Chulalongkorn Medical Journal


Introductions : Initially diagnosed coronary heart disease (CHD) patients experiencenew form of life-threatening illness which includes various healthproblems that significantly contribute to low health-related quality oflife (HRQOL). Low HRQOL impacts the recovery process, decreasecompliance with treatments, and causes a higher rate of hospitalreadmission for numerous complications and/or death. Selfmanagementintervention is most successful in promoting outcome ofhealth including HRQOL. Comprehensive cardiac nursing program(CCNP) has been developed with its emphasis on patient’s managementof risky health behavior, in order to improve their HRQOL.Objectives : To evaluate the effectiveness of CCNP on HRQOL in firstly diagnosedCHD patients.Settings : Two secondary healthcare settings in Thailand.Research design : Randomized control trial.Samples There were 74 eligible patients who received their first diagnosis asCHD.Methods : The subjects were randomly assigned by block randomization.Thirty-seven participants in the experimental group received CCNPtogether with their usual care, whereas 37 participants in the controlgroup received only their usual care. The experimental group underwent4 phases which were: 1) the risky health behavior assessment;2) preparation phase; 3) practice phase; and, 4) evaluation phase.HRQOL was evaluated by Quality of Life Index, Cardiac version IV onthe second day of admission and at 8 weeks after discharge.Results : HRQOL scores and the percentage of change in the overall and alldomains of health and functioning, social and economic, psycho andspiritual, and family of the participants who received the CCNP inthe experimental group had significantly higher than the participantswho received usual care in the control group (p <.05).Conclusions : The comprehensive cardiac nursing program was effective forimprovement of HRQOL in patients firstly diagnosed with CHD.


Faculty of Medicine, Chulalongkorn University

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