The Effect of a Self-Management Program Combined with Social Support on the Self-Management and Healthy Eating Behaviors among Patients with Cardiovascular Disease

Pachanut  NUNTHAITAWEEKUL; Junpen  PANSUP

doi:10.48048/wjst.2021.9614

Authors

Pachanut NUNTHAITAWEEKUL Faculty of Nursing, Chulalongkorn University, Bangkok 10330, Thailand
Junpen PANSUP Faculty of Nursing, Chulalongkorn University, Bangkok 10330, Thailand

DOI:

https://doi.org/10.48048/wjst.2021.9614

Keywords:

The self-management program, Social support, Cardiovascular disease, Self-management, Healthy eating behaviors

Abstract

Unhealthy eating behaviors are one of the major causes of Coronary vascular disease (CVD). The self-management program combined with social support (CIP) was implemented to improve the patients’ self-management ability and maintain their eating behaviors to a healthier standard. The purpose of this study was to compare the scores of self-management and healthy eating behaviors of patients with CVD in the experimental CIP group before and after participation in the CIP. It also compared self-management and healthy eating behavior scores between patients with CVD who entered the CIP with the usual nursing care group. This study was a quasi-experimental approach with 2 groups of pre-and post-tests. The sample size of 50 cases, 25 in each group, was considered for the study. Questionnaires were used to assess the patient’s self-management and healthy eating behavior scores. Descriptive statistics, dependent t-test, and independent t-test were used for the data analysis. The findings revealed that the experimental group showed a significantly (p < 0.05) increased average self-management (46.2 ± 5.6 to 51.1 ± 5.9) and healthy eating behaviors (39.3 ± 5.5 to 48.4 ± 4.0) scores after the program than before. They also had a significantly (p < 0.05) higher self-management and healthy eating behavior scores than the control group (51.1 ± 5.9 vs. 48.9 ± 6.0 and 48.4 ± 4.0 vs. 39.8 ± 7.5, respectively). This program increased the patients’ self-management scores, and consequentially their healthy eating behaviors score also improved.

Keywords: The self-management program, social support, Cardiovascular disease, self-management, healthy eating behaviors

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

B Remenyi, N Wilson, A Steer, B Ferreira, J Kado, K Kumar, J Lawrenson, G Maguire, E Marijon, M Mirabel, AO Mocumbi, C Mota, J Paar, A Saxena, J Scheel, J Stirling, S Viali, VI Balekundri, G Wheaton, L Zühlke and J Carapetis. World heart federation criteria for echocardiographic diagnosis of rheumatic heart disease: An evidence-based guideline. Nat. Rev. Cardiol. 2012; 9, 297-309.

World Health Organization. Cardiovascular diseases (CVDs) Available at: http://www.who.int/ mediacentre/factsheets/fs317/en/index.html, accessed 2011.

AS Go, D Mozaffarian, VL Roger, EJ Benjamin, JD Berry, WB Borden, DM Bravata, S Dai, ES Ford, CS Fox, S Franco, HJ Fullerton, C Gillespie, SM Hailpern, JA Heit, VJ Howard, MD Huffman, BM Kissela, SJ Kittner, DT Lackland, JH Lichtman, LD Lisabeth, D Magid, GM Marcus, A Marelli, DB Matchar, DK McGuire, ER Mohler, CS Moy, ME Mussolino, G Nichol, NP Paynter, PJ Schreiner, PD Sorlie, J Stein, TN Turan, SS Virani, ND Wong, D Woo and MB Turner. Heart disease and stroke statistics-2013 update: A report from the American Heart Association. Circulation 2013; 127, e6-e245.

SM Mosleh and M Darawad. Patients' adherence to healthy behavior in coronary heart disease: Risk factor management among Jordanian patients. J. Cardiovasc. Nurs. 2015; 30, 471-8.

IM Lee, EJ Shiroma, F Lobelo, P Puska, SN Blair, and PT Katzmarzyk. Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet 2012; 380, 219-29.

B Aggarwal, M Liao, A Christian, and L Mosca. Influence of caregiving on lifestyle and psychosocial risk factors among family members of patients hospitalized with cardiovascular disease. J. Gen. Intern. Med. 2009; 24, 93-8.

LG Martinez and MA House-Fancher. Medical surgery nursing: Assessment and management of clinical problem. 9th ed. Mosby, Missouri, 2000.

L Barandon, J Calderon, M Lafitte, L Leroux, JL Cadusseau, X Roques and T Couffinhal. Assessing cardiovascular risk factors after coronary artery bypass surgery: Value of an aggressive strategy including systematic follow-up. Arch. Cardiovasc. Dis. 2008; 101, 155-62.

TT Fung, KM Rexrode, CS Mantzoros, JE Manson, WC Willett and FB Hu. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation 2009; 119, 1093-100.

A Mente, LD Koning, HS Shannon and SS Anand. A systematic review of the evidence supporting a causal link between dietary factors and coronary heart disease. Arch. Intern. Med. 2009; 169, 659-69.

C Na-Sungchan. 2010, Self-care behavioral in patients after percutaneous cardiac intervention. Master Thesis. KhonKaen University, Khonkaen, Thailand.

BC Yates, J Norman, J Meza, KS Krogstrand, S Harrington, S Shurmur, M Johnson and K Schumacher. Effects of partners together in health intervention on physical activity and healthy eating behaviors: A pilot study. J. Cardiovasc. Nurs. 2015; 30, 109-20.

