Illness Perception in Predicting Smoking Cessation Behaviors in Patients with Acute Coronary Syndrome after Percutaneous Coronary Intervention
Keywords:
Illness perception, Smoking cessation behaviors, Patients with acute coronary syndrome, Percutaneous coronary interventionAbstract
Patients with acute coronary syndrome after percutaneous coronary intervention (PCI) should have appropriate self-care behavior, especially smoking cessation behaviors, for decreasing risk factors of disease or repeated stenosis and decreasing the severity of illness. This correlational predictive study aimed to identify levels of illness perception, smoking cessation behaviors, and predictability of illness perception toward smoking cessation behaviors in patients with acute coronary syndrome after PCI who came for follow-up at the internal medicine clinic and cardiac center at Songklanagarind Hospital. A purposive sampling technique was used to recruit 130 patients. The questionnaires for data collection consisted of 1) a demographic data questionnaire and clinical data recording form, 2) the Illness Perception Questionnaire: IPQ-R, and 3) a smoking cessation behaviors questionnaire. The Cronbach’s alpha coefficients of the IPQ-R and smoking cessation behaviors questionnaire were 0.81 and 0.90, respectively. The data were analyzed using descriptive statistics and multiple linear regression.
The results revealed that:
1. Participants perceived that personal control was at a high level ( = 22.40, SD =3.25). Time-line, consequences, treatment control, illness coherence, emotion representations, and cause were at a moderate level ( = 31.70, SD = 5.95; = 21.27, SD = 3.90; = 17.65, SD = 2.39; = 15.57, SD = 2.96; = 18.53, SD = 4.23; = 51.75, SD = 8.40, respectively). Illness identity was at a low level ( = 4.55, SD = 2.80)
2. Smoking cessation behaviors were at a moderate level (= 11.79, SD = 8.59)
3. Components of illness perception were able to predict smoking cessation behaviors at 25.30%.
The results from this study are beneficial for nurses to assess illness perception and can be basic information for developing guidelines to provide correct knowledge, including promoting smoking cessation behaviors for patients with acute coronary syndrome.
References
Aekplakorn, W., Thaikla, K., & Sathienoppakao, W. (2016). Health behavior. In W. Aekplakorn,(Ed.), Report of the Thai people's health survey by physical examination No.5, 2014. (pp. 46-55). Nonthaburi: Health Systems Research Institute. (in Thai)
Benjakul, S., Kengkanpanich, M., Kengkanpanich, T., & Suchirarat, D. (2014). Prognosis and health hazards report: Tobacco consumption trends among Thai populations. (Research report). Bangkok: Bureau of Tobacco Consumption Control, Department of Disease Control, Ministry of Public Health. (in Thai)
Boonkua, C., Wattanakitkrileart, D., Sriprasong, S., & Dumavibhat, C. (2022). Factors predictingadherence to dual antiplatelet medications among patients with acute coronary syndrome after percutaneous coronary intervention. Nursing Science Journal of Thailand, 40(3), 60-75. (in Thai)
Brislin, B. W. (1980). Translation and content analysis of oral and written material. In H. C.Triandis & J. W. Berry (Eds.), Handbook of cross-cultural psychology: Vol. 1 (pp. 389-444). Boston: Allyn & Bacaon.
