급성관상동맥증후군 환자의 건강상태에 영향을 미치는 요인
Factors Influencing Health Status in Patients with Acute Coronary Syndrome
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
목적: 본 연구는 관상동맥중재술을 시행 받은 급성관상동맥증후군 환자의 질환인식, 대처, 건강상태 간의 관계를 규명하고, 대상자의 건강상태에 영향을 미치는 요인을 확인하기 위해서 시행되었다. 연구방법: 본 연구는 서술적 상관관계 설계이다. 총 102명의 급성관상동맥증후군환자가 모집되었으며 자료는 질환인식, 대처, 그리고 건강상태의 척도를 포함하는 구조화된 설문지로 수집되었다. 자료분석은 기술통계, T-검정, 일원분산분석, 피어슨 적률상관분석, 위계적 다중회귀분석을 이용하였다. 결과: 건강상태는 질환인식(r=-.44, p<.001), 회피대처 (r=-.33, p=.001)와 유의미한 상관관계를 나타내었다. 질환인식, 회피대처는 건강상태를 21% 설명하는 변수이며(F=8.58, p<.001), 질환인식(β=-.37, p<.001)과 회피대처(β=-.37, p<.001)는 건강상태에 영향을 주는 요인으로 나타났다. 결론: 본 연구결과는 질환인식, 회피대처가 관상동맥중재술을 시행 받은 급성관상동맥증후군 환자의 건강상태에 유의미한 변수임을 확인하였다.
Abstract
Purpose: This study was done to investigate the correlation of illness perception, coping strategy and health status in patients with acute coronary syndrome who had undergone a coronary angioplasty. Methods: A descriptive correlational design was used in this study. A total of 102 patients with acute coronary syndrome was recruited. Data were collected using structured questionnaires including scales for the illness perception, the coping strategy, and health status. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Health status showed significant correlations with illness perception (r=-.44, p<.001) and avoidance coping (r=-.33, p=.001); illness perception, avoidance coping explained 21% of variance in health status (F=8.58, p<.001). The factors that influenced health status were illness perception (β=-.37, p<.001), and avoidance coping (β=-.21, p<.001). Conclusion: The findings of this study indicate that illness perception and avoidance coping were significant variables for health status in patients with acute coronary syndrome who had undergone a coronary angioplasty
참고문헌 (30)
- Park JB, "Standard treatment recommendations of the acute coronary syndrome", Autumn Annual Conference of the Korean Internal Medicine, pp.236~239 (2012)
- "Cause of Death Statistics" (2013)[URL]
- Meister R, "Myocardial infarction-stress prevention intervention (MI-SPRINT) to reduce the incidence of posttrumatic stress after acute myocardical infarction thorugh truma-focused pshchlolgical counseling:study protocol for a randomized controlled trial", Trials, 14, pp.329~340 (2013)
- Edmondson D, "The association of emergency department crowding during treatment for acute coronary syndrome with subsequnt post traumatic stress disorder symptoms", JAMA Internal Medicine, 173(6), pp.472~474 (2013)[DOI]
- Lazarus RS, "Stress, appraisal and coping", pp.25~140 (1984), Springer
- Chiavarino C, "Emotional coping is a better predictor of cardiac prognosis than depression and anxiety", Journal of Psychosomatic Research, 73, pp.473~475 (2012)[DOI]
- Smorti M, "Depression and cardiac symptoms among AL amyloidosis patients: The mediating role of coping strategies", Psychology, Health & Medicine, 19(3), pp.263~272 (2014)[DOI]
- Goulding L, "Randomized controlled trials of intervention to change maladaptive illness beliefs in people with coronary heat disease: Systematic review", Journal of Advanced Nursing, 66(5), pp.946~961 (2010)[DOI]
- Kim Y, "Racial", ethnic differences in illness perception in minority patients undergoing maintenance hemodialysis, 2012, pp.39(1), 39~48
- Juergens MC, "Illness beliefs before cardiac surgery predict disability, quality of life, and depression 3 months later", Journal of Psychosomtic Research, 68, pp.553~560 (2010)
