The Effect of a Humanitude Care Program on the Anxiety of Older Persons Who were Admitted in a Coronary Care Unit

Main Article Content

อัจฉราภรณ์ อยู่ยังเกตุ จิราพร เกศพิชญวัฒนา

Abstract

The purposes of this quasi-experimental research were to compare 1) the anxiety of older persons who were admitted in a coronary care unit before and after undergoing a humanitude care program in an experimental group, and 2) the anxiety of older persons who were admitted in a coronary care unit between the experimental group who underwent the program and a control group who received only conventional nursing care. The participants consisted of 44 elderly patients, men and women aged 60 years and over, with moderate anxiety levels. They were admitted in the coronary care unit of Rajavithi Hospital. The first 22 participants were assigned to the experimental group and the other 22 participants were assigned to the control group. The experimental group received the program designed by the researcher which, was scheduled for 3 days. The research instruments were: 1) The humanitude care program for elderly persons with anxiety, and 2) The State Anxiety Inventory: Form X-1, Thai version. All instruments were validated for content validity by five professional experts. The reliability of anxiety scale was 0.89. Data were analyzed by using descriptive statistics and t-test.


The results found that:


1. The mean score of the anxiety of older persons who were admitted in a coronary care unit and participated in the Humanitude program was significantly lower than the mean score prior to experiment. (p<.05)


2. The mean score of the anxiety of older persons who were admitted in a coronary care unit and participated in the Humanitude program after participating in the program was lower than the mean score of those who received only conventional nursing care. (p<.05)

Article Details

How to Cite
อยู่ยังเกตุอ., & เกศพิชญวัฒนาจ. (2019). The Effect of a Humanitude Care Program on the Anxiety of Older Persons Who were Admitted in a Coronary Care Unit. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 35(2). Retrieved from https://www.tci-thaijo.org/index.php/bcnbangkok/article/view/215370
Section
บทความวิจัย

References

1. Ministry of Public Health. Statistical Thailand 2017: Statistic of death by leading cause group, 2012-2016 [Internet]. 2017 [cite 2018 Feb 1]. Available from: http://bps.moph.go.th/new_bps/sites/default/files/health%20stratistic%202560.pdf

2. Kosolchuenvijit J. Caring: Central focus of humanistic care. Journal of Boromarajonani College of Nursing, Bangkok 2013;29:134-41. (in Thai)

3. Chang CW, Chen YM, Su CC. Care needs of older patients in the intensive care units. Journal of Clinical Nursing 2012;21:825-32.

4. Han KS, Park YI. The level of anxiety and relating factors of ICU patients. The Journal of Korean Academic Society of Nursing Education 2002;8:155-66.

5. Hanucharurnkun S. Nursing: the science of practice. 2nd ed. Bangkok: V J printing; 2011. (in Thai)

6. Tullmann DF, Hawkes PB, Enfield EH. The critical care environment. In: Foreman MD, Milisen K, Fulmer TT, editors. Critical Care Nursing of the Older Adult: Best Practices. New York: Springer Publishing Company; 2010. p. 23-35.

7. Moser DK, Chung ML, Mckinley S, Regel B, An K, Cherington CC. Critical care nursing practice regarding patient anxiety assessment management. Intensive and Critical Care Nursing 2003;19:276-88.

8. Eliopoulos C. Gerontological ursing. 8th ed. Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins; 2014.

9. Koh CK. Patients' anxiety in intensive care units and its related factors. Taehan Kanho Hakhoe Chi 2007;37:586-93.

10. Balasubramanian N. A study to assess level of anxiety among intensive care unit (ICU), patients in a selected hospital, Salem, Tamilnadu. Asian Journal of Nursing Education and Research 2013;3:88-92.

11. An K, De Jong MJ, Riegel BJ, McKinley S, Garvin BJ, Doering LV, et al. A cross-sectional examination of changes in anxiety early after acute myocardial infarction. The Journal of Acute and Critical Care 2004;33:75-82.

12. Spielberger CD, Guerrero RD. Cross-Cultural Anxiety. New York: Hemisphere Publishing Corporation; 1983.

13. Hildrum B, Mykletun A, Holmen J, Dahl AA. Effect of anxiety and depression on blood pressure: 11-year longitudinal population study. The British Journal of Psychiatry 2008;193:108-13.

14. Cherrington CC, Moser DK, Lennie TA, Kennedy CW. Illness representation after acute myocardial infarction: impact on in-hospital recovery. American Journal of Critical Care 2004;13:136-45.

15. Gineste Y, Marescotti R. The sensory capture and feedback in the management of behavioural disturbances in demented old patients during basic care [Internet]. 2008 [cited 2015 Oct 1]. Available from: http://cec-formation. net. pagespersoorange.fr/sensorycapture.htm.

16. Phaneuf M. The concept of humanitude as applied to general nursing care [Internet]. 2007 [cited 2016 Sep 1]. Available from: http://www.infiressources. ca/fer/ Depotdocument_anglais /The_concept_ of_humanitude_ as_applied_ to_general_nursing_care.pdf.

17. Ito M, Honda M, Gineste Y, Marescott R, Hirayama R, Shimada C, et al. An examination of the influence of Humanitude caregiving on the behavior of older adults with dementia in Japan. [Internet]. 2015[cited 2016, Sep 17]. Available from: http://humanitude-usa.com/wpcontent/uploads/ 2015/11/
Diapositive1.pdf.

18. Burns N, Grove SK. The practice of nursing research: Appraisal. Synthesis and Generation of Evidence. 6th ed. St Louis: Saunders Elsevier; 2009.

19. Detyoddee P. The effect of transitional information on anxiety reduction in patients with acute coronary syndrome discharging form intensive care. [Master’s thesis of Nursing Science]. Khon Kaen: Khon Kaen University; 2007. (in Thai)

20. Honda M, Mori M, Hayashi S, Moriya K, Marescotti R, Gineste Y. The effectiveness of French origin dementia care method; Humanitude to acute care hospitals in Japan. European Geriatric Medicine 2013:s207.