00000ctm a22000004a 4500 UP-1685523046125441358 Buklod 20230503092606.0 a r |||| u| ta 071031s xx d r |||| u| (iLib)UPMNL-00000056577 LG 996 1999 N8 B34 Balabagno, Araceli O. Functional health performance outcomes of compliance to home instruction program after myocardial infarction Araceli Ocampo Balabagno. 134 leaves ill. 28 cm. Thesis (Doctor of Philsophy in Nursing) -- (University of the Philippines Manila) During the transition from hospital to the home setting, clients had expressed need for care because of the overwhelming experience brought about by the physical, physiologic, psychosocial and emotional effects of myocardial infarction.~~~~The home instruction progrm and scheduled home visits were prescribed to address the client's needs. The intervention was based on the concepts of interaction, goal setting and information support. By increasing the quality of interaction between the client, the nurse and significant others, successful adjustment and recovery will be attained and functional health performance will improve. Functional health performance was defined in terms of the weighted scores of quality of life, perceived exertion to walking and treadmill exercise test scores. The one group pretest-posttest research design was used. Homogeneity of the group was established. For data analysis, the t-test was used when comparing two groups and ANOVA when more than two groups were compared. The significance level was set at 0.05. Multiple regerssion techniques were used but none of the variables studied were predictive of the dependent variable functional health performance. Data from focus group discussions were analyzed and categorized into themes. Triangulation of data was done as a confirmation of the quantitative findings. Cautious interpretation of the findings ismwarranted, although it is consistent with the literature. There were limitations to the study brought about by the limited sample size.~~~~The objectives of the study were: 1) to determine the functional health performance outcomes of myocardial infarction clients on compliance to home instruction program; 2) to determine the relationship between and among the following variables: age, marital status, years of education, occupation, family structure, ethnic background, type of myocardial infarction, number of cardiac drugs, and compliance to home instruction program, and functional health performance; 3) to describe the dynamics accounting for successful adherence to home instruction program; and 4) to describe the experiences of nurses providing home instruction program to clients after myocardial infarction. Thirty male clients with mean age of 53.43 years participated in the study. Ninety percent were married and 70% were gainfully working. The mean years of education was 8.7. Majority (60%) spoke a combination of Tagalog and other dialects. The family structure was nuclear (66.7%). Ninety percent of the clients had transmural type of myocardial infarction. The mean number of cardiac medication was 4.5 (SD 0.87), with a mean daily cost of P 67.22. The clients who completed the study were generally compliant and attained significant functional health performance scores (p=0.00066). These were supported by better performance in treadmill exercise tests (p=0.00016) and perceived comfortable challenge in walking activity. There were interacting factors to explain the significance in functional health performance. Compliance alone did not explain the improvement in performance. Compliance was influenced by the education level of the client (0.0439). The younger age group (< 55 years) and older group (>65 years) adhered better to the instruction program. The spouses were identified were identified as the primary caregiver of the client in the home.~~~~The instrumental support in the form of home instruction program and home visits gradually improved the quality of the increasing ... Home care services. Cooperative behavior. Patient compliance. Functional health. UPMNL NURS LG 996 1999 N8 B34 UPMNL UPMNL-MAIN LG 996 1999 N8 B34 Thesis