성인간호학회지 (Korean Journal of Adult Nursing)

  • 제25권1호
  • /
  • Pages.62-73
  • /
  • 2013
  • /
  • 1225-4886(pISSN)
  • /
  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지
DOI QR코드

DOI QR Code

맞춤형 지지교육이 심부전증 환자의 신체, 정서적 상태 및 삶의 질에 미치는 효과

Effects of Tailored Supportive Education on Physical, Emotional Status and Quality of Life in Patients with Congestive Heart Failure

  • 투고 : 2012.11.16
  • 심사 : 2013.02.20
  • 발행 : 2013.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to examine the effects of tailored supportive education on physical, psychological status and quality of life in the patients with congestive heart failure (CHF) who had not participated previously in cardiac rehabilitation program. Methods: This study was used a non-equivalent control pre-post design, conducted on 64 CHF patients under medical treatment in a hospital. The experimental group (n=31) received the tailored supportive educational program (once 1~2 days before discharge and 6 times after discharge through outpatient visits or telephone contact: once every week for the first 4 weeks after discharge and once every 2 weeks for the remaining 4 weeks). The control group (n=33) received a traditional discharge education. Data were analyzed using descriptive statistics, ${\chi}^2$-test, Fisher's exact test, t-test and repeated measure ANOVA using the SPSS/ WIN 18.0 program. Results: Participants in the experimental group showed the significantly increased scores of the quality of life (F=16.01, p<.001), and the significantly decreased scores of physical function (F=7.27, p=.009), depression (F=8.25, p=.006) and anxiety (F=4.11, p=.047), when compared to those of the control group. Conclusion: The findings indicated tailored supportive education was an effective intervention care in physical, emotional status and quality of life for CHF patients.

