Main Article Content
Coronary artery disease (CAD) is a condition which affects the arteries and caused by atherosclerosis inside the arteries. Treatment of CAD involves taking medication as prescribed, possibly undergoing invasive procedures, and making lifestyle changes. This descriptive research aimed to investigate factors related to self-care behavior among Thai Buddhist monks with CAD. Orem’s self-care deficit theory was used as a conceptual framework. Altogether, 75 Thai Buddhist monks who had CAD and followed up at the Priest hospital were recruited as informants. Data were collected using 4 questionnaires: Personal data questionnaire, Self-care behavior, The Intention to healthy self-care behavior, and Knowledge about CAD. Descriptive statistics and correlation coefficient were used to analyze the data. The result showed that the majority of the monks aged 37 to 90 years, graduated from primary school, and had underlying diseases that could lead to CAD. Monks with CAD had a high level of intention to healthy self-care behavior, knowledge about CAD, and self-care behavior. However, few monks less attempted to quit smoking, exercised regularly, and unknew how to take pain relief medication, and pulse palpating skill. There were no relationships between basic conditioning factors and self-care behavior, but a significant correlation was found among the intention to healthy self-care behavior, knowledge about CAD, and self-care behavior in Thai Buddhist monks. The study findings shed light on the roles of nurses in terms of disseminating knowledge, controlling metabolic risk factors, training monks to palpate their pulse, teaching sublingual medication administration, offering appropriate physical activities, and initiating smoking cessation program to promote the monks’ abilities to assess, perform self-care, and prevent themselves from CAD complications.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
2. American Heart Association. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation 2017 [cited 2017 march 25]; 135(1): 2-3. Available from http://www.circ.ahajournals.org
3. Bureau of Non-communicable Disease. 2559. World heart campaign; 2016 [cited 2017 April 10]. Available from http://www.thaincd.com
4. Bhumisawasdi V, Takerngdej S, Jenchitr W. The Sustained and Holistic Health Care Program for the Priests Commemoration of His Majesty the King’s 60 Years Accession to the Throne (First Phase: February to June 2006). J Med Assoc Thai. 2008, 91(supply 1),1-12.
5. Saneha J. Tripitaka of Buddhism and health behavior. Journal of Nursing Science. 2008,26(1),4-13. (in Thai)
6. Rerkluenrit J, Ngensod M, Wihok K, Dachadilok N, Jaikordee S, Karnchen A, et al. Factors predicting health-promoting behaviors among Buddhist monks in Nakhonnayok Province, Thailand. Thai Pharmaceutical and Health Science Journal. 2010,5(4):333-43. (in Thai)
7. Panthippat P. Health care behavior experience of elder Buddhist monks: case study in Khonglaung, Pathumthani Province,Thailand [thesis]. Chonburi: Burapha University; 2007.(in Thai)
8. Prommolee Y, Nithipattharat S. and Thantisuvanitkul S. Factors influence monk’s health promotion monks in out patient department of Priest Hospital. Journal of The Department of Medical Services. 2005,30(3),148-56. (in Thai)
9. Medical Record and Statistics Service. Medical record and statistics. Priest’s Hospital Service Profile 2012. Bangkok. (in Thai)
10. Hanucharurnkul S. Self care: science and art of nursing. 6th ed. Bangkok: VJ Printing; 2001:17-54. (in Thai)
11. Lapthananon P. Well-being of Buddhist monks 2012. Bangkok: Charansanitwong printing; 2013. (in Thai)
12. Wongsuwansiri S. Nursing modalities of coronary artery disease patients. Nonthaburi: Bureau of Nursing, Ministry of Public Health; 2006. (in Thai).
13. Tanakronpaisal K. Holistic health care program for the priests commemoration. Bulletin of the Department of Medical Services. 2011;36: 101-9. (in Thai)
14. Jaruphunphon P, Apinanthavet S, Munsawangsab C, Suksavak A. Health status of the monks in Bangkok. [Research]. Bangkok: Faculty of Public Health, Mahidol University; 2005. (in Thai).
