Family support in self-care of myocardial infarction patient's after dilate coronary artery

Abstract

Family support is socio-psychologically related to health and health behavior and positively affects health, particularly during sickness. This qualitative research was conducted to find a answer to the question of how important is family support in infarction patients re-admittance after their dilated coronary artery applied concept of social support of Cobb and Schaefer as approach in associate with the humanistic concept of Kleinman and Parsons. Ten purposive samples were selected using a Catheterization Laboratory of a hospital in Bangkok, dusing MAY- AUGUST 2004. Instrument used were in-depth interviews, observation and case study. It was found that all samples had been supported by families in terms of emotion, affection, care, recognition, acceptance, and esteen and all members in the family had a high level of commitment.However, such support did not develop self - care behavior among samples and indeed discouraged such behavior.Self-care of patients developed from perception of their role during coma,sickness experience,and comparisons to previous disease.Self-care of all patients was similarly intended to cure or prevent the acuteness or recurrence, i.e. dose taking behavior, however, other selfcare behaviors were neglected.Also, from the experience of sickness of the patients,it was found that myoardial infarction would be better dealt with and not threatening life if threated only by a Physician.Modern medical technology allows better treatment rather than readjustment ome s behaviors, which is more difficult.Therefore, family support only needs to spend a little time correcting a stroke patient s behavior.Good self-care developed only when a patient suffered a serious complication such as a coma .Had there not been a serious complication during coma or stroke, the myocardial infarction patients would not be strict in their self-care behavior.;