- 민계식, "급성심근경색증 환자의 일차적 관동맥 스텐트 삽입술 시 삽입된 Sirolimus-eluting stent 와 Paclitaxel-eluting stent의 임상적 안정성 및 유용성 평가", 한국방사선학회논문지, 6(1), pp.5~10 (2012), 한국방사선학회
- 최명자, "추적 관상동맥조영술을 받은 급성관동맥증후군 환자의 재협착 유무와 자가관리 이행", Korean Journal of Health Promotion, 11(1), pp.34~41 (2011), 대한임상건강증진학회
- Dejean D, "Patient experiences of depression and anxiety with chronic disease: A systematic review and qualitative meta-synthesis", Ontario Health Technology Assessment Series, 13(6), pp.1~33 (2013)
- Stafford L, "Are illness perceptions about coronary artery disease predictive of depression and quality of life outcomes?", Journal of Psychosomatic Research, 66, pp.211~220 (2009)[DOI]
- Anderson JL, "The 2012 ACCF", AHA focused updated icorpored into the ACCF, Non ST elevation myocardial infarction, pp.Journal of American College of Cardiology, 2013[DOI]
- Weinman J, "The illness perception questionnaire: A new method for assessing the cognitive representation of illness", Psychology and Health, 11, pp.431~445 (1996)[DOI]
- Broadbent E, "The brief illness perception questionnaire", Journal of Psychosomatic Research, 60, pp.631~637 (2006)[DOI]
- Amirkhan JH., "A factor analytically derived measure of coping:The coping strategy indicator", Journal of Personality and Social Psychology, 59, pp.1066~1074 (1990)[DOI]
- 신혜진, "스트레스 대처 전략 검사(Coping Strategy Indicator)의 타당화 연구", 한국심리학회지: 상담 및 심리치료, 14(4), pp.919~935 (2002), 한국상담심리학회
- Schroter S, "Coronary revascularisation outcome questionnaire (CROQ): Development and validation of a new, patient based measure of outcome in coronary bypass surgery and angiography", Heart, 90, pp.1460~1466 (2004)[DOI]
- Rakhshan M, "The nature and course of illness perception following cardiac pacemaker implantation: A self regulatory approach", International Journal of Nursing Practice, 19, pp.318~325 (2013)[DOI]
- Mckinley S, "Complications after acute coronary syndrome are reduced by perceived control of cardiac illness", Journal of Advanced Nursing, pp.2320~2329 (2011)[DOI]
- Knutson KL, "Association between sleep and blood pressue in midlife:The CARDIA sleep study", Archives of Internal Medicine, 169(11), pp.1055~1061 (2009)[DOI]
- Allen MT, "Gender differences and the relationships of perceived background stress and psychological distress with cardiovascular response to laboatory stressor", International Journal of Psychophysiology, 81(3), pp.209~217 (2011)[DOI]
- Benham G, "The highly sensitive person: Stress and physical symptom reports", Personality and Individual Differences, 40, pp.1433~1440 (2006)[DOI]
- Doering LV, "Gender-specific characteristics of individulals with depressive symptom and coronary heart disease", Heart & Lung, 40(3), pp.e4~e14 (2011)[DOI]
- Jayasinghe UW, "Gender difference in health related quality of life of Austrian chronically-ill adults: Patient and physician characteristics do matter", Health and Quality of Life Outcome, 11, pp.102~114 (2013)[DOI]
- Assari S, "Gender modifies the effects of education and income on sleep quality of the patients with coronary artery disease", International cardiovascular Reasearch, 7(4), pp.141~146 (2013)
- Reges O, "Illness cognition as a predictor of exercise habits and participation in cardiac prevention and rehabilitation programs after acute coronary syndrome", BMC Public Health, 13, pp.956~971 (2013)[DOI]
- Sanjuán P, "Pessimistic attributions and coping strategies as predictors of depressive symtoms in people with coronary heart disease", Journal of Health Psychology, 17(6), pp.886~895 (2011)[DOI]