15. Kuramasuwan B, Kuramasuwan B, Howteerakul N, Suwannapong N, Rawdaree P. Diabetes, impaired fasting glucose, daily life activities, food and beverage consumption among Buddhist monks in Chanthaburi Province, Thailand. Int J Diabetes Dev Ctries. 2013;33(1):23-8.
16. Srinual, K. Factors influencing smoking behavior among Thai monks in Ratchaburi Province [thesis]. Nakhon Pathom: Mahidol University; 1993. (in Thai)
17. Khamchanam M. Self-health care behaviors of monks in muang district, Nakhon Pathom province. [Thesis]. Nakhon Pathom: Silpakorn University. 2009. (in Thai).
18. Suphunnakul P, Srithong W. Causal relationship model of factors influencing glycemic control hehavior among monks with Type 2 diabetes in the upper Northern region of Thailand. Journal of Behavioral Science. 2015, 21(1), 96-109.(in Thai)
19. Srimanee S, Mattavangkul C, Phumrittikul P, Chancharoen K, Hongkrailert N, Romnukul N. Factors related to nutrition consumption behaviors of monks and foodstuff dedication behaviors to the Buddhist monks of people in Pasi Charoen district, Bangkok. [Research report]. Bangkok; 2013.(in Thai).
20. Chatwarat P. Factors related to health behavior in amphoe Muang, Phayao. [Research]. Phayao: Boromarajonani College of Nursing Phayao; 2010. (in Thai)
21. Rakkhantho S, Kongkhunthod A. and Kanchana S. Self- care behavior of monks in the upper South of Thailand. [Research]. Phra Nakhon Si Ayutthaya: Mahachulalongkornrajavidyalaya University; 2018. (in Thai)
22. Saengsiri A, Wattradul D, Kangchanakul S, Natthumrongkul S, Nopplub S. & Wonganunnont S. The factors inuencing the self-care agency and quality of life of patients with coronary artery disease. Thai Journal of Cardio-Thoracic Nursing. 2015; 26(1): 104-118. (in Thai)
23. Intarasombat P, Sirapo-ngam Y, Chansirikarn S, Yamvong C. and Mahakayanun S. Effect of patients’ and families’ participation in health care on function outcomes, well-being, complications, length of stay in elderly patients, and patients’ and families’ satisfaction with care. Ramathibodi Nursing Journal. 1996,2(3):4-15. (in Thai)
24. Tummark S, Panpakdee O, Kuwawattasumrit K, Oratai P. Factors related to health promoting behaviors among patients with congestive heart failure. Thai Journal of Cardio- Thoracic Nursing. 2009, 20(2):31-44. (in Thai)
25. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of American Geriatrics Society. 23, 433-41.
26. Srisaad B. Basic research. 9th ed. Bangkok: Suveereyasarn; 2011. (in Thai)
27. Kitpreedaboorisud B. Social science methodology. 10th ed. Bangkok: Chamchuree Production; 2008. (in Thai)
28. Potranan T, Kasipol T, Prasertson C. Variable associated with self-care capacity within the framework of good health components among monks in Dusit district, Bangkok. Kasem Bundit Journal. 2017;18(1), 135-45. (in Thai)
29. Pusanasuwansri D, Teanvijit S. The study of Thai monk’s healthcare behavior. The Journal of TheThai Red Cross College of Nursing. 1999;24(3):152-7. (in Thai)
30. Khuwatsamrit K. Adherence to self-care requirements model: an empirical test among patients with coronary artery disease. [Thesis]. Bangkok: Mahidol University; 2006. (in Thai)
31. Khotchakhote J, Jirapongsuwan A, Kerdmongkol P, Amnatsatsue K, Kaewboonchoo O. Atherosclerosis prevention behaviors among Kasikorn bank employees in Bangkok. Kuakarun Journal of Nursing. 2012;19(1):71-86.
32. Nammaung S. Factors relating to cigarette smoking behavior of sick monks and novices utilizing health services in the hospital [Thesis]. Bangkok: Kasetsart University; 2003. (in Thai).
33. Thanwattanaseree C, Weeranawin L. Casual factors affecting food consumption and behavior with good hygiene of Buddhist monks in Nakorn Pathom Province. Academic Services Journal Prince of Songkla University. 2014,25(3):8-20. (in Thai)