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건강정보 이해능력에 따른 관상동맥질환 관련 서면정보의 제공이 환자의 건강행위 이행에 대한 자기효능감, 질병 지식, 불안, 교육만족도에 미치는 효과

Effects of Written Information for Coronary Artery Disease Depending on Patients' Health Literacy on Health Behavior Compliance Related Self-efficacy, Knowledge of Disease, Anxiety, and Educational Satisfaction

이지연|장인순|황경남|원혜정
대한의료커뮤니케이션학회 (Korean Academy on Communication in Healthcare)|2018.12|의료커뮤니케이션 (Health Communication, the Official Journal of Korean Academy on Communication in Healthcare)|제13권 제2호|pp. 233-241|DOI 10.15715/kjhcom.2018.13.2.233

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키워드

건강정보 이해능력health literacy관상동맥질환건강행위 이행coronary artery diseasehealth behavior compliance
주제분류의학일반

초록

Purpose: The purpose of this study was to investigate effects of providing written information for coronary artery disease on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction depending on patients’ health literacy. Methods: The participants in this study were 40 patients who underwent coronary angiography or coronary intervention, and depending on the level of health literacy 30 patients were high group and 10 patients were low group. Each group was evaluated on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction with providing written information. Results: By providing written information in the group with high health literacy, there was a significant difference in health behavior compliance related self-efficacy, knowledge of disease, but there was no significant difference in anxiety variable. On the other hand, there was no significant difference in health behavior compliance related self-efficacy, knowledge of disease, and anxiety by providing written information in the group with low health literacy. Also, there was no significant difference in the educational satisfaction between high and low group of health literacy after providing written information. Conclusion: It is necessary to develop educational materials that can be applied to clinical nursing field with considering health literacy of patients with coronary artery disease. In addition to providing written information, it is also necessary to develop other educational intervention programs such as video and personalized counseling that may be helpful for coronary patients with low health literacy and investigate their effectiveness.

Abstract

Purpose: The purpose of this study was to investigate effects of providing written information for coronary artery disease on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction depending on patients’ health literacy. Methods: The participants in this study were 40 patients who underwent coronary angiography or coronary intervention, and depending on the level of health literacy 30 patients were high group and 10 patients were low group. Each group was evaluated on health behavior compliance related self-efficacy, knowledge of disease, anxiety, and educational satisfaction with providing written information. Results: By providing written information in the group with high health literacy, there was a significant difference in health behavior compliance related self-efficacy, knowledge of disease, but there was no significant difference in anxiety variable. On the other hand, there was no significant difference in health behavior compliance related self-efficacy, knowledge of disease, and anxiety by providing written information in the group with low health literacy. Also, there was no significant difference in the educational satisfaction between high and low group of health literacy after providing written information. Conclusion: It is necessary to develop educational materials that can be applied to clinical nursing field with considering health literacy of patients with coronary artery disease. In addition to providing written information, it is also necessary to develop other educational intervention programs such as video and personalized counseling that may be helpful for coronary patients with low health literacy and investigate their effectiveness.

참고문헌 (50)

