DOI QR코드

DOI QR Code

관상동맥질환 위험요인, 자율성 지지 및 건강행위 이행이 관상동맥질환자의 재발에 미치는 영향

Impact of Risk Factors, Autonomy Support and Health Behavior Compliance on the Relapse in Patients with Coronary Artery Disease

  • 박애란 (청암대학교 간호학과) ;
  • 소향숙 (전남대학교 간호대학) ;
  • 송지은 (화순전남대학교병원 간호부)
  • 투고 : 2016.11.08
  • 심사 : 2017.02.17
  • 발행 : 2017.02.28

초록

Purpose: The purpose of this secondary data analysis was to identify factors influencing a relapse among patients with coronary artery disease (CAD). Methods: Of 250 participants enrolled in the original study 75 were selected as there was no relapse for more than one year following the initial treatment and 54 were selected because there was a relapse. Data were analyzed using ${\chi}^2$ test, t-test or F test to determine if there were any significant differences in the study variables relative to the status of relapse. Predictors were calculated by logistic regression. Results: Autonomy supported by healthcare providers was the significant predictor for relapse in patients with CAD. Patients with low autonomy supported by healthcare providers was 3.91 times more likely to relapse than patients with high autonomy supported. Patients with diabetes were at greater risk of recurrence. Conclusion: Secondary prevention of CAD is a major task for patients with CAD. Behavioral strategies for cardiovascular risk reduction are essential and autonomy supported by healthcare providers should be included in their strategies.

