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The aims of this one group pre-posttest quasi-experimental study were to: examine the effect of self- care agency promoting program on self-care confidence; and, study wound healing among patients after cardiac catheterization. Orem’s Self-Care theory combined with the knowledge of caring for patient after cardiac catheterization were used as the conceptual framework of this study. A total of 245 patients after cardiac catheterization admitted to Ramathibodi hospital was recruited by purposive sampling. The program consisted of 3 phases with in the 24 hours period of hospital admissions. The program included 1) Phase I: Promoting knowledge and understanding of self-care by assessing self-care needs and problems, providing self-care education, 2) Phase II: Developing self-care skills by training wound care and medication administration skills, and 3) Phase III: Following and supporting self-care continuum by using telephone to follow up after hospital discharge for 3 days and in case of needing advice, providing telephone call for 24 hours. Self-care confidence was measured 3 times at baseline, after finishing program, and 3 days after hospital discharge. Wound healing was measured 2 times, before hospital discharge and 3 days after hospital discharge. Data were analyzed using descriptive statistic, Friedman’s test, and Wilcoxon matched pairs signed-ranks test. The results revealed that the mean scores of self-care confidence at post- test and the 3 days after hospital discharge were significantly higher than the pre-test samples. With respect to wound healing, the results showed that at 3 days after hospital discharge, the wound of six samples healed poorly. Five samples had normal wounds that became ecchymosis wounds. One sample had normal wounds that became bleeding wounds. In conclusion, self-care agency promoting program had a very significant effect on self-care confidence of patients after cardiac catheterization. Therefore, this program should be used as a guideline for pre-discharge education and self-care skill training for patients undergoing cardiac catheterization to promote patients’ self-care agency.
Keywords: Self-care agency, Self-care confidence, Cardiac catheterization
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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