Intarakamhang Patrawut, Intarakamhang Ungsinun
Department of Physical Medicine and Rehabilitation, Phramongkutklao College of Medicine and Hospital, Bangkok, Thailand.
Glob J Health Sci. 2012 Dec 24;5(2):145-52. doi: 10.5539/gjhs.v5n2p145.
The Comprehensive Lifestyle Intervention, which integrates psychological and educational intervention, is a program to improve self-efficacy, self-regulation, self-care, body mass index and quality of life of the patients with coronary heart disease during early stages following hospitalization. The purpose of this study was to investigate the effects of the Comprehensive Cardiac Rehabilitation Program affecting psychological factors including self-efficacy, self-regulation, self-care, quality of life (QoL), and body mass index (BMI). This study was a quasi-experimental research with a repeated one group design. Eighty patients with coronary artery disease were recruited from either the Medicine or Surgical Ward at the Phramongkutklao Hospital where the patients joined the Comprehensive Cardiac Rehabilitation Program, which included attending exercising practice and receiving face-to-face counseling while being admitted to the hospital. Telephone counseling was thereafter performed one week after being discharged from the hospital, followed by undergoing individual or group counseling at the Cardiac Rehabilitation Clinic the following week. The follow-up period was performed within six weeks after hospitalization. Data was collected on two occasions before discharging from the hospital (pretest) and six weeks after (post-test) by using the self-efficacy, self-regulation, and self-care questionnaires, as well as the Short Form(SF) -36 (Thai version). The results indicated that by six weeks, 50%, 58.80%, 46.20%, and 72.50% of patients, respectively, had experienced increases with self-efficacy, self-regulation, self-care, and quality of life scores, while 12.50% of patients had decreased their body mass index in comparison with the pretest score. From the paired t-test, the self-efficacy, self-regulation and quality of life scores were statistically significant, having increased to the p<0.01 level; self-care was statistically significant, having increased to the p<0.05 level along with body mass index, which was statistically significant having experienced a decrease to the p<0.01 level.
综合生活方式干预整合了心理和教育干预，是一项旨在改善冠心病患者住院早期的自我效能感、自我调节能力、自我护理能力、体重指数和生活质量的项目。本研究的目的是调查综合心脏康复项目对包括自我效能感、自我调节能力、自我护理能力、生活质量（QoL）和体重指数（BMI）在内的心理因素的影响。本研究是一项采用单组重复设计的准实验研究。从佛统皇家医院内科或外科病房招募了80名冠心病患者，这些患者参加了综合心脏康复项目，包括在住院期间参加运动练习和接受面对面咨询。出院一周后进行电话咨询，随后在接下来的一周在心脏康复诊所接受个体或团体咨询。随访期在住院后六周内进行。在出院前（预测试）和六周后（后测试）两个时间点收集数据，使用自我效能感、自我调节能力和自我护理问卷以及简短健康调查问卷（SF）-36（泰语版）。结果表明，到六周时，分别有50%、58.80%、46.20%和72.50%的患者自我效能感、自我调节能力、自我护理能力和生活质量得分有所提高，而12.50%的患者体重指数与预测试得分相比有所下降。配对t检验结果显示，自我效能感、自我调节能力和生活质量得分具有统计学意义，提高到了p<0.01水平；自我护理能力具有统计学意义，提高到了p<0.05水平，体重指数也具有统计学意义，下降到了p<0.01水平。
