Comparison of Pre and Post Heart Attack Health Behavior in Coronary Heart Disease Patients

관상동맥질환자의 심장발작 발병전후 건강행위 비교

  • 김영미 (가톨릭상지대학교 간호학과)
  • Received : 2017.03.02
  • Accepted : 2017.07.25
  • Published : 2017.08.31


Purpose: This descriptive study compared changes in life style and health perceptions before and after the onset of coronary heart disease in 100 patients. Methods: Data were from May to July in 2016 through questionnaires and medical records. The collected data were analyzed by a $x^2$ test, and paired t-test using SPSS 12.0. Results: After the onset of heart disease, significant decreases were observed in smoking ($x^2=17.21$, p<.001) and drinking ($x^2=43.56$, p<.001), while exercise increased significantly ($x^2=32.77$, p<.001). Appetite, stress and health state were significantly decreased after the onset of heart disease (t=3.18, p=.002, t=3.55, p=.001, t=4.43, p<.001), and knowledge about disease was significantly increased after the onset of heart disease (t=-13.66, p<.001). Conclusion: The results of this study indicate that continuous follow-up management programs including smoking and drinking cessation, exercise, appetite and stress management should be developed and implemented for Coronary Heart Disease with PCI.


  1. American Heart Association. (2015). Workplace health playbook. Retrieved October 10, 2015, from
  2. Arslanian-Engoren, C., Patel, A., Fang, J., Armstrong, D., Kline-Rogers, E., Duvernoy C. S., & Eagle, K. A. (2006). Symptoms of men and women presenting with acute coronary syndromes. The American Journal of Cardiology, 98, 1177-1181.
  3. Bae, S. G. (2015). Influencing factors in Korea adults stroke and myocardial infarctionbased on 2007-2012 Korea national health and nutrition examination survey-, Unpublished doctoral's dissertation, Kyungbuk University, Daegu.
  4. Buccheri, D., Piraino, D., Andolina, G., & Cortese, B. (2016). Understanding and managing in-stent restenosis: a review of clinical data, from pathogenesis to treatment. Journal of Thoracic Disease, 8(10), 1150-1162.
  5. Cho, Y. S. (2004). Effect of coronary heart disease patient's health behavior that have structured discharge education. Published master's thesis, Catholic University of Pusan, Pusan.
  6. Choe, M. A., Kim, K. S., Yi, M. S., Choi-Kwon, S., & Lee, J. S. (2008). Effect of cardiac rehabilitation education for coronary artery bypass grafting patients during their hospitalization. Journal of Korean Biological Nursing Science, 10(1), 69-79.
  7. Choi, K. J. (2002). Knowledge & learning needs of coronary artery disease patients. Unpublished master's thesis, Chosun University, Gwangju.
  8. Chung, H. J. (2008). The symptoms and the response related to treatment-seeking time among patients with acute myocardial infarction. Published master's thesis, Ewha University, Seoul.
  9. Chung, K. R. (1997). Influences of Health Related Practices on the Chronic IIlness. Published master's thesis, Inje University, Pusan.
  10. Chung, S. Y. (2003). Evaluation of compliance to practice guideline in acute myocardial infarction. Published master's thesis, Ewha University, Seoul.
  11. Giannuzzi, P., Temporelli, L., Marchioli, R., Maggioni, P., Balestroni, G., Ceci, V., et al. (2008). Global secondary prevention strategies to limit event recurrence after myocardial infarction: results of the GOSPEL study, a multicenter, randomized controlled trial from the Italian Cardiac Rehabilitation Network. Archives of Internal Medicine, 168(20), 2194-2204.
  12. Jeong, H. S. (2002). Effects of a cardiac rehabilitation program on health behavior and physiologic parameters for myocardial infarction patients. Journal of Korean Academic Society of Adult Nursing, 14(4), 573-580.
  13. Kim, K. S., Kim, Y. S., Choi, K. O., Hyuen, K. S., Yoon. E. J., Kim, S. Y., et al. (2013). Adult Nursing. Seoul: Soomoonsa.
  14. Kim, M. H., Kang, I. S., Kim, M. Y., Kim, Y. M., Kim, J. S., Jang, A. L., et al. (2015). Adult Nursing. Seoul: Soomoonsa.
  15. Kim, M. J. (2011). Lifestyles between middle-aged and aged patients with acute myocardial infarction. Published master's thesis, Chosun University, Gwangju.
  16. Kim, S. J., & Jung, H. M. (2015). Effects on family-participated cardiac rehabilitation program on self-efficacy, health behavior compliance, and family support of patients with percutaneous coronary intervention. Journal of Korean Clinical Nursing Research, 21(2), 143-153.
  17. Kim, S. H., & Lee, S. H. (2014). Influences of knowledge, self-efficacy, and social support on sick role behavior in patients with coronary artery disease. Journal of Korean Public Health Nursing, 28(2), 228-240.
  18. Ko, K. H., & Lee, S. E. (1998). A Study on the educational needs of the coronary heart disease patients in a municipal general hospital. Korean Society for Health Education and Promotion, 15(2), 143-161.
  19. Korea National Statistical Office. (2016,). The cause of mortality statistics 2015, Retrieved September 27, 2016, from
  20. Lee, J. H. (2013). Comparison of health behavior change before and after the percutaneous coronary intervention in coronary artery disease patient. Unpublished master's thesis, Yeungnam University, Daegu.
  21. Lee Y. J. (2007). An education program to modify lifestyle: effects on health behavior and physiological parameters in patients with coronary disease. Journal of Korean Clinical Nursing Research, 13(3), 43-54.
  22. Lee, Y. R. (2006). The relationship between post operative perceived health status, health-related quality of life and pre operative disease severity in patients undergone CABG. Unpublished master's thesis, Younsei University, Seoul.
  23. Lewington S., Clarke R., Qizilbash N., Peto R., & Collins R. (2002). Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet, 360, 1903-1913.
  24. Moon, J. S., & Jeong, H. S. (2001). The knowledge and learning needs of the patients with the first onset myocardial infarction. Journal of Korean Public Health Nursing, 15(2), 275-284.
  25. Ra, J. S., & Kim, H. S. (2015). Combined influence of obesity and metabolic syndrome on ischemic heart disease in Korean middle aged and older adults. Journal of Korean Public Health Nursing, 23(3), 540-550.
  26. Shin, K. R., Kim, O. S., Kang, Y. H., Kim, N. C., Kim, Y. K., Kim C. G., et al. (2015). Medical-Surgical Nursing (9th ed.). Seoul, Hyunmoonsa.
  27. Shin, S. J. (1999). Study on the gender difference of health status on the recovery state after CABG (Coronary Artery Bypass Surgery). Unpublished master's thesis, Ewha University, Seoul.