Effects of Individualized Cardiac Health Education on Self Care Behavior and Serum Cholesterol in Patients with Coronary Artery Disease

심장병 관리 개별교육이 관상동맥질환자의 자가간호수행과 혈중 콜레스테롤에 미치는 효과

  • 조혜영 (가톨릭대학교 성모병원 심장내과 중환자실) ;
  • 김희승 (가톨릭대학교 간호대학)
  • Received : 2010.04.12
  • Accepted : 2010.06.19
  • Published : 2010.06.30

Abstract

Purpose: The purpose of this study was to investigate the effects of an individualized cardiac health education on self-care behavior and serum cholesterol levels patients with coronary artery disease. Methods: Twenty-two patients in the intervention group and 22 in the control group were assigned randomly in this study. The intervention group received an individualized cardiac health education program which consisted of four different sessions for a total of four sessions. Specifically, two sessions occurred during the patients' hospitalization with a third session at the time of discharge with a fourth session scheduled via telephone one week post discharge. Data were collected through a questionnaire for self-care behavior and a blood test for total cholesterol at the time of admission and the two weeks after discharge. The questionnaire for self-care behavior was a standardized instrument and serum cholesterol was measured by Accutrend GC (Roche, Germany). Results: Self-care behavior scores included diet, medication, exercise, risk factor, blood pressure measurement, and visits to hospital were significantly more in the experimental group compared to the control group. Conclusion: The above findings indicate that the individualized cardiac health education was effective in increasing of self-care behavior.

Keywords

References

  1. Allen, J . K., & Scott, L. B. (2003). Alternative models in the delivery of primary and secondary prevention programs. Journal of Cardiovascular Nursing, 18, 150-156.
  2. Cho, H. S. (1999). The effects of a cardiac rehabilitation program for the patients with ischemic heart disease. Journal of Korean Academic Society of Adult Nursing, 30(3), 560- 570.
  3. Choo, J . A., Hong, K. P., & J ae, S. Y. (1997). Effects of cardiac rehabilitation on patients with myocardiac infarction. The Korean Circulation Journal, 27(3), 342-349.
  4. Gentz, C. A. (2000). Perceived learning needs of the patient undergoing coronary angioplasty. An integrative review of the literature. Heart & Lung, 29 , 161-172. https://doi.org/10.1067/mhl.2000.106002
  5. Han, A. K. (1998). Effects of a family participated education program on the self care behavior of cardiac patients. Unpublished doctoral dissertation, Yonsei University, Seoul.
  6. Han, S. S., Lee, J . I., & Kim, Y. J . (2007). Predicting factors on eating behavior in coronary artery disease patients. Journal of Korean Academy of Nursing, 37(7), 1193-1201.
  7. Jeong, H. S. (1996). Compliance of post myocardial infarction patients according to general and medical characteristics, and emotional status. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  8. Jeong, H. S. (2001). Effects of cardiac rehabilitation program on health behavior and physiologic parameters for myocardial infarction patients. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul.
  9. Jung, Y. S. (2002). Effects of phase I cardiac rehabilitation program on self-efficacy and performance of health behavior in acute myocardial infarction patients. Unpublished master's thesis, Seoul National University, Seoul.
  10. Kim, Y. J . (1991). A study on the knowledge and compliance in patients with coronary artery disease. Unpublished master's thesis, Yonsei University, Seoul.
  11. Kim, S. Y. (1999). Clinical study of risk factors in patient with myocardial infarction. The Korean Circulation Journal, 29(1), 14-21.
  12. Lavie, C. J ., & Milani, R. V. (1996). Effects of cardiac rehabilitation and exercise training in obese patients with coronary artery disease. Chest, 109, 52-56. https://doi.org/10.1378/chest.109.1.52
  13. Lee, H. R. (1998). The effect of phase 1 cardiac rehabilitation nursing care on knowledge, anxiety and self-care behavior in patients with acute myocardial infarction. Journal of Korean Academic Society of Adult Nursing, 10(2), 353- 368.
  14. Lee, J . G. (2001). Heart disease will know and there is a possibility which will win (health). Center Economics Criticism Theory Buys, Korea.
  15. Lee, K. Y. (2001). Knowledge, compliance and prehospital delay time of coronary artery disease re-attack patients. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  16. Lee, N. C., & Anderson, N. C. (1998). A survey of patient education post discharge. Journal of Nursing Care Quality, 13, 63-70. https://doi.org/10.1097/00001786-199810000-00009
  17. Lee, Y. H. (1992). The education on the health behavior of the coronary artery disease patients. Journal of Korean Academic Society of Adult Nursing, 4 (1), 79-90.
  18. Lee, W. L. (1998). Clinical cardiology. Korea Medical Publisher, Korea.
  19. Lee, Y. W., Kim, H. S., & Cho, E. Y. (2002). The influencing factor on health behavior of patients with coronary artery disease. Journal of Korean Academy of Nursing, 32, 40-49.
  20. Machin, D., Campbell, M. J., Frayers, P. M., Pinol, A. P. Y. (1997). Sample size tables for clinical trials (2nd ed.). Blackwell Science, Cambridge.
  21. Maynard, C., & Weaver, W. D. (1995). Streamlining the triage system for acute myocardial infarction. Cardiology Clinics, 13(3), 311-320.
  22. Nam, D. L. (1998). Knowledge and learning needs with coronary artery disease patients and their family members. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  23. Pasquali, S. K., Alexander, K. P., Coombs, L. P., Lytle, B. L., & Peterson, E. D. (2003). Effect of cardiac rehabilitation on functional outcomes after coronary revascularization. The American Heart Journal, 145, 445-451. https://doi.org/10.1067/mhj.2003.172
  24. Seo, Y., & Lee, K. H. (1997). Risk factors in coronary artery disease with korean. Korean Society for Preventive Medicine, 26, 87-92.
  25. Shin, J . Y. (1999). An effects of a self-efficacy information resources program on perceived self-efficacy and selfcare in patients with coronary artery disease. Journal of Korean Academic Society of Adult Nursing, 14 (1), 114- 124.
  26. Woo, M. A. (1992). Clinical management of the patient with an acute myocardial infarction. Nursing Clinics of North America, 27, 189-203.
  27. World Health Organization (2007). Prevention of cardiovascular disease: Guideline for assessment and management of cardiovascular risk. Geneva, Swithzweland.