Pattanajak C, Sanmaung A, Kiatchoosakun S. In-hospital complications of coronary angiogram and percutaneous coronary intervention: essential for cardiovascular nurses. Mahasarakham Hospital Journal [internet]. 2019 [cited 2024 Aug 8];16(2):50-61. Available form: https://he02.tci-thaijo.org/index.php/MKHJ/article/view/219826 (in Thai)

Metprommarat A, Supati S. The relationship among selected fundamental factors, patients’ perceptions, and expectations on the outcomes of coronary artery angiography procedures at the Queen Sirikit Heart Center of the Northeast. Journal of Nursing And Therapeutic Care [internet]. 2024 [cited 2024 Aug 8].;42(2):1-11. Available form: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/270596 (in Thai)

Admission Center. Statistics on hospital patient admission center service recipients 2023. Khonkaen; 2023. (in Thai)

Krueaklat S. Effects of social support before cardiac catheterization program on anxiety and readiness among patients with coronary artery disease [master’s thesis]. Phitsanulok: Naresuan University; 2021

Petchsuk R, Thongwachira C. The effects of education program for health behaviors change of the elderly with hypertension at Wat Pakineenart Community, Bangkok metropolitant. Christian University Journal [internet]. 2017 [cited 2024 Aug 8];23(2):251-60. Available from: https://he01.tci-thaijo.org/index.php/CUTJ/article/view/240876 (in Thai)

Orem DE, Taylor SG, Renpenning KM. Nursing: Concepts of practice. 6th ed. St. Louis: Mosby; 2001.

Mahasaranon W, Tangkawanich T, Chairat R. The effect of supportive and education nursing program on self care and quality of life in ischemic heart disease patients. Thai Journal of Cardio-Thoracic Nursing [internet]. 2019 [cited 2024 Aug 8];30(1):102-16. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/200453/140842 (in Thai)

Ariyapoowong K, Praiudom S, Saleewong T. The effect of educative supportive nursing system on self-care behaviors of cataract surgery patients, Sukhothai Hospital. Journal of Prachomklao College of Nursing, Phetchaburi Province [internet]. 2019 [cited 2024 Aug 8];2(3):17-30. Available from: https://he01.tci-thaijo.org/index.php/pck/article/view/216033 (in Thai)

Cohen J. Statistical power for the behavioral sciences. 2nd ed. New York: Academic Press; 1977.

Arunpongpaisal S, Kongsuk T, Maneeton N, Maneeton B, Wannasewok K, Leejongpermpoon J, et al. Development and validity of two-question-screening test for depressive disorders in Thai-I-San community. Journal Of The Psychiatric Association Of Thailand [internet]. 2007 [cited 2024 Aug 8];52(2):138-48. Available from: https://suicide.dmh.go.th/abstract/details.asp?id=5184 (in Thai)

Train the Bain Forum Thailand. Thai geriatric depression scale: TGDS. Siriraj Medical Journal [internet].1993 [cited 2024 Aug 8].;46(1):1-9. Available from: https://suicide.dmh.go.th/abstract/details.asp?id=1218 (in Thai)

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & Wilkins;2008.

Thienmongkol R. The study of fonts legibility for elders: a contextual of Thai alphabets on tablet screen. Veridian E-Journal, Silpakorn University [internet] 2017 [cited 2024 Aug 8];10(3):1066-82. Available from: https://he02.tci-thaijo.org/index.php/Veridian-E-Journal/article/view/104736 (in Thai)

iranyachawalit S. The study on the problems and need of packaging for senior. Journal of Communication Arts Review [internet] 2019 [cited 2024 Aug 8];23(1):177-85. Available from: https://so06.tci-thaijo.org/index.php/jca/article/view/246183 (in Thai)

Chaiyakod M, Kunsongkiet W, Masingboon K. Effects of the supportive-educative nursing program on self-care knowledge, self-care behavior and clinical outcomes of hypertensive patients at risk of renal complications. Thai Pharmaceutical And Health Science Journal [internet].2017 [cited 2024 Aug 8];12(4):193-201. Available from: https://ejournals.swu.ac.th/index.php/pharm/article/view/9918 (in Thai)

Prateepwattanaphan W, Jittanoon P, Buapetch A. Effects of a supportive-educative nursing program on caregivers’ caring capabilities and abilities to perform activities of daily living of Muslim patients with stroke. Nursing Research and Innovation Journal [internet]. 2021 [cited 2024 Aug 8];27(3);343-59. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/247984/173610 (in Thai)

Mohammadpour A, Rahmati Sharghi N, Khosravan S, Alami A, Akhond M. The effect of a supportive educational intervention developed based on the Orem's self-care theory on the self-care ability of patients with myocardial infarction: a randomized controlled trial. Journal Of Clinical Nursing 2015;24(11-12):1686-92. Available from: https://doi.org/10.1111/jocn.12775

Sagulkoo P, Jansiri U, Kasemmala S. Effects of educative supportive nursing program via line application on abilities to perform activities of daily living and the recovery after abdominal surgery among surgical patients. APHEIT Journal of Nursing and Health [internet]. 2024 [cited 2024 Aug 8];6(2):1-17. Available from: https://rsujournals.rsu.ac.th/index.php/ajnh/article/view/3419 (in Thai)