Online Program

To explore factors relate to self-care skills for patients with coronary arterial disease in Taiwan- a preliminary study

Sunday, November 3, 2013

Mei-Kuei Tai, RN, PhD, School of Nursing/Department of Nursing, Kaohsiung Medical University and Kaohsiung Medical Universith Hospital, Kaohsiung City, Taiwan
Ling-Sui Chen, MA, Department of Administration, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan
Yu-Ping Chen, RN, BSN, Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung City
Chia-Rong Chang, RN, BS, Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan
Wen-Ter Lai, Department of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Shu-Ti Chiou, MD, PhD, Department of Health; National Yang-Ming University, Bureau of Health Promotion; Institute of Public Health, New Taipei City, Taiwan
Heart disease has been the second leading cause of death for years in Taiwan. Coronary arterial disease (CAD) is prevalent, since Taiwanese lifestyle has been changing to an overweight and inactive status. Strategies to promote self-care in patients with CAD may help to disease management for this patient population, and be decreased healthcare burden in the sociality. The purpose of this observational study was to explore what factors might relate to self-care for patients with CAD in their daily life. There were 229 CAD patients recruited from a medical center in southern of Taiwan. Majority of participants were male (87.77%) and married (85.35%). Age range were from 31 to 89 years (59.88±11.42). Three self-report questionnaires were used to assess the variables of daily self-care status, CAD symptom, and care from healthcare providers. One scale was self-development. The other two were modified from Chinese version of Seattle Angina Questionnaire and the Patient Assessment of Chronic Illness Disease Survey. The results indicated that there were significantly negative correlations of age with functional activity maintenance (r = -0.30) and CAD symptom management (r = -0.12), respectively, but positive relation between age and self-care needs (r = 0.16, p < 0.018). Moreover, patients with higher needs in their self-care were significantly associated with less daily self-care skills (r=-0.12 to -0.29). These preliminary findings suggest that might elder with CAD need more help to enhance their skills of self-care and CAD symptom management. Further research in a sample of patients from varied districts is warranted.

Learning Areas:

Administer health education strategies, interventions and programs
Administration, management, leadership
Advocacy for health and health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
Describe the prevalence of coronary arterial disease in Taiwan recent years. Demonstrate possible factors influencing self-care in patients with coronary arterial disease in Taiwan. Identify feasible forward research question and suggestions for clinical practice

Keyword(s): Chronic Diseases, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been one of co-principals of this project (title: Development and efficacy evaluation of integrated chronic care and health promotion model for patients with coronary artery disease in Taiwan) that was funded by the Bureau of Promotion Health, Department of Health (DOH99-HP-1105). Among my scientific interests, I have taught and practiced in cardiovascular nursing care for years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.