Page 195 - GHR_NursingCMU2024_Final.indd

Theory-based Self-management Interventions for Patients after Cardiac
Surgery: An Integrative Review

1
1
N. Jamroenwong, W. Lertwatthanawilat, N. Suwankruhasn, and J. Rhiantong 1
1
1
Faculty of Nursing, Chiang Mai University, Thailand

Background: Cardiac surgery affects patients’ physiology and leads to specific postoperative
complications. After surgery, patients experience limited mobility and activity tolerance, which result
in psychological distress and fear of returning to work. They need the interventions that facilitate them
to join the cardiac rehabilitation through strategies of self-management. Unfortunately, participation
in cardiac rehabilitation and self-management behaviors remain suboptimal after cardiac surgery.
To address these issues, many theories have been implemented in guiding self-management
interventions to promote self-management behaviors. However, there is a lack of evidence regarding
the benefits of theory-based self-management interventions for patients after cardiac surgery.

Objective: This paper aims to explain the effectiveness of theories to guide self-management
interventions for patients after cardiac surgery.

Methods: An integrative review methodology described by Whittemore and Knafl (2005), consisting of
five stages: problem identification, literature search, data evaluation, data analysis, and presentation. The
literature search was performed using CINAHL, Clinical Key, Google scholar, ProQuest, ScienceDirect, and
Wiley online library databases, to identify articles published in English between 2014 and 2024.

Results: Seven articles met the inclusion criteria. Out of seven articles included in the present review, one
article was based on self-management theory of Lorig and Holman, one was based on self-management
theory of Creer, one was based on social cognitive theory of Bandura, three were based on Bandura’s
self-efficacy, and one was based on the individual and family self-management theory of Ryan and
Sawin. The strategies included education, skill training, and social support, with the involvement of
Poster Presentation Abstracts
family members. Self-management interventions were summarized and were found to be effective in
self-management behaviors and improving health outcomes.

Conclusion: The finding can be integrated into self-management interventions for patients after
cardiac surgery in the future. There is an increased necessity for interventions to fulfill the gaps in the
continuum of care for patients after cardiac surgery.

Keywords: theory, self-management interventions, patients after cardiac surgery

_____________________________________________________________________________________________________
Correspondence: Nontarut Jamroenwong, Faculty of Nursing, Chiang Mai University, Thailand
E-mail: nontarut_ja@cmu.ac.th

193