키워드

참고문헌

  1. Centers for Disease Control and Prevention. Heart disease facts [internet]. Georgia: Centers for Disease Control and Prevention; 2015 [cited 2016 October 20]. Available from: http://www.cdc.gov/heartdisease/facts.htm
  2. Statistics Korea. Causeas of death statistics [internet]. Daejeon: 2014 Statistics Korea; 2015 [cited 2016 October 20]. Available from: http://kosis.kr/ups/ups_01List.jsp?pubcode=YD
  3. Fitchett DH, Gupta M, Farkouh ME, Verma S. Cardiology Patient Page: coronary artery revascularization in patients with diabetes mellitus. Circulation. 2014;130(12):e104-6. https://doi.org/10.1161/CIRCULATIONAHA.113.007968
  4. King SB 3rd, Marshall JJ, Tummala PE. Revascularization for coronary artery disease: stents versus bypass surgery. Annual Review of Medicine. 2010;61:199-213. https://doi.org/10.1146/annurev.med.032309.063039
  5. American Heart Association. Coronary artery disease - coronary heart disease [Internet]. Texas: American Heart Association; 2015 [cited 2016 October 20]. Available from: http://www.heart.org/HEARTORG/Conditions/More/My HeartandStrokeNews/Coronary-Artery-Disease---Coronary-Heart-Disease_UCM_436416_Article.jsp
  6. Song EK, Jung SY. The analysis of type D personality research as a psychosocial risk factor in cardiovascular disease for elders with a chronic disease. Journal of Korean Academy of Nursing. 2008;38(1):19-28. https://doi.org/10.4040/jkan.2008.38.1.19
  7. Park JH, Tahk SJ, Bae SH. Impact of type D personality on health status and health behaviors in patients with coronary artery disease. Korean Journal of Health Promotion. 2010;10:123-30.
  8. Cha KS, Im SM, Cho OH. Mental health and quality of life by type-D personality of the patients with coronary artery disease. Journal of Korea Contents Association. 2013;13(5):286-94. https://doi.org/10.5392/JKCA.2013.13.05.286
  9. Son HM. Quality of life and illness intrusiveness by type-D personality in the patients with coronary artery disease. Journal of Korean Academy of Nursing. 2009;39(3):349-56. https://doi.org/10.4040/jkan.2009.39.3.349
  10. Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA, et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. Journal of the American College of Cardiology. 2011;58(23):2432-46. https://doi.org/10.1016/j.jacc.2011.10.824
  11. Janssen V, De Gucht V, Dusseldorp E, Maes S. Lifestyle modification programmes for patients with coronary heart disease: a systematic review and meta-analysis of randomized controlled trials. European Journal of Preventive Cardiology. 2013;20(4):620-40. https://doi.org/10.1177/2047487312462824
  12. Snaterse M, Dobber J, Jepma P, Peters RJ, Ter Riet G, Boekholdt SM, et al. Effective components of nurse-coordinated care to prevent recurrent coronary events: a systematic review and meta-analysis. Heart. 2016;102(1):50-6. https://doi.org/10.1136/heartjnl-2015-308050
  13. Gong Y, Yang F, Hong T, Huo Y. Using a standardized followup program to improve coronary heart disease secondary prevention. Anatolian Journal of Cardiology. 2016;16(2):84-91. https://doi.org/10.5152/akd.2015.5571
  14. Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology. 1996;70(1):115-26. https://doi.org/10.1037/0022-3514.70.1.115
  15. Russell KL. Bray SR. Promoting self-determined motivation for exercise in cardiac rehabilitation: the role of autonomy support. Rehabilitation Psychology. 2010;55(1):74-80. https://doi.org/10.1037/a0018416
  16. Won M. A prediction model of health behavior adherence for secondary prevention of patients with coronary artery disease [dissertation]. Seoul: Ehwa University; 2016.
  17. Lee EH, Park JW. Structural equation model on health behavior adherence for elders with prehypertension: based on selfdetermination theory. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(3):343-52. https://doi.org/10.7739/jkafn.2012.19.3.343
  18. Seo YM, Choi WH. A predictive model on self care behavior for patients with type 2 diabetes: based on self-determination theory. Journal of Korean Academy of Nursing. 2011;41(4):491-9. https://doi.org/10.4040/jkan.2011.41.4.491
  19. Yu HY, Son YJ. Pre-procedural hs-crp and metabolic syndrome in recurrent cardiac events after successful percutaneous coronary intervention: a retrospective study. Korean Journal of Health Promotion. 2010;10(1):31-8.
  20. Cassese S, Byrne RA, Tada T, Pinieck S, Joner M, Ibrahim T, et al. Incidence and predictors of restenosis after coronary stenting in 10004 patients with surveillance angiography. Heart (British Cardiac Society). 2014;100(2):153-9. https://doi.org/10.1136/heartjnl-2013-304933
  21. Park AR. A structural model of health behavior compliance in patients with percutaneous coronary intervention based on self-determination theory [dissertation]. Gwangju: Chonnam National University; 2015.
  22. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nursing Research. 1987;36(2):76-81.
  23. Song R, June KJ, Ro YJ, Kim CG. Effects of motivation-enhancing program on health behaviors, cardiovascular risk factors, and functional status for institutionalized elderly women. Journal of Korean Academy of Nursing. 2001;31:858-70. https://doi.org/10.4040/jkan.2001.31.5.858
  24. Han SY. Basic psychological needs satisfaction of clients and counseling outcome: the application of self-determination theory to counseling [dissertation]. Suwon: Ajou University; 2010.
  25. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosomatic Medicine. 2005;67(1):89-97. https://doi.org/10.1097/01.psy.0000149256.81953.49
  26. Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, et al. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. Journal of Korean Medical Science. 2011;26(1):116-23. https://doi.org/10.3346/jkms.2011.26.1.116
  27. Luthra S, Leiva-Juarez MM, Taggart DP. Systematic review of therapies for stable coronary artery disease in diabetic patients. The Annals of Thoracic Surgery. 2015;100(6):2383-97. https://doi.org/10.1016/j.athoracsur.2015.07.005

피인용 문헌

  1. Gender Comparison Factors Influencing Regular Exercise Adherence in Patients with Coronary Artery Disease: Data from the 6th Korea National Health and Nutrition Examination Survey (2013~2015) vol.25, pp.2, 2018, https://doi.org/10.7739/jkafn.2018.25.2.134
  2. Factors Influencing Health Behavior Adherence in Middle and Old Aged Men Who Underwent Percutaneous Coronary Intervention vol.22, pp.2, 2019, https://doi.org/10.7587/kjrehn.2019.87
  3. The Impact of Cluster-Type Risk Factors on Adverse Clinical Prognosis in Patients with Coronary Artery Disease: A Secondary Data Analysis vol.32, pp.2, 2020, https://doi.org/10.7475/kjan.2020.32.2.156
  4. 관상동맥질환자의 건강 임파워먼트와 건강행위이행이 삶의 질에 미치는 영향 vol.11, pp.2, 2021, https://doi.org/10.22156/cs4smb.2021.11.02.073