노인 관상동맥질환자의 질병 관련 지식, 우울, 가족지지가 건강행위에 미치는 영향
Influence of Disease-related Knowledge, Depression, and Family Support on Health Behaviors in Older Patients with Coronary Artery Disease
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the degrees and relationships of disease-related knowledge, depression, family support and health behaviors of older patients with coronary artery disease, and the factors influencing their health behaviors. Methods: The subjects included 139 older patients with coronary artery disease who visited the outpatient clinic at one general hospital located in metropolitan city B. Data collection was performed from December, 2018 to February, 2019, using a structured self-reported questionnaire. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple linear regression were used to analyze the data. Results: Disease-related knowledge (r=-.17, p=.050) and depression (r=-.32, p<.001) had significant negative correlations with health behaviors. While, a significant positive correlation was noted between family support and health behaviors (r=.67, p<.001). In the final multiple regression analysis, medication intake status (β=-.17, p=.009), depression (β=-.15, p=.017) and family support (β=.61, p<.001) significantly influenced health behaviors of the subjects. The explanatory power of the subjects’ medication intake status, disease-related knowledge, depression and family support on health behaviors was 49.0% (F=33.97, p<.001). Conclusion: Developing an effective program to improving medication status, depression, and family support is recommended for the enhancement of their health behaviors and ultimately for their recovery and well-being.
Abstract
Purpose: The purpose of this study was to identify the degrees and relationships of disease-related knowledge, depression, family support and health behaviors of older patients with coronary artery disease, and the factors influencing their health behaviors. Methods: The subjects included 139 older patients with coronary artery disease who visited the outpatient clinic at one general hospital located in metropolitan city B. Data collection was performed from December, 2018 to February, 2019, using a structured self-reported questionnaire. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple linear regression were used to analyze the data. Results: Disease-related knowledge (r=-.17, p=.050) and depression (r=-.32, p<.001) had significant negative correlations with health behaviors. While, a significant positive correlation was noted between family support and health behaviors (r=.67, p<.001). In the final multiple regression analysis, medication intake status (β=-.17, p=.009), depression (β=-.15, p=.017) and family support (β=.61, p<.001) significantly influenced health behaviors of the subjects. The explanatory power of the subjects’ medication intake status, disease-related knowledge, depression and family support on health behaviors was 49.0% (F=33.97, p<.001). Conclusion: Developing an effective program to improving medication status, depression, and family support is recommended for the enhancement of their health behaviors and ultimately for their recovery and well-being.
참고문헌 (30)
- "Statistics of the elderly in 2017" (2017)[URL]
- -V1.1C,
- 이한올, "급성 심근경색증 환자에서 일차적 관상동맥 중재술 후 장기적 임상 경과-65세를 기준으로", 한국콘텐츠학회 논문지, 14(5), pp.251~261 (2014), 한국콘텐츠학회[DOI]
- 최명자, "추적 관상동맥조영술을 받은 급성관동맥증후군 환자의 재협착 유무와 자가관리 이행", Korean Journal of Health Promotion, 11(1), pp.34~41 (2011), 대한임상건강증진학회
