DOI QR코드

DOI QR Code

Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention

경피적 관상동맥 중재술을 받은 노인환자의 자가간호 교육프로그램 개발 및 평가

  • Jo, Gyeong-Jin (Department of Nursing, Hanyeong University) ;
  • Yang, Jin-Hyang (Department of Nursing, Institute of Health Science, Inje University)
  • 조경진 (한영대학 간호과) ;
  • 양진향 (인제대학교 간호학과, 건강과학연구소)
  • Received : 2014.02.24
  • Accepted : 2014.04.24
  • Published : 2014.05.31

Abstract

Purpose: The purpose of this study was to identify the effects of the education program to promote self care for elderly patients with percutaneous coronary intervention. Method: The research was a quasi-experimental study using a nonequivalent control group non-synchronized design. The participants was 56 patients, 28 in the experimental group and 28 in the control group. A pretest and a posttest were conducted to measure main variables. The self care education program, consisting of flash animation, leaflet and telephone counseling, was given for the experimental group. Data were analyzed using ${\chi}^2$, Fisher's exact test, and independent t-test with SAS statistics program. Results: There were statistically significant increase in knowledge and self care behavior, and decrease in anxiety by difference between a pretest and a posttest in the experimental group compared to that in the control group. Conclusion: The result of this study indicate that the self care education program is effective in increasing knowledge and self care behavior, and in decreasing anxiety for elderly patients with percutaneous coronary intervention. Therefore, it can be usefully utilized in the field of nursing for elderly patients with percutaneous coronary intervention.

