디지털융복합연구 (Journal of Digital Convergence)

  • 제19권12호
  • /
  • Pages.661-673
  • /
  • 2021
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

관상동맥중재술을 받은 남성의 건강행위 이행에 미치는 영향요인: 경과기간을 중심으로

Influencing Factors on Health Behavior Compliance in Men Who Underwent Percutaneous Coronary Intervention: Focusing on the Elapsed Period

  • 하행주 (경상국립대학교병원) ;
  • 서민정 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터)
  • Ha, Haeng-Ju (Gyeongsang National University Hospital) ;
  • Seo, Minjeong (College of Nursing.Gerontological Health Research in Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2021.10.14
  • 심사 : 2021.12.20
  • 발행 : 2021.12.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 관상동맥중재술을 받은 남성의 건강행위 이행에 미치는 영향을 경과기간을 중심으로 파악하기 위한 서술적 상관관계 연구이다. 연구 대상자는 일개 대학병원에서 관상동맥중재술을 받은 남성 249명이며, 2017년 9월 1일부터 2018년 4월 30일까지 자료수집이 이루어졌다. 자료는 Stepwise multiple regression을 사용하여 분석하였다. 연구결과 건강행위 이행에 영향을 미치는 요인은 자기조절 중 자율적 동기(β=.35, p<.001), 교육요구도 중 위험요소(β=-.26, p<.001), 질병의 경과기간(β=.19, p<.001), 결혼 여부(β=.15, p=.001), 최종 학력(β=-.12, p=.035)이며, 총 설명력은 29.1%였다. 관상동맥 중재술을 받은 남성 환자의 건강행위 이행을 높이기 위해서는 중증도가 높고 경과시간이 1년 미만인 대상자의 자율적 동기를 강화할 수 있는 프로그램 개발이 필요하다.

This study is a descriptive study to understand the effect on the health behavior compliance of men who got coronary intervention, focusing on the elapsed period. The subjects of this study were 249 men who underwent coronary intervention at a university hospital, and the collected data were analyzed using Stepwise multiple regression. As a result of the study, the influencing factors the implementation of healthy behaviors were self-regulation(β=0.35, p<.001), risk factors among educational request(β=-0.26, p<.001), and the elapsed period(β=0.19, p<.001), marital status(β=0.15, p=.001), educational level(β=-0.12, p=.035), and the total explanatory power was 29.1%. IIn order to increase the health behavior performance of male patients who underwent coronary intervention, it is necessary to develop a program that can strengthen the autonomous motivation of subjects with high severity and elapsed time of less than 1 year and more than 1 year.