  1. Institute of Medicine, "Health literacy: a prescription to end confusion" (2004), The National Academy Press
  2. Baker DW, "Health literacy and mortality among elderly persons", Arch Intern Med, 167(14), pp.1503~1509 (2007)
  3. Kilonzo B, "Health literacy and coronary heart disease: implications for nurses", British Journal of Cardiac Nursing, 6(1), pp.29~34 (2011)
  4. "Closing the gap in a generation- healthy equity through action on the social determinant of health. Final report of the commission on social determinants of health" (2008)[URL]
  5. Ghisi GLM, "Health literacy and coronary artery disease: a systematic review", Patient Educ Couns, 101(2), pp.177~184 (2018)
  6. "Causes of death statistics in 2017" (2018)[URL]
  7. "Coronary artery disease"[URL]
  8. Hwang HJ, "Effects of spousal support and self-efficacy on adherent behavior among patients with percutaneous coronary intervention", Journal of Korean Critical Care Nursing, 5(1), pp.34~43 (2012)
  9. Hoffmann R, "Coronary in-stent restenosis -predictors, treatment and prevention", Eur Heart J, 21(21), pp.1739~1749 (2000)
  10. Odell A, "Restenosis after percutaneous coronary intervention(PCI): experiences from the patients’ perspective", Eur J Cardiovasc Nurs, 5(2), pp.150~157 (2006)
  11. 오정은, "관상동맥질환자의 적대감, 지각된 사회적 지지 및 건강행위 이행", 기본간호학회지, 17(1), pp.99~108 (2010), 기본간호학회
  12. 정은영, "관상동맥질환자의 건강정보이해능력과 건강행위이행", 성인간호학회지, 27(3), pp.251~261 (2015), 한국성인간호학회[DOI]
  13. Gazmararian JA, "Health literacy and knowledge of chronic disease", Patient Educ Couns, 51(3), pp.267~275 (2003)
  14. Scott TL, "Health literacy and preventive health care use among Medicare enrollees in a managed care organization", Med Care, 40(5), pp.395~404 (2002)
  15. Berkman ND, "Low health literacy and health outcomes: an updated systematic review", Ann Intern Med, 155(2), pp.97~107 (2011)
  16. Howard DH, "The impact of low literacy on the medical costs of medicare managed care enrollees", Am J Med, 118(4), pp.371~377 (2005)
  17. Eichler K, "The costs of limited health literacy: a systematic review", Int J Public Health, 54(5), pp.313~324 (2009)
  18. 이영태, "환자의 특성에 따른 기능적 건강정보이해능력(functional health literacy)과 의료인의 설명이해도", 보건과 사회과학, (32), pp.145~171 (2012), 한국보건사회학회
  19. 김영선, "노인의 건강정보이해능력(Health Literacy)에 영향을 미치는 요인 분석 : 앤더슨 행동모형 적용", 노인복지연구, (65), pp.35~57 (2014), 한국노인복지학회[DOI]
  20. 이수현, "부산지역 여성결혼이민자의 건강정보이해능력(Health Literacy)과 건강태도", 여성학연구, 22(1), pp.165~200 (2012), 여성연구소[DOI]
  21. 손연정, "고혈압 환자의 건강정보 활용능력이 질병관련 지식 및 자가간호 이행에 미치는 영향", 기본간호학회지, 19(1), pp.6~15 (2012), 기본간호학회
  22. 강수진, "당뇨병 환자의 건강정보이해능력 측정을 위한 기초 연구", 보건교육건강증진학회지, 33(5), pp.47~57 (2016), 한국보건교육건강증진학회[DOI]
  23. 이명숙, "농촌 지역 심뇌혈관질환 노인의 건강정보이해능력과 건강행위", 성인간호학회지, 29(3), pp.256~265 (2017), 한국성인간호학회[DOI]
  24. 김남초, "개별 심장재활교육이 경피적 관상동맥 중재술(PCI) 환자의 지식과 불안에 미치는 효과", 기본간호학회지, 13(1), pp.42~49 (2006), 기본간호학회
  25. 박성은, "관상동맥질환 재발환자를 위한 내적건강통제위 강화 개별교육이 치료지시이행에 미치는 효과", 석사, 중환자간호, pp.2006
  26. 조혜영, "심장병 관리 개별교육이 관상동맥질환자의 자가간호수행과 혈중 콜레스테롤에 미치는 효과", 성인간호학회지, 22(3), pp.322~328 (2010), 한국성인간호학회