Keywords

References

  1. American Heart Association. (2012). Patient Management Tool. Retrieved July 15, 2012, from https://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelinesHFStrokeResus/GetWithTheGuidelinesHeartFailureHomePage/Get-With-The-Guidelines-Heart-Failure-Patient-Management-Tool_UCM_307819_Article.jsp
  2. Cho, H. Y., & Kim, H. S. (2010). Effects of individualized cardiac health education on self care behavior and serum cholesterol in patients with coronary artery disease. Korean Journal of Adult Nursing, 22(3), 322-328.
  3. Cho, J. J. (2013). Stress and cardiovascular disease. Journal of Korean Medical Association, 56(6), 462-470. https://doi.org/10.5124/jkma.2013.56.6.462
  4. Cho, W., Choi, M., Kim, S., & Cho, E. (2010). Effect of social support and depression on self-care of older adults receiving percutaneous coronary intervention. Journal of Korean Gerontological Nursing, 12(2), 119-130.
  5. Choe, M. A., Kim, K. S., Yi, M., Choi-Kwon, S., & Lee, J. S. (2008). Effect of cardiac rehabilitation education for coronary artery bypass grafting patients during their hospitalization. Journal of Korean Academy of Nursing, 10(1), 69-79.
  6. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates Inc.
  7. Fernandez, R. S., Davidson, P., Griffiths, R., Juergens, C., & Salamonson, Y. (2009). Development of a health-related lifestyle self-management intervention for patients with coronary heart disease, Heart and Lung, 38(6), 491-498. https://doi.org/10.1016/j.hrtlng.2009.01.008
  8. 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. The Journal of Cardiovascular Nursing, 21(5), 379-387. https://doi.org/10.1097/00005082-200609000-00008
  9. Han, D. W., Lee, C. H., Chon, K. K. (1996). Korean adaptation of Spielberger’s STAI (K-STAI). Korean Journal of Health Psychology, 1(1), 1-14. https://doi.org/10.1111/j.2044-8287.1996.tb00486.x
  10. Holmes, D. R. Jr., Leon, M. B., Moses, J. W., Popma, J. J., Cutlip, D., Fitzgerald, P. J., et al. (2004). Analysis of 1-year clinical outcomes in the SIRIUS trial: a randomized trial of a sirolimus-eluting stent versus a standard stent in patients at high risk for coronary restenosis. Journal of American Heart Association, 109(5), 634-640.
  11. Janssen, V., De Gucht, V., 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), 620-640. https://doi.org/10.1177/2047487312462824
  12. Jeon, H. R., & Park, J. S. (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.
  13. Kang, E. J., Kim, N. Y., Kim, D. J., Kim, H. R., Byun, Y. C., Suh, M. K., et al. (2007). In-depth analyses of the third national health and nurtrition examination survey: the health interview and health attitude survey part. Korea Institute for Health and Social Affairs.
  14. Kang, G. J., & Song, M. S. (2010). Development and evaluation of motivational enhancement therapy for patients with coronary artery disease. Journal of Korean Clinical Nursing Research, 16(2), 5-16.
  15. Kang, M. K., Shon, K. H., & Lee, G. N. (2011). Effects of a program using video-audio media on knowledge level and compliance of sick role for patients undergoing coronary angiography. The Journal of Korean Academic Society of Nursing Education, 17(1), 100-109. https://doi.org/10.5977/JKASNE.2011.17.1.100
  16. Kang, Y. O., & Cho, Y. C. (2011). Factors related to knowledge, health belief and sick role behavior to the coronary artery disease among patients with coronary artery disease. Journal of the Korea Contents Association, 12(11), 4985-4994. https://doi.org/10.5762/KAIS.2011.12.11.4985
  17. Kim, I. S., Jeong, M. H., Han, J. B., Jang, Y. I., & Jang, S. J. (2013). Clinical outcomes of stent thrombosis after drug-eluting coronary stent implant. The Journal of the Korea Contents Association, 13(12), 880-892. https://doi.org/10.5392/JKCA.2013.13.12.880
  18. Kim, M. S., Jeong, M. H., Hwang, S. H., Go, J. S., Lee, M. G., Sim, D. S., et al. (2010). Clinical pattern changes in elderly patients who underwent percutaneous coronary intervention in the last ten years. The Korea Journal of Medicine, 79(6), 661-672.
  19. Kim, N. C., & Choi, K. O. (2006). Effects of Individualized Cardiac Rehabilitation Education for Percutaneous Coronary Intervention Patients. Journal of Korean Academy of Fundamentals of Nursing, 13(1), 42-49.
  20. Lee, W. R. (2007). Clinical cardiology. Seoul: Korea Medical.
  21. Lee, Y. J. (2007). An education program to modify lifestyle:Effects on health behavior and physiological parameters in patients with coronary disease. Clinical Nursing Research, 13(3), 43-54.
  22. Odell, A., Grip, L., & Hallberg, L. R. (2006). Restenosis after percutaneous coronary intervention: experiences from the patient’s perspective. Journal of European Cardiovascular Nursing, 5(2), 150-157. https://doi.org/10.1016/j.ejcnurse.2005.10.004
  23. Park, I. S., Song, R., Ahn, S., So, H. Y., Kim, H. L., & Joo, K. O. (2008). Factors explaining quality of life in individuals with coronary artery disease. Journal of Korean Academy of Nursing, 38(6), 866-873. https://doi.org/10.4040/jkan.2008.38.6.866
  24. Roest, A. M.,, Martens, E. J., Denollet, J., & de Jonge, P. (2010). Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: a meta-analysis. Psychosomatic Medicine. 72(6), 563-569. https://doi.org/10.1097/PSY.0b013e3181dbff97
  25. Shin, H. W., Yoon, J. H., Lee, S. G., & Ha, S. Y. (2013). Efficient management of health insurance expenditures on the elderly. Seoul: Korea Institute for Health and Social Affairs.
  26. Sin, E. S. (2009). A model for the compliance after percutaneous coronary intervention in patients with acute coronary syndrome. Unpublished doctoral dissertation, Chonnam University, Gwangju.
  27. Son, Y. J. (2008). The development and effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. Journal of Korean Academy of Nursing, 38(2), 217-228. https://doi.org/10.4040/jkan.2008.38.2.217
  28. Statistics Korea. (2012). Annual report on the causes of death statistics. Retrieved January 30, 2014, from http://kostat.go.kr/wnsearch/search.jsp
  29. Statistics Korea. (2013). Population by age group statistics. Retrieved January 30, 2014, from http://kostat.go.kr/wnsearch/search.jsp
  30. Tan, N. C., Cheah, S. L., & Teo, E. K. (2005). A qualitative study of health-seeking behavior of hepatitis B carriers. Singapore Medical Journal, 46(1), 6-10.

Cited by

  1. 교육상담 기반 심장재활 프로그램이 노인 관상동맥질환자의 심혈관 위험도, 건강행위 및 삶의 질에 미치는 효과 vol.15, pp.6, 2015, https://doi.org/10.5392/jkca.2015.15.06.303