Abstract：
OBJECTIVE: To examine the influence of clinical and demographic factors on self-care behaviour and hospitalization rates among patients with coronary heart disease awaiting coronary artery bypass grafting.
BACKGROUND: Appropriate self-care behaviour can improve the management of patients with coronary heart disease and reduce hospitalization rates among those awaiting coronary artery bypass graft surgery. However, little is known about the influence of clinical and demographic factors on self-care or hospitalizations in this population.
METHODS: A cross-sectional study.
METHODS: A convenience sample of 99 participants diagnosed with coronary heart disease awaiting coronary artery bypass grafting surgery were recruited from an outpatient clinic of a public tertiary hospital in southern Thailand. Data were collected on clinical (left ventricular ejection fraction, symptom severity and comorbid disease) and demographic (age, education level and marital status) factors, self-care behaviour and hospitalization rates. Path analysis using LISREL was performed to examine the influence of self-care on hospitalizations, with clinical and demographic factors as moderators.
RESULTS: Path analysis showed that clinical and demographic factors accounted for nearly half of the variance (46%) in self-care, and that self-care accounted for nearly half of the variance (48%) in hospitalization rates.
CONCLUSIONS: Our findings demonstrate that clinical and demographic factors play an important role in self-care behaviour, and in turn hospitalization rates of pre-coronary artery bypass graft surgery patients. It is suggested that the period pre-surgery is an ideal time to introduce programmes designed to bolster self-care and minimize uncertainty among this patient population and that nurses are well-positioned to do so.
UNASSIGNED: Study methods and results reported in adherence to the STROBE checklist.
UNASSIGNED: Patients contributed their consent, time and data to the study.
BACKGROUND: Appropriate self-care behaviour can improve the management of patients with coronary heart disease and reduce hospitalization rates among those awaiting coronary artery bypass graft surgery. However, little is known about the influence of clinical and demographic factors on self-care or hospitalizations in this population.
METHODS: A cross-sectional study.
METHODS: A convenience sample of 99 participants diagnosed with coronary heart disease awaiting coronary artery bypass grafting surgery were recruited from an outpatient clinic of a public tertiary hospital in southern Thailand. Data were collected on clinical (left ventricular ejection fraction, symptom severity and comorbid disease) and demographic (age, education level and marital status) factors, self-care behaviour and hospitalization rates. Path analysis using LISREL was performed to examine the influence of self-care on hospitalizations, with clinical and demographic factors as moderators.
RESULTS: Path analysis showed that clinical and demographic factors accounted for nearly half of the variance (46%) in self-care, and that self-care accounted for nearly half of the variance (48%) in hospitalization rates.
CONCLUSIONS: Our findings demonstrate that clinical and demographic factors play an important role in self-care behaviour, and in turn hospitalization rates of pre-coronary artery bypass graft surgery patients. It is suggested that the period pre-surgery is an ideal time to introduce programmes designed to bolster self-care and minimize uncertainty among this patient population and that nurses are well-positioned to do so.
UNASSIGNED: Study methods and results reported in adherence to the STROBE checklist.
UNASSIGNED: Patients contributed their consent, time and data to the study.
摘要：
目的：研究临床和人口统计学因素对等待冠状动脉旁路移植术的冠心病患者自我护理行为和住院率的影响。
背景：适当的自我护理行为可以改善冠心病患者的管理，并降低等待冠状动脉旁路移植术的患者的住院率。然而,关于临床和人口统计学因素对该人群自我护理或住院的影响知之甚少.
方法：横断面研究。
方法：从泰国南部一家公立三级医院的门诊中招募了99名被诊断为冠心病等待冠状动脉旁路移植术的参与者。收集临床数据(左心室射血分数，症状严重程度和合并症)和人口统计学(年龄，教育水平和婚姻状况)因素，自我护理行为和住院率。使用LISREL进行路径分析以检查自我护理对住院的影响，以临床和人口统计学因素为调节因素。
结果：路径分析显示，临床和人口统计学因素占自我护理差异的近一半（46％），自我护理占住院率差异的近一半(48%)。
结论：我们的研究结果表明，临床和人口统计学因素在自我护理行为中起着重要作用。以及冠状动脉搭桥术前患者的住院率。建议手术前时期是引入旨在增强自我护理并最大程度地减少该患者人群不确定性的计划的理想时机，并且护士处于适当的位置。
■按照STROBE检查表报告的研究方法和结果。
■患者贡献了他们的同意书，研究的时间和数据。
背景：适当的自我护理行为可以改善冠心病患者的管理，并降低等待冠状动脉旁路移植术的患者的住院率。然而,关于临床和人口统计学因素对该人群自我护理或住院的影响知之甚少.
方法：横断面研究。
方法：从泰国南部一家公立三级医院的门诊中招募了99名被诊断为冠心病等待冠状动脉旁路移植术的参与者。收集临床数据(左心室射血分数，症状严重程度和合并症)和人口统计学(年龄，教育水平和婚姻状况)因素，自我护理行为和住院率。使用LISREL进行路径分析以检查自我护理对住院的影响，以临床和人口统计学因素为调节因素。
结果：路径分析显示，临床和人口统计学因素占自我护理差异的近一半（46％），自我护理占住院率差异的近一半(48%)。
结论：我们的研究结果表明，临床和人口统计学因素在自我护理行为中起着重要作用。以及冠状动脉搭桥术前患者的住院率。建议手术前时期是引入旨在增强自我护理并最大程度地减少该患者人群不确定性的计划的理想时机，并且护士处于适当的位置。
■按照STROBE检查表报告的研究方法和结果。
■患者贡献了他们的同意书，研究的时间和数据。
