Factors Associated with Self-Care Behaviors of Patients with Acute Coronary Syndrome at Queen Sirikit Heart Center of the Northeast

Authors

  • Yuwadee Sriboonruang Registered Nurse (Professional Level), Queen Sirikit Heart Center of the Northeast, faculty of medicine, KKU
  • Wanlida Ratchakrom Registered Nurse (Professional Level), Queen Sirikit Heart Center of the Northeast, faculty of medicine, KKU

Keywords:

Acute coronary syndrome, Self-care behavior, Health Literacy, Social Support

Abstract

     This descriptive correlational study aimed to investigate the factors associated with the self-care behaviors of patients diagnosed with Acute Coronary Syndrome (ACS) The study sample consisted of 123 patients receiving treatment at the Queen Sirikit Heart Center of the Northeast, selected through purposive sampling based on predefined inclusion criteria. The research instrumentation comprised a Demographic Profile Questionnaire, the Health Belief Model Scale, the Social Support Scale, the Health Literacy Scale, and a Self-Care Behavior Questionnaire. Content validity was rigorously established (CVI = 0.96–1.00), and internal consistency demonstrated high reliability (Cronbach’s Alpha = 0.70–0.86). Data were analyzed using descriptive statistics and Spearman’s rank correlation coefficient (rs), with the statistical significance threshold set at p < 0.05.

        The findings indicated that gender, social support, health beliefs, and health literacy were significantly and positively correlated with self-care behaviors (p < 0.05), with correlation coefficients (rs) of .270, .515, .541, and .218, respectively. Conversely, depression exhibited a significant negative correlation with self-care behaviors (rs = -0.529, p < 0.05). 

         Healthcare professionals should prioritize the development of health promotion models that integrate health belief concepts with the enhancement of health literacy. Furthermore, fostering family participation to strengthen social support is essential. Implementing these strategies will be instrumental in reducing complications and significantly improving the quality of life for patients with acute myocardial infarction.   

References

Heart Association of Thailand under the Royal Patronage of H.M. the King. Clinical practice guideline for the management of patients with acute myocardial infarction 2020. Bangkok: Next Step Design; 2020. Thai.

World Heart Federation. World Heart Report 2023: Confronting the world's number one killer [Internet]. Geneva: World Heart Federation; 2023 [cited 2024 May 22]. Available from: https://world-heart-federation.org/wp-content/uploads/World-Heart-Report-2023.pdf

Department of Disease Control, Ministry of Public Health. World Heart Day 2023 campaign document [Internet]. Bangkok: Department of Disease Control, Ministry of Public Health; 2023 [cited 2024 May 22]. Available from: https://ddc.moph.go.th/brc/news.php?news=37372&deptcode=brc

Frasure-Smith N, Lespérance F, Talajic M. Depression following myocardial infarction: impact on 6-month survival. JAMA. 1993;270(15):1819-25.

Al-Daken LI, Al-Ghabeesh SH. Depression, anxiety, and self-care management among patients with ischemic heart disease: a 2023 perspective. Healthcare (Basel). 2023;11(4):512. doi:10.3390/healthcare11040512.

Huffman JC, Celano CM, Januzzi JL. The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes. Neuropsychiatr Dis Treat. 2010;6:123-36. doi:10.2147/NDT.S6880.

Yavanopphas N. Factors related to self-care behaviors of patients with acute coronary syndrome [master's thesis]. Chonburi: Burapha University; 2018. Thai.

Orem DE. Nursing: concepts of practice. 6th ed. St. Louis: Mosby; 2001.

Department of Mental Health. 9-question depression assessment (9Q) [Internet]. Nonthaburi: Department of Mental Health, Ministry of Public Health; 2015 [cited 2024 May 22]. Available from: https://www.dmh.go.th/test/download/view.asp?id=17

Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175-83.

House JS. Work stress and social support. Reading (MA): Addison-Wesley; 1981.

Fenta ET, Abera Kidie A, Guadie Tiruneh M, Fentabel Anagaw T, Bogale EK, Addisu Dessie A, et al. Exploring barriers of health literacy on non-communicable disease prevention and care among patients in north Wollo Zone public hospitals; Northeast Ethiopia, 2023: application of socio-ecological model. BMC Public Health. 2024;24:971. doi:10.1186/s12889-024-18524-z.

Khaisang K, Chantraprathak S, Niamphoka P. Factors associated with health literacy and health behaviors of people in the responsibility area of sub-district health promoting hospitals in remote areas. J Health Sci Res. 2023;17(1):112-24.

Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs (NJ): Prentice-Hall; 1986.

Kaur S, Sharma R, Varma JS. Impact of psychological distress on treatment adherence and lifestyle modification among myocardial infarction survivors. Int J Nurs Pract. 2024;30(1):e13155. doi:10.1111/ijn.13155.

Chuakan P, Soonthornchaiya R, Vuthiarpa S. The effects of a group psychoeducation program on depressive symptoms and self-care behaviors of older adults with depressive disorder. Nurs J Ministry Public Health. 2024;34(3):1-12. Thai.

Mbakwem AC, Okubadejo NU, Adeniyi OV. Social support systems and self-care adherence among patients with acute coronary syndrome in a developing economy: a cross-sectional analytical study. Heart Lung. 2022;55:128-35.

Somwang P, Khumros W, Phrommintiku A. Health literacy and its relationship with self-care behaviors among patients with coronary artery disease. Thai J Nurs Midwifery Pract. 2023;39(2):85-98. Thai.

Sangkawichai P, Kamchang P, Paisawaeng K, Wongpimkham P, Saita S, Vittaporn S, et al. Factors associated with health literacy and self-care behaviors among patients with type 2 diabetes: a mixed method study in Ko Kha District, Lampang province, Northern Thailand. J Health Res. 2024;38(4):301-10.

Downloads

Published

2026-08-30

How to Cite

1.
Sriboonruang Y, Ratchakrom W. Factors Associated with Self-Care Behaviors of Patients with Acute Coronary Syndrome at Queen Sirikit Heart Center of the Northeast. วารสารศอ.7 [internet]. 2026 Aug. 30 [cited 2026 Sep. 8];18(2):185-99. available from: https://he01.tci-thaijo.org/index.php/johpc7/article/view/287195

Issue

Section

Research Article