Effectiveness of Self-management Program on Food Consumption and Fluid Restriction Behaviors, and Clinical Symptoms among Heart Failure with Volume Overload Patients


  • Chanunchida Sukchanachot Faculty of Nursing, Burapha University
  • Aporn Deenan Faculty of Nursing, Burapha University
  • Panicha Ponpinij Faculty of Nursing, Burapha University


Self-management program, Food consumption and fluid restriction behaviors, Clinical symptoms, Heart failure with volume overload patients


This quasi-experimental research aimed to examine the effectiveness of self-management program on food consumption and fluid restriction behaviors, and clinical symptoms among heart failure with volume overload patients. The participants included 40 heart failure with volume overload patients who received treatment at Lerdsin Hospital and were divided into the experimental group (n = 20) and the control group (n = 20). The research instruments consisted of the self-management program, the patient demographic interview form, the family member demographic interview form, the food consumption and fluid restriction behavior interview form with reliability as .78, and the clinical symptom interview form with reliability as .88. The implementation and data collection were conducted from February to July, 2021. Data were analyzed using frequency, percentage, Chi-square test, Fisher’s exact test, paired t-test, and ANCOVA.

The research results revealed that 1) after the experiment, the experimental group had statistically significant higher mean score of food consumption and fluid restriction behaviors than that of before the experiment (t = 10.625, p < .001) and higher than that of the control group (F = 160.150, p < .001), and 2) after the experiment, the experimental group had statistically significant lower mean score of clinical symptoms than that of before the experiment (t = 16.084, p < .001) and lower than that of the control group (F = 22.870, p < .001).

This research suggests that health care providers should apply this self-management program for enhancing quality of care among heart failure patients, through encouraging heart failure patients and their family members to manage themselves in order to prevent volume overload and control clinical symptoms.


จิราภรณ์ มีชูสิน, อาภรณ์ ดีนาน, และศิริวัลห์ วัฒนสินธุ์. (2553). ปัจจัยที่มีความสัมพันธ์กับการรับรู้ความรุนแรงของภาวะหัวใจวายของผู้ป่วยภาวะหัวใจวาย. วารสารคณะพยาบาลศาสตร์ มหาวิทยาลัย บูรพา, 18(2), 19–33.

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How to Cite

Sukchanachot, C., Deenan, A., & Ponpinij, P. (2021). Effectiveness of Self-management Program on Food Consumption and Fluid Restriction Behaviors, and Clinical Symptoms among Heart Failure with Volume Overload Patients. Journal of Phrapokklao Nursing College, Chanthaburi, 32(2), 212–229. Retrieved from https://he01.tci-thaijo.org/index.php/pnc/article/view/251069



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