The Relationships among Hostility, Perceived Social Support and Health Behavior Compliance of Patients with Coronary Artery Disease

관상동맥질환자의 적대감, 지각된 사회적 지지 및 건강행위 이행

  • 오정은 (부산대학교 간호대학) ;
  • 박형숙 (부산대학교 간호대학 간호학과) ;
  • 김동희 (부산대학교 간호대학 간호학과)
  • Received : 2009.11.07
  • Accepted : 2010.02.04
  • Published : 2010.02.28

Abstract

Purpose: This study was done to measure the degree of the hostility, perceived social support and health behavior compliance among patients with coronary artery disease and to identify the relationship among those variables. Methods: The participants were 145 hospitalized patients with coronary artery disease. Data were collected from December 15, 2007 to March 15, 2008 using a questionnaire and medical record. Results: Mean scores for hostility, perceived social support and health behavior compliance were 54.80, 53.03 and 59.38 respectively. Differences in the degree of hostility were significant for marital status and serum total cholesterol. There were significant differences in the degree of health behavior compliance according to body mass index, serum total cholesterol, smoking, drinking, exercise and regular diet. Health behavior compliance was correlated with hostility and perceived social support, and hostility was correlated with perceived social support. Conclusion: Intensive programs to enhance perceived social support but to reduce hostility are warranted to improve health behavior in patients with coronary artery disease.

Keywords

References

  1. Almada, S. J., Zonderman, A. B., Shekelle, R. B., Dyer, A. R., Daviglus, M. L., Costa, P. T., et al. (1991). Neuroticism and cynicism and risk of death in middle-aged men: The Western Electric Study. Psychosomatic Medicine, 53(2), 165-175. https://doi.org/10.1097/00006842-199103000-00006
  2. Angerer, P., Siebert, U., Kothny, W., Mühlbauer, D., Mudra, H., & von Schacky, C. (2000). Impact of social support, cynical hostility and anger expression on progression of coronary atherosclerosis. Journal of the American College of Cardiology, 36(6), 1781-1788. https://doi.org/10.1016/S0735-1097(00)00944-X
  3. Berkman, L. F., Leo-Summers, L., & Horwitz, R. I. (1992). Emotional support and survival after myocardial infarction: A Prospective, population-based study of the elderly. Annals of Internal Medicine, 117(12), 1003-1009. https://doi.org/10.7326/0003-4819-117-12-1003
  4. Buselli, E. F., & Stuart, E. M. (1999). Influence of psychosocial factors and biopsychosocial interventions on outcomes after myocardial infarction. The Journal of Cardiovascular Nursing, 13(3), 60-72. https://doi.org/10.1097/00005082-199904000-00006
  5. Cook, W. W., & Medley, D. M. (1954). Proposed hostility and pharisaic-virtue scales for the MMPI. Journal of Applied Psychology, 38(6), 414-418. https://doi.org/10.1037/h0060667
  6. Costa, P. T., Zonderman, A. B., McCrae, R. R., & Williams, R. B. (1986). Cynicism and paranoid alienation in the Cook and Medley HO Scale. Psychosomatic Medicine, 48(3), 283-285. https://doi.org/10.1097/00006842-198603000-00014
  7. Ham, S. K., Lee, S. Y., & Lee, J. K. (1995). Adherence to appointment keeping of hypertensive patients in university based family practice. The Journal of the Korean Academy of Family Medicine, 16(6), 394-401.
  8. Hubbard, P., Muhlenkamp, A. F., & Brown, N. (1984). The relationship between social support and self-care practices. Nursing Research, 33(5), 266-270.
  9. Iribarren, C., Sidney, S., Bild, D. E., Liu, K., Markovitz, J. H., Roseman, J. M., et al. (2000). Association of hostility with coronary artery calcification in young adults. Journal of the American Medical Association, 283(19), 2546-2551. https://doi.org/10.1001/jama.283.19.2546
  10. Jeong, S. K. (2006). Effects of supportive nursing intervention on health belief and the performance of health behavior in patents with coronary artery disease. Unpublished master's thesis, Seoul National University, Seoul.
  11. Kim, K. H. & Chon, K. K. (1997). Effects of anger, hostility, and stress on physical health. Korean Journal of Health Psychology, 2(1), 79-95.
  12. Korean National Statistical Office (2008). Statistics about population in 2008. Retrieved November 26, 2009, from http://www.kosis.kr/domestic/theme/do01_index.jsp
  13. Koskenvuo, M., Kaprio, J., Rose, R. J., Kesaniemi, A., Sarna, S., Heikkila, K., et al. (1988). Hostility as a risk factor for mortality and ischemic heart disease in men. Psychosomatic Medicine, 50(4), 330-340. https://doi.org/10.1097/00006842-198807000-00002
  14. Lee, C. W., & Park, J. H. (1995). Effects of hostility on serum cortisol levels, blood pressure and pulse rate under examination stress. Keimyung Medical Journal, 14(4), 309-329.
  15. Lee, M. H. (2001). Study on the relationships between health belief and sick role behavior of patients with coronary heart disease. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Lee, Y. H. (1992). The education on the health behavior of the coronary artery disease patients. Journal of Korean Academy Society of Adult Nursing, 4(1), 79-90.
  17. Lepore, S. J. (1995). Cynicism, social support, and cardiovascular reactivity. Health Psychology, 14(3), 210-216. https://doi.org/10.1037/0278-6133.14.3.210
  18. Moon, S. J. (2005). Related factors of coronary artery diseases. Unpublished master's thesis, Yonsei University, Seoul.
  19. Oh, S. E. (2001). The relation of health behavior compliance and family support in coronary artery disease patients. Unpublished master's thesis. Seoul National University, Seoul.
  20. Park, J. W. (1985). Development of the measuring scale of social support. Unpublished doctoral dissertation, Yonsei University, Seoul.
  21. Ryu, J. K., & Lee, Y. H. (2001). Impact of psychological factors on coronary artery disease and therapeutic implications. Journal of the Korean Society of Biological Therapies in Psychiatry, 7(1), 147-157.
  22. Scherwitz, L., Perkins, L., Chesney, M., & Hughes, G.(1991). Cook-Medley hostility scale and subsets: Relationship to demographic and psychosocial characteristics in young adults in the CARDIA study. Psychosomatic Medicine, 53(1), 36-49. https://doi.org/10.1097/00006842-199101000-00004
  23. Smith, T. W. (1994). Concepts and methods in the study of anger, hostility and health. Hillsdale. New Jersey: Lawrence Erlbaum.
  24. Smith, T. W., & Brown, P. C. (1991). Cynical hostility, attempts to exert social control, and cardiovascular reactivity in married couples. Journal of Behavioral Medicine, 14(6), 581-592. https://doi.org/10.1007/BF00867172
  25. Smith, T. W., & Pope, M. K. (1990). Cynical hostility as a health risk: Current status and future directions. Journal of Social Behavior Personality, 5, 77-88.
  26. Son, Y. J. (2005). Hostility, life style and serum lipids according to recurrent cardiac events in patients with coronary artery disease. Journal of Korean Clinical Nursing Research, 11(1), 33-46.
  27. Steele, J. L., & McBroom, W. H. (1972). Conceptual and empirical dimension of health behavior. Journal of Health & Social Behavior, 13(4), 382-392. https://doi.org/10.2307/2136830