อายุและพฤติกรรมการดูแลตนเองเพื่อคงภาวะสุขภาพของผู้ป่วยโรคหลอดเลือดหัวใจ: เปรียบเทียบระหว่างวัยผู้ใหญ่และผู้สูงอายุ
Year: 2024
Type: article
Study design: Observational Study
Abstract: This cross-sectional survey aimed to examine the effects of age and self-care behaviors on maintaining health status among adult and older patients with cardiovascular disease. It also compared the scores and proportions of self-care behaviors between these two groups. Secondary data were used, involving 401 participants diagnosed with cardiovascular disease. The research instrument was the 9-item Self-Care Maintenance subscale of the Self-Care of Coronary Heart Disease Index-Thai version (SC-CHDI-Thai), which had a Cronbach's alpha reliability coefficient of 0.80. Data analysis included comparing mean scores and appropriate self-care maintenance behaviors between adults and older adults using Independent t-tests, Chi-square tests, and Odds ratios. The study found that patients with cardiovascular disease had an overall mean self-care maintenance score of 80.50 (S.D. = 14.57), indicating an appropriate level of self-care, with adults scoring significantly higher than older adults. Adults also demonstrated higher odds of engaging in specific self-care maintenance, including attending scheduled medical appointments (OR = 1.55, 95% CI: 1.30–1.86), taking aspirin or anticoagulant medication (OR = 1.28, 95% CI: 1.06–1.55), participating in physical activity (OR = 1.26, 95% CI: 1.05–1.52), adhering to prescribed medications without forgetting doses (OR = 1.43, 95% CI: 1.19–1.71), and avoiding illness through preventive measures like flu vaccination and handwashing (OR = 1.45, 95% CI: 1.20–1.74). The remaining self-care maintenance showed no significant differences between groups. These findings highlight the need to develop interventions for older adults that focus on improving self-care behaviors, including attending medical appointments, ensuring consistent medication adherence, promoting physical activity, increasing access to flu vaccines, and adopting preventive measures to avoid illness.
Language: Thai
Topic: Nursing care and research
Subfield: Research and Theory
Field: Nursing
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7220120616