초발 급성 심근경색증 환자의 불확실성과 자가간호 역량 및 생리적 지표
Uncertainty, Self-care Agency and Physiological Index in Acute Myocardial Infarction Patients who Underwent Primary Percutaneous Coronary Intervention
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives : The aim of this study was to investigate the relationship among uncertainty, self-care agency and physiological index in acute myocardial infarction (AMI) patients who underwent primary percutaneous coronary intervention. Methods : A total of 196 patients who were admitted C National University Hospital from Oct 2014 to Jun 2015 participated in the study. Data were collected with a questionnaire, and the blood pressure, HgA1C, and lipid profile levels of the patients were acquired. Results : The mean age was 69.2 (±13.0) years, and 74 % of the patients were men. The mean score for uncertainty in illness was 48.7 (±8.8). The mean score for self-care agency was 73.3 (±13.4). Self-care agency showed a negative correlation with uncertainty (r=-.579, p<.001), age (r=-.732, p<.001), systolic blood pressure (r=-.265, p=.001) and HgA1C (r=-.293, p<.001). Conclusions : The results of this study can be used to develop a nursing program that prevents AMI and to improve the clinical prognosis of AMI patients.
Abstract
Objectives : The aim of this study was to investigate the relationship among uncertainty, self-care agency and physiological index in acute myocardial infarction (AMI) patients who underwent primary percutaneous coronary intervention. Methods : A total of 196 patients who were admitted C National University Hospital from Oct 2014 to Jun 2015 participated in the study. Data were collected with a questionnaire, and the blood pressure, HgA1C, and lipid profile levels of the patients were acquired. Results : The mean age was 69.2 (±13.0) years, and 74 % of the patients were men. The mean score for uncertainty in illness was 48.7 (±8.8). The mean score for self-care agency was 73.3 (±13.4). Self-care agency showed a negative correlation with uncertainty (r=-.579, p<.001), age (r=-.732, p<.001), systolic blood pressure (r=-.265, p=.001) and HgA1C (r=-.293, p<.001). Conclusions : The results of this study can be used to develop a nursing program that prevents AMI and to improve the clinical prognosis of AMI patients.
참고문헌 (24)
- "The leading causes of death 2013" (2014)[URL]
- W. R. Lee., "Clinical cardiology", pp.679~713 (2007), Korea Medical Book
- D. G. Kang, "Clinical effects of hypertension of the mortality of patients with acute myocardial infarction", 박사, pp.2008
- Eun Hui Bae, "Long-term Predictive Factors of Major Adverse Cardiac Events in Patients with Acute Myocardial Infarction Complicated by Cardiogenic Shock", The Korean Journal of Internal Medicine, 20(1), pp.8~14 (2005), 대한내과학회
- N. S. Shah., "Trends in myocardial infarction secondary prevention: The National Health and Nutrition Examination Surveys (NHANES), 1999-2012", Journal of American Heart Association, 4(4), pp.e001709~ (2015)
- H. S. Oh, "Theory construction in nursing of uncertainty", Korean Journal of Adult Nursing, 13(2), pp.200~208 (2001)
- J. Penrod, "Living with uncertainty : concept advancement", Journal of Advanced Nursing, 57(6), pp.658~667 (2007)
- H. S. Jo, "The effect of the team-based cardiac rehabilitation program on the health behavior performance, anxiety, and quality of life in the group of ischemic heart disease with PTCA", Korean Journal of Rehabilitation Nursing, 1(1), pp.83~92 (1998)
- J. A. Eastwood., "Uncertainty and health-related quality of life 1year after coronary angiography", American Journal of Critical Care, 17(3), pp.232~242 (2008)
- D. E. Orem, "Nursing concepts of practice", pp.85~ (2001), Mosby, Inc
- M. H. Mishel, "Uncertainty in illness", Journal of Nursing Scholarship, 20(4), pp.225~232 (1998)
- J. S. Jun, "The effect of telephone counselling program upon the uncertainty of the patients, the level of self-efficiency and self-care ability in CABG surgery patients", 석사, pp.2005
- A. Y. Shin, "A study on self-care agency, self-care behavior, and health state in recovering patients discharged from hospital after CABG", 석사, pp.2011
- 최귀윤, "성별에 따른 급성심근경색증의 특성비교", 성인간호학회지, 20(1), pp.126~134 (2008), 성인간호학회
- Preventing chronic diseases: A vital investment, "World Health Organization", World Health Organization, 200~, pp.WHO Global Report (2005)
- "Disclosure of cardiocerebrovascular disease evaluation results" (2012)[URL]
- Y. S. Mun, "The correlation among uncertainty, self care agency and quality of life in elderly patients underwent percutaneous coronary intervention", 석사, pp.2012
- 김혜란, "관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계", 임상간호연구, 20(3), pp.279~289 (2014), 병원간호사회
- M. H. L Van der Wal., "Adherence in heart failure in the elderly : Problem and possible solutions", International Journal of Cardiology, 125(2), pp.203~208 (2008)
- S. E. Capes., "Stress hyperglycemia and increased risk factor of death after myocardial infarction in patients with and without diabetes : a systematic overview", Lancet, 355(9206), pp.773~778 (2000)
- 김은정, "급성 심근경색증 환자의 예후인자로서 내원 시 혈당의 유용성", 대한내과학회지, 79(1), pp.23~31 (2010), 대한내과학회
- L. G. Mellbin., "The impact of glucose lowering treatment on long-term prognosis in patients with type 2diabetes and myocardial infarction : a report from the DIGAMI 2 trial", European Heart Journal, 29, pp.166~176 (2008)
- 최명자, "추적 관상동맥조영술을 받은 급성관동맥증후군 환자의 재협착 유무와 자가관리 이행", Korean Journal of Health Promotion, 11(1), pp.34~41 (2011), 대한임상건강증진학회
- 장연화, "혈액투석환자의 인지기능에 따른 자가간호 행위와 생리적 지표", 보건의료산업학회지, 6(2), pp.57~69 (2012), 보건의료산업학회[DOI]