The Impact of Person-Centred Care on The Self-Management of Post Revascularisation Patients

  • Muhammad Evan Adipa Bachelor Student, Faculty of Nursing, Universitas Riau, Pekanbaru, Indonesia
  • Wan Nishfa Dewi Faculty of Nursing, Universitas Riau, Pekanbaru, Indonesia
  • Rismadefi Woferst Faculty of Nursing, Universitas Riau, Pekanbaru, Indonesia

Abstract

Treatments of coronary heart disease problems through revascularisation procedures such as Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Graft (CABG) are one of the solutions to enhance patients’ quality of life. Patient self-management are essential to a speedy recovery after revascularisation intervention and the Person-Centred Care (PCC) approach is one of the solution to improve it. This study aimed to identify PCC’s impact on patient’s self-management after revascularisation. This research used a correlative design with a cross-sectional approach. The sample of this study was a post-vascular patient consisting of 77 people selected using purposive sampling techniques. Data was collected from May to June 2024. The variables were measured using the Patient Assessment of Chronic Illness Care (PACIC) and self-management behaviour questionnaires. The data was analysed in bivariate using the post hoc Bonferroni test. This study found a significant impact of PCC implementation on patients’ quality of life post-revascularisation (p-value: 0,000). This study depicted that treatment using person-centred approach can encourage and improve the self-management of patients after revascularisation. Thus, implementing PCC has significant implications for enhancing health services, which impact the quality of life of patients in particular patients with cardiovascular problems.

References

Akhter, N., 2010. Self-Management Among Patients With Hypertension in Bangladesh. Thesis. Prince of Songkla University. Tersedia secara online di http://kb.psu.ac.th diakses pada 08 Maret 2024

Al Mahrouqi, A.S., Mallinson, R.K., Oh, K.M., Weinstein, A.A., 2022. Patient-centred care, diabetes self-management and glycaemic control among Omani patients with type-2 diabetes. International Journal of Nursing Practice 29, 1–11. https://doi.org/10.1111/ijn.13103

Ardianti, R., Erwin, E., Lestari, W., 2022. Self-management pasien penyakit jantung koroner pasca kateterisasi jantung. Jurnal Ners Indonesia 13, 1–7. https://doi.org/10.31258/jni.13.1.1-7

Asmat, K., Dhamani, K., Gul, R., Froelicher, E.S., 2022. The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: A systematic review and meta-analysis. Frontiers in Public Health 10. https://doi.org/10.3389/fpubh.2022.994766

Damayanti, F.E., Firmanti, T.A., Puspitasari, L.A., 2022. Self-Management dan Kualitas Hidup Penderita Hipertensi di Wilayah Kerja Puskesmas Klatak. Jurnal Penelitian Kesehatan Suara Forikes 13, 175–178. https://doi.org/http://dx.doi.org/10.33846/sf13nk331

De Luca, L., Rosano, G.M.C., Spoletini, I., 2022. Post-percutaneous coronary intervention angina: From physiopathological mechanisms to individualized treatment. Cardiology Journal 29, 850–857. https://doi.org/10.5603/CJ.a2021.0042

Dewi, W.N., Evans, D., Bradley, H., Ullrich, S., 2013. Person‐centred care in the Indonesian health‐care system. International Journal of Nursing Practice 20, 616–622. https://doi.org/10.1111/ijn.12213

Eldin, T.S.S., Wehaida, S.M., Basal, A.A., Elatafy, E.M., Ibrahim, R.A., 2021. Effect of Implementing a Self-Management Educational Program on Clinical Outcomes of Patients Post Coronary Artery Bypass Graft Surgery. International Journal of Novel Research in Healthcare and Nursing 8, 199–216

Fazio, S., Pace, D., Flinner, J., Kallmyer, B., 2018. The Fundamentals of Person-Centered Care for Individuals With Dementia. The Gerontologist 58, S10–S19. https://doi.org/10.1093/geront/gnx122

Ferreira, R.M., de Souza e Silva, N.A., Salis, L.H.A., 2018. Complications after elective percutaneous coronary interventions: A comparison between public and private hospitals. Indian Heart Journal 70, 32–36. https://doi.org/10.1016/j.ihj.2017.06.012

Glasgow, R.E., Wagner, E.H., Schaefer, J., Mahoney, L.D., Reid, R.J., Greene, S.M., 2005. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Medical Care 43, 436–444.
https://doi.org/10.1097/01.mlr.0000160375.47920.8c

Hartono. (2019). Metodologi Penelitian. Pekanbaru: Zanafa Publishing
Ignatavicius, D.D., Workman, L.M., Rebar, C.R., Heimgartner, N.M., 2019. Medical Surgical Nursing. 10th ed. Elsevier: Missouri.