W Lehakun. Nutrition in nursing. Boonsiri Printing, Bangkok, Thailand, 2002, p. 406.

TL Creer. Self-management of chronic illness. In: M Boekaerts, PR Pintrich and M Zeidner (Eds.). Handbook of self-regulation academic. Academic Press, San Diego, p. 601-29.

JS House, D Umberson and KR Landis. Structures and processes of social support. Annu. Rev. Sociol. 1988; 14, 293-318.

S Cohen, LG Underwood and Gottlieb BH. Social support measurement and intervention: A guide for health and social scientists. Oxford University Press, New York, 2000, p. 345.

A Bandura. Health promotion from the perspective of social cognitive theory. In: P Norman, C Abraham and M Conner (Eds.). Understanding and changing health behaviour: From health beliefs to self-regulation. Harwood Academic, Amsterdam, 2000, p. 299-339.

M Stewart, K Davidson, D Meade, A Hirth and P Weld-Viscount. Group support for couples coping with a cardiac condition. J. Adv. Nurs. 2001; 33, 190-9.

A Bunmeesrisup. 2009, Factor predicting/food consumption behaviors in patient with cardiovascular disease. Master Thesis. Mahidol University, Bangkok, Thailand.

DA Wood, K Kotseva, S Connolly, C Jennings, A Mead, J Jones, A Holden, DD Bacquer, T Collier, GD Backer, O Faergeman and EUROACTION Study Group. Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: A paired, cluster-randomised controlled trial. Lancet 2008; 371, 1999-2012.

CY Bernice, N Joseph, M Jane, SK Kaye, H Susana, S Scott, M Johnson and K Schumacher. Effects of partners together in health intervention on physical activity and healthy eating behaviors. J. Cardiovasc. Nurs. 2015; 30, 109-20.

DF Polit and CT Beck. Nursing research: Principles and methods. Lippincott Williams & Wilkins, Philadelphia, 2004.

N Burns and SK Grove. The practice of nursing research: Conduct, critique, and utilization. 6th ed. WB Saunders Company, London, 2009.

JH Hibbard, ER Mahoney, J Stockard and M Tusler. Development and testing of a short form of the patient activation measure. Health Serv. Res. 2005; 40, 1918-30.

P Kanokor. 2017, The effect of the self-management program on functional ability of patients with lumbar spine surgery in rehabilitation. Master Thesis. Chulalongkorn University, Bangkok, Thailand.

DG Schlundt, MK Hargreaves and MS Buchowski. The eating behavior patterns questionnaire predicts dietary fat intake in African American women. J. Am. Diet. Assoc. 2003; 103, 338-45.

T Pachanat. 2010, The effect of behavioral management program on blood cholesterol in patients with coronary revascularization. Ph. D. Dissertation. Chulalongkorn University, Bangkok, Thailand.

CK Chow, S Jolly, P Rao-Melacini, KA Fox, SS Anand and S Yusuf. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation 2010; 121, 750-8.

NT Artinian, GF Fletcher, D Mozaffarian, P Kris-Etherton, L Van Horn, AH Lichtenstein, S Kumanyika, WE Kraus, JL Fleg, NS Redeker, JC Meininger, J Banks, EM Stuart-Shor, BJ Fletcher, TD Miller, S Hughes, LT Braun, LA Kopin, K Berra, LL Hayman, LJ Ewing, PA Ades, JL Durstine, N Houston-Miller, LE Burke and Prevention Committee of the Council on Cardiovascular Nursing. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: A scientific statement from the American Heart Association. Circulation 2010; 122, 406-41.

R Kanfer and PL Ackerman. Aging, adult development, and work motivation. Acad. Manag. Rev. 2004; 29, 440-58.

P Khongseua. The effects of educative supportive nursing program on dietary behavior among patients after percutaneous transluminal coronary intervention. Kuakarun J. Nurs. 2014; 21, 168-85.

AH Lichtenstein, LJ Appel, M Brands, M Carnethon, S Daniels, HA Franch, B Franklin, P Kris-Etherton, WS Harris, B Howard, N Karanja, M Lefevre, L Rudel, F Sacks, LV Horn, M Winston and J Wylie-Rosett. Diet and lifestyle recommendations revision 2006: A scientific statement from the American Heart Association Nutrition Committee. Circulation 2006; 114, 82-96.

SC SmithJr, EJ Benjamin, RO Bonow, LT Braun, MA Creager, BA Franklin, RJ Gibbons, SM Grundy, LF Hiratzka, DW Jones, DM Lloyd-Jones, M Minissian, L Mosca, ED Peterson, RL Sacco, J Spertus, JH Stein and KA Taubert. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: A guideline from the American Heart Association and American College of Cardiology Foundation. Circulation 2011; 124, 2458-73.

LC Macken, B Yates and S Blancher. Concordance of risk factors in female spouses of male patients with coronary heart disease. J. Cardiopulm. Rehabil. 2000; 20, 361-8.

L Mosca, H Mochari, M Liao, AH Christian, DJ Edelman, B Aggarwal and MC Oz. A novel family-based intervention trial to improve heart health: FIT Heart: Results of a randomized controlled trial. Circ. Cardiovasc. Qual. Outcomes 2008; 1, 98-106.