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Increasing Family’s Support To Improve Self Care Among Coronary Heart
Disease Patients: A Participatory Action Research
Ni Komang Ari Sawitri, Indah Mei Rahajeng
Nursing Study Program, Medical Faculty, Udayana University
arisawitri@unud.ac.id
INTRODUCTION
Patients with Coronary Heart Disease (CHD) are expected to
manage their condition actively, continuously dan most of the time
require various changes in individual and family routines. Patients
and their families need to adjust the disease management and
routines to maintain patients wellness.This study aims to explore the
challenges encountered while ensuring self-care among CHD
patients, from their families and health care providers’ points of
view. Based on this information, a model will be developed to guide
nurses to improve self-care management among CHD patients. Figure 1. GROUP OF PARTICIPANTS Figure 4. EDUCATION
METHODS CONCLUSION
This study is a part of participatory action research, which consists
of 4 stages; diagnosis, planning, implementation, and evaluation. The diagnosis stage will inform the planning stage which
Patients with CHD, their families, nurses, and doctors at the includes model development to improve the family’s support for
community health centers and hospitals were interviewed in the patients’ self-care in managing CHD. Programs will be created
first stage of this study. in the planning stage, based on the model developed. The
programs then will be informed to the nurses and ask them to
review and evaluate them before it is implemented in the next
RESULT study.
.
ANKNOWLEDGMENTS
The participants’ characteristics are shown on figures 1, 2, 3 and
4. Themes that emerged during the analysis include 1) referral, 2) The completion of this undertaking could not have been
cooperation, 3) the dynamic of support, and 4) sustainability. possible without the support of Udayana University’s research
Figure 2.SEX and community service institute and all the participants.
Reference
DISCUSSION
American Heart Association. (2015). Lifestyle Changes for Heart Attack Prevention | American Heart Association.
https://www.heart.org/en/health-topics/heart-attack/life-after-a-heart-attack/lifestyle-changes-for-heart-attack-prevention
Barbara, R., K, M. D., G, B. H., Vaughan, D. V., B, D. S., S, L. C., A, L. T., JoAnn, L., E, M. J., J, T. D., E, W. D., & null, null. (2020).
Referral refers to steps that patients must take to get the benefit Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke. Journal of the American Heart Association, 6(9),
e006997. https://doi.org/10.1161/JAHA.117.006997
of insurance and social security. Cooperation means the health Barlow, J., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J. (2002). Self-management approaches for people with chronic
conditions: a review. Patient Education and Counseling, 48(2), 177–187.
care providers, patients, and family exerts efforts to work closely Cassar, A., Holmes Jr, D. R., Rihal, C. S., & Gersh, B. J. (2009). Chronic coronary artery disease: diagnosis and management. Mayo
Clinic Proceedings, 84(12), 1130–1146. https://doi.org/10.4065/mcp.2009.0391
in maintaining the high health status of the patients. Dynamic CDC. (2019). Racial and Ethnic Disparities in Heart Disease. https://www.cdc.gov/heartdisease/risk_factors.htm.
support shows the families’ irregular support for the patients. Chacko, S., & Jeemon, P. (2020). Role of family support and self-care practices in blood pressure control in individuals with
hypertension: results from a cross-sectional study in Kollam District, Kerala. Wellcome Open Research, 5(180), 180.
Lastly, sustainability refers to threats that might endanger self- Clay, A. M., & Parsh, B. (2016). Patient- and Family-Centered Care: It’s Not Just for Pediatrics Anymore. AMA Journal of Ethics,
18(1), 40–44. https://doi.org/10.1001/journalofethics.2016.18.1.medu3-1601
care due to a lack of support, and a complicated referral system. Cossette, S., Belaid, H., Heppell, S., Mailhot, T., & Guertin, M.-C. (2016). Feasibility and acceptability of a nursing intervention with
family caregiver on self-care among heart failure patients: a randomized pilot trial. Pilot and Feasibility Studies, 2(1), 34.
. Figure 3. AGE Dababneh, E., & Goldstein, S. (2019). Chronic Ischemic Heart Disease Selection of Treatment Modality. In StatPearls [Internet].
StatPearls Publishing.
Danley, KS., & Ellison, M. (1999). A Handbook for Participatory Action Researchers. Implementation Science and Practice Advances
Research Center Publications.
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4 Udayana International Nursing Conference