키워드

참고문헌

  1. Al-Ansary, L. A. & Grove, J. T. (2018). Monitoring Health for The SDGs, Sustainable Development Goals. World health statistics 2018. Geneva: World Health Organization; Report No.: CC BY-NC-SA 3.0 IGO.
  2. Statistics Korea. (2018). Statistics of causes of death for Korea. Statistics Korea. [Internet]. Seoul: Statistics Korea; 2019 [cited 2019 October 1]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&aSeq=377606
  3. J. H. Kim. et al. (2016). Multicenter cohort study of acute myocardial infarction in Korea-interim analysis of the Korea acute myocardial infarction registry-national institutes of health registry-. Circulation Journal. 80(6), 1427-36. DOI : 10.1253/circj.CJ-16-0061
  4. Thune, J. J. et al. (2011). Predictors and prdognostic impact of recurrent myocardial infarction in patients with left ventricular dysfunction, heart failure, or both following a first myocardial infarction. European journal of heart failure 13(2), 148-153. DOI : 10.1093/eurjhf/hfq194
  5. Janssen, V., Gucht,V.D., Dusseldorp, E., & Maes S. (2013). Lifestyle modification programmes for patients with coronary heart disease: a systematic review and meta-analysis of randomized controlled trials. Journal of European Preventive Cardiology. 20(4), 620-40. DOI : 10.1177/2047487312462824
  6. Xiao, L., Wang, P., Fang, Q., & Zhao, Q. (2018). Health-promoting lifestyle in patients after percutaneous coronary intervention. Korean Circulation Journal. 48(6), 507-15. DOI : 10.4070/kcj.2018.0133
  7. E. J. Han & J. S. Kim. (2015). Effects of symptom recognition and health behavior compliance on hospital arrival time in patients with acute myocardial infarction. Korean Journal of Adult Nursing, 27(1), 83-93 DOI : 10.7475/kjan.2015.27.1.83.
  8. S. Y. Kim & M. Y. Kim. (2017). Development and effectiveness of tailored education and counseling program for patients with coronary artery disease undergoing percutaneous coronary intervention. Korean Journal of Adult Nursing. 29(5), 547. DOI : 10.7475/kjan.2017.29.5.547.
  9. Lijuan, Xu., S. M. You, & H. S. Kung (2015). Gender differences in predictors of health behaviors modification among patients with cardiovascular disease. The Korea contents association,15(3), 280-289. DOI : 10.5392/JKCA.2015.15.03.280.
  10. Korea Disease Control and Prevention Agency (2020). National Health and Nutrition Survey [Internet]. Seoul: Korea Disease Control and Prevention Agency; 2020 [cited 2021 Jun 21]. Available from: https://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=368345
  11. H. J. Kang. (2018). Factors affecting the performance of health behaviors in patients undergoing percutaneous coronary intervention. [master's thesis]. Kwangju Women's University. Kwangju.
  12. H. G. Jung & Y. K. Yang. (2021). Factors influencing health behavior practice in patients with coronary artery diseases. Health and Quality of Life Outcomes. 19(1), 1-9. DOI : 10.1186/s12955-020-01635-2
  13. K. O. Park. (2018). Convergence exploration for predictors of the cardiovascular disease risk. Journal of Digital Convergence. 16(2), 251-259. DOI : 10.14400/JDC.2018.16.2.251.
  14. H. R. Jeon & J. S. Park. (2007). A survey of knowledge of cardiac rehabilitation and the level of educational need of patients with coronary artery disease. Journal of Korean Clinical Nursing Research. 13(1), 51-63.
  15. Geiss, L. S., James, C., Gregg, E. W. Albright, A., Williamson, D. F., & Cowie. C. C.(2010). Diabetes risk reduction behaviors among US adults with prediabetes. American journal of preventive medicine. 38(4), 403-409. DOI : 10.1016/j.amepre.2009.12.029
  16. A. R. Park, H. S. So, & J. E. Song. (2017). Impact of risk factors, autonomy support and health behavior compliance on the relapse in patients with coronary artery disease. Korean Journal of Adult Nursing. 29(1), 32-40. DOI : 10.7475/kjan.2017.29.1.32.
  17. Ryan, R. M., Richard, M., & Deci. E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American psychologist. 55(1), 68. https://doi.org/10.1037/0003-066X.55.1.68
  18. K. J. Kim & M. S. Yi. (2007). A study of motivational factors and health behaviors in patients with coronary artery disease. The Korean Journal of Rehabilitation Nursing. 10(2), 125-133.
  19. S. A. Yim & E. J. Lee. (2014). Longitudinal co-development of autonomous and controlled motivation: The predictive effects of parental factors. The Korean Journal of Education Psychology. 28(2), 311-331.
  20. Thomas, R. J., et al. (2007). Performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. Journal of the American College of Cardiology. 50(14), 260-290. DOI : 10.1016/j.jacc.2007.04.033
  21. K. J. Kang, H, J. Yoo, & H. J. Lee. (2010) A study on the difference of disease related knowledge level, compliance of health behavior, and educational needs according to time in percutaneous coronary intervention patients. Korean Journal of Adult Nursing. 22(2), 190-199.