Johnson, L., Kirk, H., Clark, B., Heath, S., Royse, C., Adams, C., Portillo, M.C., 2023. Improving personalised care, through the development of a service evaluation tool to assess, understand and monitor delivery. BMJ Open Quality 12, e002324. https://doi.org/10.1136/bmjoq-2023-002324

Nuraeni, A., Mirwanti, R., Anna, A., Prawesti, A., Emaliyawati, E., 2017. Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner. J. Keperawatan Padjadjaran. 4, 107–116. https://doi.org/10.24198/jkp.v4i2.231

Pardo, Y., Garin, O., Oriol, C., Zamora, V., Ribera, A., & Ferrer, M., 2023. Patient-centered care in Coronary Heart Disease: what do you want to measure? A systematic review of reviews on patient-reported outcome measures. Quality of Life Research 32, 1405–1425. https://doi.org/10.1007/s11136-022-03260-6

Rosa, E.M., 2018. Patient Centered Care Di Rumah Sakit Konsep dan Implementasi. LP3M: Yogyakarta.
RSUD Arifin Achmad, 2018. RSUD AA: Setiap Tahun, 18 Ribu Warga Riau Terserang Jantung Koroner, Setengahnya Meninggal [WWW Document]. RSUD Arifin Achmad. URL https://rsudarifinachmad.riau.go.id/rsud-aa-setiap-tahun-18-ribu-warga-riau-terserang-jantung-koroner-setengahnya-meninggal/. (accesed 28.01.2024)

Salam, L.O.N., 2023. Adaptasi Instrumen Patient Assesment of Chronic Illness Care Untuk Menilai Kualitas Perawatan Diabetes Mellitus Berdasarkan Pengalaman Pasien: Versi Indonesia. Thesis. Universitas Hasanuddin.

Suyanti, T., Rahayu, S., 2020. Lama post operasi Coronary Artery Bypass Graft (CABG) dengan kualitas hidup pasien post operasi CABG di RSPAD Gatot Soebroto. Jurnal Akademika Baiturrahim Jambi 9, 166. https://doi.org/10.36565/jab.v9i2.199

Tüfekçi, H., Akansel, N., Sivrikaya, S.K., 2022. Pain Interference with Daily Living Activities and Dependency Level of Patients Undergoing CABG Surgery. Pain Management Nursing. 23, 180–187. https://doi.org/10.1016/j.pmn.2021.03.002

WHO, 2021. Cardiovascular Disease (CVDs) [WWW Document]. World Health Organization. URL https://www-who-int.translate.goog/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc. (accesed 28.01.2024)

Winata, I.G., Asyrofi, A., Nurwijayanti, A.M., 2018. Faktor-Faktor Yang Berhubungan Dengan Self Care Pada Orang Dewasa yang Mengalami Hipertensi di Puskesmas Kendal 01 Kabupaten Kendal. Jurnal Manajemen Asuhan Keperawatan 2, 1–8. https://doi.org/10.33655/mak.v2i2.33

Zhu, H., Chen, G., Xue, X., Zheng, S., 2022. Self-management in patients with coronary heart disease after stent implantation at the long-term stage: a cross-sectional study. Annals of Palliative Medicine. 11, 2265–2274. https://doi.org/10.21037/apm-21-2465
Published
2024-12-09
How to Cite
ADIPA, Muhammad Evan; DEWI, Wan Nishfa; WOFERST, Rismadefi. The Impact of Person-Centred Care on The Self-Management of Post Revascularisation Patients. NurseLine Journal, [S.l.], v. 9, n. 2, p. 174-180, dec. 2024. ISSN 2541-464X. Available at: <https://jurnal.unej.ac.id/index.php/NLJ/article/view/52370>. Date accessed: 21 dec. 2024. doi: https://doi.org/10.19184/nlj.v9i2.52370.