การจัดการตนเองของผู้ป่วยโรคหลอดเลือดหัวใจ Self-Management in Coronary Artery Disease

Abstract

Coronary artery disease (CAD) is a chronic illness since it is incurable. The patients with CAD need continuous lifetime treatments to control the severity, and to slow down the progression and complications, as well as to reduce the related morality. Currently, the individual and family self–management theory has been applied broadly for caring the patient with CAD. Self-management is a dynamic process regarded as the behavior that the individuals and their family have to perform or take responsibilities together to better health behavior practice and lifestyle modification. For CAD patients, the proximal outcomes/measures of self–management consist of cessation of smoking and alcohol intake, having a physical activity for 30 minutes per day at least 5 days a week, having a good diet control, and creating mental and social well-being. They are also guided to maintain their body mass index within a range of 18.5 - 24.9 kg/m2, blood pressure of less than 140/90 mmHg, blood cholesterol of less than 200 mg/dl especially LDL-C of less than 100 mg/dl, hemoglobin HbA1c of less than 7%. These immediate measures could lead to the long-term or distal outcomes of sustained well-being, good quality of life, and living well with CAD. Keywords: self-management, coronary artery disease