ประสิทธิผลของโปรแกรมส่งเสริมสมรรถนะแห่งตนในการฟื้นฟูสมรรถภาพหัวใจ ระยะที่ 1 ต่อสมรรถภาพทางกายในผู้สูงอายุหลังผ่าตัดหัวใจแบบเปิด Effectiveness of an Enhancing Self-Efficacy in Phase i Cardiac Rehabilitation Program on Physical Fitness Among Older Persons Post Open Heart Surgery
คำสำคัญ:
โปรแกรมส่งเสริมสมรรถนะแห่งตน, การฟื้นฟูสมรรถภาพหัวใจระยะที่ 1 สมรรถภาพทางกาย, ผ่าตัดหัวใจแบบเปิดบทคัดย่อ
This one group pre-posttest study aimed to investigate physical fitness among elderly persons who underwent open heart surgery and received the self - efficacy enhancement program in cardiac rehabilitation phase I. Self- efficacy theoryof Bandura was used as a conceptual framework for development and implement of the program. The purposive sampling of 25 persons underwent CABG and valves repaired or replacement at thoracic surgical ward, Central Chest Institute of Thailandwere recruited to participate in a program for 7 days after surgery. The enhancing self-efficacy in phase I cardiac rehabilitation program was implemented as a study intervention.The instruments for data collection comprised 1) the demographic and health status questionnaire 2) the self-efficacy assessment form and 3) the physical fitness record related to six minute walk test (6MWT). Descriptive statistics, Wilcoxon signed rank test and One sample t- test were used in data analysis.
The findings showed that the self-efficacy score was statistically significant higher than that of prior the program (p < .001). Before discharge, the physical fitness related to 6MWT was not different from that of the standard (300 metres) (p = .129) and after discharge two weeks, the physical fitness related to 6MWT had significant higher than that of the standard (300 metres) (p < .001). It is suggested the benefit of this program to enhance self –efficacy in phase I cardiac rehabilitation resulting in improving the physical fitness among elderly persons after CABG and valves repair or replacement.