Chachomporn, P. (2013). Perception and in-stent restenosis prevention behaviors in patientswho had undergone stent implantation. (Master’s thesis). Prince of Songkla University, Thailand. Retrieved from https://kb.psu.ac.th/psukb/bitstream/2010/8713/1/361178.pdf (in Thai)
Chinphan, S., Sirisopon, N., Wattanaburanon, A., & Onsiri, S. (2019). Factors correlated with in-stent restenosis in coronary heart disease patients. Journal of The Royal Thai Army Nurses, 20(3), 218-226. (in Thai)
Devision of Non Communicable Disease. (2019). Number and rate of inpatients in 2016–2018.Retrieved from http://www.thaincd.com/2016/mission/documents-detail.php?id=13684&tid=32&gid=1-020 (in Thai)
Devision of Non Communicable Disease. (2023). Number and mortality rates of 4 diseases 2020-2022. Retrieved from http://www.thaincd.com/2016/mission/documents-detail.php?id=14480&tid=32&gid=1-020 (in Thai)
Gauro, P., Thaniwattananon, P., & Kritpracha, C. (2020). Illness perception predicting cardiovascular health behaviors among patients with ischemic heart disease in Nepal: A descriptive cross-sectional study. JNMA; Journal of the Nepal Medical Association, 58(231), 884–888. doi: 10.31729/jnma.5426
Hengrasamee, K., & Kehasukcharoen, W. (2020). Percutaneous coronary intervention. In STEMI patients. Standards of treatment for patients with acute myocardial ischemia(pp. 20-30). Bangkok: Central Chest Institute of Thailand. (in Thai)
Kamthornwijitkul, L., Chamnan, P., & Thanakitcharu, P. (2018). Factor associated with recurrentmyocardial infarction in acute coronary syndrome patient in Sunpasitthiprasong Hospital. Sanpasitthiprasong Medical Journal, 39(2-3), 11-30. (in Thai)
Karunan, K. (2016). The effect of behavioral change integrated with smoking cessation self-efficacy program on smoking cessation behaviors and self-efficacy among patients with chronic obstructive pulmonary disease. (Master’s thesis). Prince of Songkla University, Thailand. (in Thai)
Lasutham, K., Siripitayakunkit, A., & Panpakdee, O. (2018). Factors related to self-care behaviorof Thai Buddhist Monks with coronary artery disease. Ramathibodi Nursing Journal, 24(3), 313-327. (in Thai)
Leventhal, H., Nerenz, D. R., & Steele, D. J. (1984). Illness representations and coping with healththreats. In A. Baum, S. E. Taylor, & J. E. Singer, (Eds.), Handbook of psychology and health, volume iv: Social psychological aspects of health (pp. 219-252). Hillsdale,NJ: Erlbaum.
Leventhal, H., Phillips, L. A., & Burns, E. (2016). The Common-Sense Model of self-regulation (CSM): A dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39(6), 935–946. doi: 10.1007/s10865-016-9782-2
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L. D., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology & Health, 17(1), 1–16. doi: 10.1080/08870440290001494
National Health Security Office. (2020). NHSO health service indicator report (H0301), data at 30 September 2020, Bureau of Information and Technology, 15 December 2020, analyze by Bureau of Health Information and Outcome Evaluation, NHSO. Retrieved from https://www.nhso.go.th/storage/downloads/operatingresult/47/F_NHSO_Annual_Report_2020.pdf (in Thai)
Neamkulchon, J., & Preechawong, S. (2007). The effect of a transtheoretical model-basedintervention on smoking cessation behavior in medical inpatients. Journal of Tobacco Control, 1(1), 2-13. (in Thai)
Nur, K. R. M. (2018). Illness perception and cardiovascular health behaviour among persons with ischemic heart disease in Indonesia. International Journal of Nursing Sciences, 5(2), 174–180. doi: 10.1016/j.ijnss.2018.04.007
Sitthisuk, S. (2014). Clinical practice guidelines for the care of patients with ischemic heartdisease in Thailand. (revised version). (2nd ed.). Bangkok: The Heart Association of Thailand under the Royal Patronage of His Majesty the King. (in Thai)
Srisathitnarakoon, B. (2010). The methodology in nursing research. Bangkok: You and IIntermedia. (in Thai)
Songkhla Nakarin Hospital. (2017). Statistics for Patients with acute ischemic heart disease receiving coronary angiography. Songkhla: Songkhla Hospital. (in Thai)
Thorndike, M. (1978). Correlation procedures for research. New York: Gardner Press.
Wan, Y. F., Ma, X. L., Yuan, C., Fei, L., Yang, J., & Zhang, J. (2015). Impact of daily lifestyle on coronary heart disease. Experimental and Therapeutic Medicine, 10(3), 1115–1120. doi: 10.3892/etm.2015.2646
Wongkuan, D., Jitpanya, C., & Chimluang, J. (2018). Relationships among illness perception,self-esteem, physical activity and sleep disturbances in acute myocardial infarction survivors. Thai Red Cross Nursing Journal, 11(2), 153-170. (in Thai)
Wongratana, C. (2017). Techniques for using statistics for research (13th ed.). Bangkok: Amon Publication. (in Thai)
World Health Organization. (2020). The top 10 causes of death. Retrieved from https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
Zhang, J., Zhang, Q., Zhao, K., Bian, Y. J., Liu, Y., & Xue, Y. T. (2022). Risk factors for in-stent restenosis after coronary stent implantation in patients with coronary artery disease: A retrospective observational study. Medicine, 101(47), e31707. doi: 10.1097/MD.0000000000031707
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