  22. S. G. Kim. (2012). Returning to the rectum and preventing recurrence following the onset of acute coronary syndrome. Korea Industrial Health Association. 54-64.
  23. M. J. Choi, M. H. Jeong & S. Y. Hwang (2011). Restenosis and compliance with self-care among acute coronary syndrome patients undergoing follow-up angiograms. Korean Journal of Health Promotion. 11(1), 34-41.
  24. I. S. Kim, J. B. Han, S. J. Jang, Y. I. Jang. (2010). The study on the independent predictive factor of restenosis after percutaneous coronary intervention used drug-eluting stent : case on MDCT calcium-scoring implementation patient. Journal of radiological science and technology. 33(1), 37-44.
  25. Ryan, R. M. & Connell, J. P. (1989) Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of personality and social psychology. 57(5), 749. https://doi.org/10.1037/0022-3514.57.5.749
  26. Williams, G. C., et al. (2006). A self-determination multiple risk intervention trial to improve smokers' health. Journal of General Internal Medicine. 21(12), 1288-1294. https://doi.org/10.1111/j.1525-1497.2006.00621.x
  27. E. H. Lee (2011). Health behavior maintenance effect of motivational reinforcement program applying self-determination theory: Focusing on the elderly with pre-hypertension. [dissertation]. Ajou University, Suwon.
  28. G. J. Choi. (2003). Knowledge & learning needs of coronary artery disease patients. [master's thesis]. Ewha Womans University. Seoul.
  29. Y. H. Lee. (1992). The education on the health behavior of the coronary artery disease patients. Journal of Korean Academy of Adult Nursing. 4(1), 79-90.
  30. Y. S. Jung (2002). Effects of Phase 1 cardiac rehabillitaion program on self-efficacy and performance of health behavior in acute myocardial infarction patients. [master's thesis]. Seoul National University. Seoul.
  31. A. R. Park. (2018). A structural model of health behavior compliance in patients with percutaneous coronary intervention based on self-determination theory. Journal of East-West Nursing Research. 24(2), 101-109. DOI : 10.14370/JEWNR.2018.24.2.101.
  32. H. Y. Kook. (2015). Gender features of Korean myocardial infarction patients and its factors for major complications and mortality [master's thesis]. Chonnam National University. Kwangju.
  33. Y. J. Choi., et al. (2016). Clinical usefulness of T wave inversion in Lead VL of ECG on acute coronary syndrome patients. Journal of the Korean Society of Emergency Medicine. 27(1), 43-51. DOI : 10.0000/jksem.2016.27.1.43
  34. K. J. Kang & M. J. Kim. (2014). The health behavioral experience of patients with myocardial infarction during the recovery period. Korean Journal of Adult Nursing. 26(2), 203-213. DOI : 10.7475/kjan.2014.26.2.203
  35. H. W. Jeon & H. K. Chang. (2020). Analysis of psychosocial factors affecting health behavior adherence among community-dwelling older adults undergoing percutaneous coronary intervention. The Journal of the Convergence on Culture Technology. 6(4), 231-244. DOI : 0.17703/JCCT.2020.6.4.231 https://doi.org/10.17703/JCCT.2020.6.4.231
  36. H. J. Hwang & E. N. Lee. (2012). Effects of spousal support and self-efficacy on adherent behavior among patients with percutaneous coronary intervention. Journal of Korean Critical Care Nursing. 5(1), 34-43.
  37. S. J. Park. et al. (2013). Standard treatment recommendations for coronary intervention. Seoul. The Korean Society of Cardiology.
  38. M. S. Kweon & S. J. Lee. (2019). Comparison of health behaviors and health indices according to percutaneous coronary intervention in patients with chest pain -analysis of nursing information chart and electronic medical record-. The Korea Content Society. 19(12), 279-288. DOI : 10.5392/JKCA.2019.19.12.27939.
  39. Ryan, R. M., & Deci, E. (1985). Intrinsic motivation and self determination in Human Behavior. New York: Plenum Publishing Co.
  40. Fernandez, R. S., Griffiths, R., Juergens, C., Davidson, P., Salamonson, Y. (2006). Persistence of coronary risk factor status in participants 12 to 18 months after percutaneous coronary intervention. Journal of Cardiovascular Nursing. 21(5), 379-387. https://doi.org/10.1097/00005082-200609000-00008
  41. E. K. Cho (2018). Effects of family participated cardiovascular health management program in patients with cardiovascular disease. [master's thesis] Nambu University, Gwangju.
  42. K. S. Lee & K. M. Sung. (2019). Factors Influencing Health Behavior Adherence in Middle and Old Aged Men Who Underwent Percutaneous Coronary Intervention. The Korean Journal of Rehabilitation Nursing. 22(2), 87-94. DOI : 10.7587/kjrehn.2019.87
  43. Webber, K. H., Gabriele, J. M., Tate, D. F., & Dignan, M. B. (2010). The effect of a motivational intervention on weight loss is moderated by level of baseline controlled motivation. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 1-9. https://doi.org/10.1186/1479-5868-7-1