키워드

참고문헌

  1. Austin, J., Williams, R., Ross, L., Moseley, L., & Hutchison, S. (2005). Randomised controlled trial of cardiac rehabilitation in elderly patients with heart failure. The European Journal of Heart Failure, 7, 411-417. https://doi.org/10.1016/j.ejheart.2004.10.004
  2. Delaney, C., & Apostolidis, B. (2010). Pilot testing of a multicomponent home care intervention for older adults with heart failure: An academic clinical partnership. Journal of Cardiovascular Nursing, 25(5), 27-40. http://dx.doi.org/10.1097/JCN.0b013e3181da2f79.
  3. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  4. Gary, R. A., Dunbar, S. B., Higgins, M. K., Musselman, D. L., & Smith, A. L. (2010). Combined exercise and cognitive behavioral therapy improves outcomes in patients with heart failure. Journal of Psychosomatics Research, 69, 119- 131. http://dx.doi.org/10.1016/j.jpsychores.2010.01.013
  5. Heart Failure Society of America (2006). Educational modules on heart failure. Retrieved February 15, 2002, from HFSA Web site: http://www.hfsa.org/heart_failure_education_modules. asp
  6. Jessup, M., Abraham, W. T., Casey, D. E., Feldman, A. M., Francis, G. S., Ganiats, T. G., et al. (2009). Focused update: ACCF/AHA guidelines for the diagnosis and management of heart failure in adults. Circulation, 119, 1977-2016. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064. Epub 2009 Mar 26.
  7. Juenger, J., Schellberg, D., Kraemer, S., Haunstetter, A., Zugck, C., Herzog, W., et al. (2002). Health related quality of life in patients with congestive heart failure: Comparison with other chronic diseases and relation to functional variables. Heart, 87, 235-241. https://doi.org/10.1136/heart.87.3.235
  8. Kim, C. J., Kim G, Y., Noh, Y. S., Song, E. K., Kang, S. M., Yoo, M. S., et al. (2006). Relationship between psychosocial factors and symptom experience in patients with cardiovascular disease: Over a six-month follow-up period. The Korean Journal of Fundamentals of Nursing, 13 (1), 76-85.
  9. Kim, Y. S. (2007). A path analysis model of health-related quality of life in patients with heart failure. Korean Journal of Adult Nursing, 19, 547-555.
  10. Koelling, T. M., Johnson, M. L., Cody, R. J., & Aaronson, K. D. (2005). Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation, 111, 179-185. https://doi.org/10.1161/01.CIR.0000151811.53450.B8
  11. Kulcu, D. G., Kurtais, Y., Tur, B. S., Gülec, S., & Seckin, B. (2007). The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure: A randomized controlled trial, short-term results. Europa Medicophysica, 43, 489-497.
  12. Lee, L. Y., Lee, D. T., & Woo, J. (2009). Tai chi and health-related quality of life in nursing home residents. Journal of Nursing Scholarship, 41(1), 35-43. https://doi.org/10.1111/j.1547-5069.2009.01249.x
  13. Lee, S. H., & Ahn, S. H. (2005). Self care compliance, family support, and depression in patients with congestive heart failure. The Korean Journal of Fundamentals of Nursing, 12, 186-194.
  14. Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: An update. Advanced Nursing Science, 19(3), 14-27. https://doi.org/10.1097/00012272-199703000-00003
  15. Lewis, S. M., Heitkemper, M. M., Dirksen, S. R., O'brien, P. G., Giddens, J. F., & Bucher, L. (2004). Medical-surgical nursing: Assessment and management of clinical problems (6th ed.), St. Louis, Missouri: Mosby.
  16. Moser, D. K., & Watkins, J. F. (2008). Conceptualizing self-care in heart failure: A life course model of patient characteristics. Journal of Cardiovascular Nursing, 23, 205-218. http://dx. doi.org/10.1097/01.JCN.0000305097.09710.a5
  17. O'Connor, C. M., Whellan, D. J., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., et al. (2009). Efficacy and safety of exercise training in patients with chronic heart failure. Journal of American Medical Association, 301, 1439-1450. http://dx.doi.org/10.1001/jama.2009.454.
  18. Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289-296.
  19. Palmer, N. D., Appleton, B., & Rodregues, E. A. (2003). Specialist nurse-led intervention in outpatients with congestive heart failure: Impact on clinical and economic outcomes. Disease Management & Health Outcomes, 11, 693-698. https://doi.org/10.2165/00115677-200311110-00001
  20. Park, K. S. (2007). A study on the difference in perception on educational needs in patients with heart failure and nurses. Unpublished master's thesis, Hanyang University, Seoul.
  21. Rector, T. S., Kubo, S. H., & Cohn, J. N. (1987). Patient's self-assessment of their congestive heart failure. Part 2: Content, reliability and validity of a new measure, the minnesota living with heart failure questionnaire. Heart Failure, 3, 198-207.
  22. Riegel, B., Carlson, B., & Glaser, D. (2000). Development and testing of a clinical tool measuring self-management of heart failure. Heart & Lung, 29 (1), 4-15. https://doi.org/10.1016/S0147-9563(00)90033-5
  23. Song, E. K. (2005). Effect of a telephone monitoring on self-management & symptom experiences in patients with heart failure. Korean Journal of Adult Nursing, 17(1), 56-67.
  24. Song, E. K., Kim, C. J., Yoo, I. Y., Kim, G. Y., Kim, J. H., & Ha, J. W. (2006). Factors influencing functional status in patients with heart failure. Journal of Korean Academy Nursing, 36, 853-862. https://doi.org/10.4040/jkan.2006.36.5.853
  25. Statistics Korea. (2010). Cause of death statistics table. Retrieved July 15, 2012, from Web site: http://kostat.go.kr/portal/ korea/kor_nw/2/6/2/index.board?bmode=read&bSeq=& aSeq=250282&pageNo=1&rowNum=10&navCount= 10&currPg=&sTarget=title&sTxt=
  26. Sung, J. D., On, Y. K., Kim, H. S., Chae, I. H., Sohn, D. W., Oh, B. H., et al. (2000). Development of Korean activity scale/ index (KASI). Korean Circulation Journal, 30, 1004-1009. https://doi.org/10.4070/kcj.2000.30.8.1004
  27. Tahylor-Piliae, R. E., Haskell, W. L., Waters, C. M., & Froelicher, E. S. (2006). Change in perceived psychosocial status following a 12-week tai chi exercise programme. Journal of Advanced Nursing, 54, 313-329. https://doi.org/10.1111/j.1365-2648.2006.03809.x
  28. Yeh, G. Y., Wayne, P. M., & Phillips, R. S. (2008). Tai chi exercise in patients with chronic heart failure. Medical Sport Science, Basel, Karger, 52, 195-208. http://dx.doi.org/10.1159/000134300.
  29. Yu, D. S., Lee, D. T., & Woo, J. (2010). Improving health-related quality of life patients with chronic heart failure: Effects of relaxation therapy. Journal of Advanced Nursing, 66, 392-403. http://dx.doi.org/10.1111/j.1365-2648.2009.05198.x.
  30. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

피인용 문헌

  1. Symptom Management to Predict Quality of Life in Patients with Heart Failure: A Structural Equation Modeling Approach vol.45, pp.6, 2015, https://doi.org/10.4040/jkan.2015.45.6.846
  2. The Effects of Reinforced Walking Exercise on Dyspnea-fatigue Symptoms, Daily Activities, Walking Ability, and Health related Quality of Life in Heart Failure Patients vol.28, pp.3, 2016, https://doi.org/10.7475/kjan.2016.28.3.266
  3. Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure vol.28, pp.3, 2016, https://doi.org/10.7475/kjan.2016.28.3.302
  4. Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure vol.46, pp.6, 2016, https://doi.org/10.4040/jkan.2016.46.6.881
  5. The Effect of a Telephone-Based Self-management Program Led by Nurses on Self-care Behavior, Biological Index for Cardiac Function, and Depression in Ambulatory Heart Failure Patients vol.12, pp.4, 2013, https://doi.org/10.1016/j.anr.2018.10.001
  6. 계획된 퇴원 간호 중재가 기흉 수술 환자의 약물복용 및 치료 지시 이행도, 질병에 대한 지식과 간호 만족도에 미치는 효과 vol.20, pp.11, 2019, https://doi.org/10.5762/kais.2019.20.11.121
  7. Knowledge Structure of Nursing Studies on Heart Failure Patients in South Korea through Text Network Analysis vol.32, pp.4, 2013, https://doi.org/10.7475/kjan.2020.32.4.409