Effectiveness of Stress-Adaptation and Cognitive Behavior (SACB) Model for Independent Health Recovery for Clients with Coronary Heart Disease in the Community

Abstract

The main risk factors of coronary heart disesase are: hypertension, hypercholesterolemia, and smoking, as factors that can be controlled and are reversible. Other risk factors are age, race, gender, heredity, geography, diet, obesity, diabetes, exercise, behavior and other life habits, stress, social changes and reversible mass changes. Lifestyle management, stopping smoking and effective changes in hypertension can reduce risk and death. Through this research, it is expected that the effectiveness of the Stress-Adaptation and Cognitive Behavior (SACB) Model on the ability to independently recover health care for clients with coronary heart disesase. The design of this study was pretest-posttest with control group. Samples were 29 patients with coronary heart disesase in RW 03 and RW 08, Pondok Labu, South Jakarta, which were selected by cluster random sampling technique, which were further divided into intervention and control groups. The intervention given was the Stress-Adaptation and Cognitive Behavior (SACB) model. The research instrument was the ENRICHD Social Support Instrument (ESSI) and modified the SF-36 Mental Health Index and Social Functioning subscale. Measurements included rehabilitation behavior, self recovery, blood pressure and pulse. Data were collected through observation and questionnaires, then analyzed using logistic regression tests and Mancova. Based on the results of the study it can be concluded that the Stress-Adaptation and Cognitive Behavior (SACB) Model is effective for building the ability of people with coronary heart disesase to recover health independently.