  27. 최옥자, "지지간호가 관상동맥조영술을 받은 관상동맥질환자의 질병관련 지식과 환자역할행위 이행에 미치는 효과", 성인간호학회지, 19(5), pp.729~738 (2007), 한국성인간호학회
  28. 신계영, "자기효능 정보자원 프로그램이 관상동맥 질환 환자의 지각된 자기효능감과 자가간호행위에 미치는 효과", 성인간호학회지, 14(1), pp.114~124 (2002), 한국성인간호학회
  29. 정연이, "관상동맥질환자를 위한 인터넷기반 교육프로그램 개발 및 효과분석", 박사, 간호학, pp.2002
  30. 강명경, "동영상프로그램이 관상동맥조영술환자의 질병지식과 환자역할이행에 미치는 효과", 한국간호교육학회지, 17(1), pp.100~109 (2011), 한국간호교육학회
  31. Chew LD, "Brief questions to identify patients with inadequate health literacy", Family Medicine, 36(8), pp.588~594 (2004)
  32. Chew LD, "Validation of screening questions for limited health literacy in a large VA outpatient population", J Gen Intern Med, 23(5), pp.561~566 (2008)
  33. 박순옥, "Y시 농촌지역 주민의 건강정보이해능력 관련 요인", Journal of The Korean Data Analysis Society, 17(3), pp.1667~1681 (2015), 한국자료분석학회
  34. Becker DM, "Risk perception, knowledge, and lifestyles in siblings of people with premature coronary disease", Am J Prev Med, 3(1), pp.45~50 (1987)
  35. 송경자, "The Effects of Self-Efficacy Promoting Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior, and Quality of Life", Journal of Korean Academy of Nursing, 33(4), pp.510~518 (2003), 한국간호과학회
  36. Rahe RH, "A teaching evaluation questionnaire for postmyocardial infarction patients", Heart Lung, 4(5), pp.759~766 (1975)
  37. Choi KJ, "Knowledge & learning needs of coronary artery disease patients", master, pp.2003
  38. Spielberger C, "Stress and Anxiety", pp.115~143 (1975), John Wiley and Sons
  39. Kim JT, "A study based on the standardization of the STAI for Korea", The New Medical Journal, 2(11), pp.65~75 (1978)
  40. Leem JH, "A study on the student satisfaction of web-based instruction", Journal of Educational Broadcasting, 5(2), pp.151~175 (1999)
  41. 강영옥, "관상동맥질환자의 관상동맥질환에 대한 지식, 건강신념 및 환자역할행위에 관련된 요인", 한국산학기술학회논문지, 12(11), pp.4985~4994 (2011), 한국산학기술학회
  42. 김순희, "관상동맥질환자의 질병관련 지식, 자기효능감, 사회적 지지가 환자역할행위에 미치는 영향", 한국보건간호학회지, 28(2), pp.228~240 (2014), 한국보건간호학회
  43. "The health literacy of America’s adults: results from the 2003 national assessment of adult literacy" (2006)[URL]
  44. Jeong KI, "The effect of an information using computer program on the reduction of anxiety in coronary angiogram subjects", J Korean Acad Soc Nurs Educ, 9(1), pp.115~125 (2003)
  45. Trotter R, "Anxiety in patients undergoing percutaneous coronary interventions", Heart Lung, 40(3), pp.185~192 (2011)
  46. Kim KS, "The effect of preparatory information on stress reduction in patients undergoing cardiac catheterization", The Seoul Journal of Nursing, 5(1), pp.49~79 (1991)
  47. Haddad NE, "Effectiveness of nurse-led video interventions on anxiety in patients having percutaneous coronary intervention", Int J Nurs Pract, 24(4), pp.e12645~ (2018)
  48. Kim EH, "Effects of providing information using mobile internet terminal on anxiety, discomfort and educational satisfaction among coronary angiogram patients", master, pp.2017
  49. 임연호, "간호정보 제공이 당일수술 환자의 불안과 간호만족도에 미치는 효과", 성인간호학회지, 22(1), pp.1~10 (2010), 한국성인간호학회
  50. "health literacy fact sheets" (2013)[URL]

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