가족참여 심장재활 프로그램이 경피적 관상동맥중재술 환자의 자기효능감, 건강행위이행 및 가족지지에 미치는 효과
Effects of Family-Participated Cardiac Rehabilitation Program on Self-Efficacy, Health Behavior Compliance, and Family Support of Patients with Percutaneous Coronary Intervention
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초록
목적: 본 연구는 경피적 관상동맥중재술을 받은 환자를 위한 가족참여 심장재활 프로그램을 개발하여 자기효능감과 건강행위이행 및 가족지지에 미치는 효과를 확인하기 위한 것이다. 연구방법: 본 연구의 설계는 비동등성 대조군 전후 시차설계를 이용한 유사실험연구이며, 실험군 30명, 대조군 29명이었다. 프로그램은 교육과 상담으로 구성되어 있고, 5주동안 6회 제공되었다. 자료는 SPSS 프로그램을 이용하여 χ2-test, Fisher’s exact test, t-test로 분석하였다. 연구결과: 실험군은 대조군에 비해 자기효능감, 건강행위이행 및 가족지지 점수가 유의하게 증가하였다. 결론: 본 연구의 프로그램은 경피적 관상동맥 중재술 환자의 자기효능감, 건강행위이행 및 가족지지를 개선하는 것으로 나타났다. 따라서 이 프로그램을 관상동맥 중재술 후 관상동맥환자를 위한 심장재활 프로그램으로 활용할 것을 제언한다. 또한 가족구성원을 건강행위이행 교육에 포함할 것을 제언한다.
Abstract
Purpose: The purpose of this study was to develop a family-participated cardiac rehabilitation program and to test the effects of the program on self-efficacy, health behavior compliance, and family support for patients with percutaneous coronary intervention. Methods: The design of this study was a nonequivalent control group non-synchronize design. There were 30 participants in the experimental group and 29 in the control group. The program consisted of six consecutive cardiac rehabilitation education and counselling sessions for 5 weeks. Data were analyzed using x2-test, Fisher’s exact test, and t-test using the SPSS program. Results: Self-efficacy, health behavior compliance, and family support scores were significantly increased in the experimental group compared to those in the control group. Conclusion: These results suggest that this program may improve self-efficacy, health behavior compliance, and family support in patients with percutaneous coronary intervention. Therefore, this program in which family members were included in supporting patients’ adherence to health behaviors is recommended for use in clinical fields for the cardiac rehabilitation.
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