- Claudia Bambs, "Low Prevalence of “Ideal Cardiovascular Health” in a Community-Based Population", Circulation, 123(8), pp.850~857 (2011), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Lee YJ, "The self-care of the elderly", Journal of Korean Academy of Nursing, 28(5), pp.13~17 (1989)
- Damrosch S, "General strategies for motivating people to change their behavior", Nursing Clinics of North America, 26(4), pp.833~843 (1991)
- Kim NJ, "A study on the relation of health concern, health behavior, and subjective health status between the aged and the preliminary aged group", Korean Journal of Health Education and Promotion, 17(2), pp.99~110 (2000)
- Moon JS, "The knowledge and learning needs of the patients with the first onset myocardial infarction", Journal of Korean Public Health Nursing, 15(2), pp.275~284 (2001)
- Sylvie Cossette, "Randomized Controlled Trial of Tailored Nursing Interventions to Improve Cardiac Rehabilitation Enrollment", Nursing Research, 61(2), pp.111~120 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Song MS, "The characteristics of depressive symptoms among the elderly in a rural area", Ajou Medical Journal, 2(2), pp.188~197 (1997)
- Laura K. Kent, "Depression and Related Psychological Factors in Heart Disease", Harvard Review of Psychiatry, 17(6), pp.377~388 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Hyun Ja Lim, "Pain, Family Support and Quality of Lefe in Patients with Ankylosing Spondylitis", Journal of Korean Academy of Nursing, 28(2), pp.329~343 (1998), Korean Society of Nursing Science (KAMJE)[DOI]
- Rick S. Zimmerman, "Health Promotion in Context: The Effects of Significant Others on Health Behavior Change", Health Education Quarterly, 16(1), pp.57~75 (2016), SAGE Publications[DOI]
- 곽오계, "남성노인의 일상생활 수행능력과 자기효능감 및 양생행위", 지역사회간호학회지, 24(1), pp.11~19 (2013), 한국지역사회간호학회[DOI]
- 이영휘, "관상동맥질환자의 건강행위이행에 영향을 미치는 요인: 건강신념 변수를 중심으로", Journal of Korean Academy of Nursing, 32(1), pp.40~49 (2002), 한국간호과학회
- Kim NH, "Study on coronary artery restenosis, knowledge related-disease and compliance in the patients received follow-up coronary angiogram after coronary intervention", Chonnam Journal of Nursing Science, 14(1), pp.91~108 (2009)
- Jerome A. Yesavage, "Development and validation of a geriatric depression screening scale: A preliminary report", Journal of Psychiatric Research, 17(1), pp.37~49 (1982), Elsevier BV[DOI]
- Jung IK, "A study of standardization of Korean form of geriatric depression scale(KGDS)", Journal of Korean Geriatric Psychiatry, 1(1), pp.61~72 (1997)
- Oh SE, "The relationship of health behavior compliance and family support in coronary artery disease patie", master's, pp.2001
- Walker SN, "The health-promoting lifestyle profile : development and psychometric characteristics", Nursing Research, 36(2), pp.76~81 (1987)
- Song RY, "Psychometric test of motivation scale to predict health behaviors of older adults", Journal of Soonchunhyang Medical Science, 10(1), pp.283~289 (2004)
- 정은선, "관상동맥 협착질환자의 재발유무에 따른 건강신념과 건강행위 이행", 석사, 간호학, pp.2007
- 최옥자, "지지간호가 관상동맥조영술을 받은 관상동맥질환자의 질병관련 지식과 환자역할행위 이행에 미치는 효과", 성인간호학회지, 19(5), pp.729~738 (2007), 한국성인간호학회
- 강진영, "운동 빈도에 따른 노인의 주관적 건강인식과 우울증의 차이", Korean Journal of Health Promotion, 9(2), pp.114~121 (2009), 대한임상건강증진학회
- 김경림, "관상동맥중재술 후 가족지지와 건강행위 이행에 따른 재협착 여부", 석사, 간호과학, pp.2009
- 김정선, "재가 여성노인의 약물 얽매임 경험", Journal of Korean Academy of Nursing, 36(8), pp.1215~1223 (2006), 한국간호과학회
- Jung HS, "Anxiety, depression and health behavior of elderly with chronic diseases", Health & Nursing, 25(2), pp.35~46 (2013)
- Bernice Ruo, "Depressive Symptoms and Health-Related Quality of Life", JAMA, 290(2), pp.215~221 (2003), American Medical Association (AMA)[DOI]
- 신경민, "노인 심부전 환자의 건강 문해력에 따른 심부전 지식과 자가 간호", 임상간호연구, 22(1), pp.28~37 (2016), 병원간호사회