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입원단계 심장재활 프로그램 참여가 관상동맥 우회 술환자의 재입원과 의료비용에 미치는 영향

The Effects of Inpatient Cardiac Rehabilitation Program onReadmission and Medical costs in Patients with CoronaryArtery Bypass Graft

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키워드

주제분류기타사회과학

초록

본 연구는 관상동맥 우회 술을 받은 환자의 입원 단계 심장재활 참여가 재입원 횟수, 기간, 의료비용에 미치는 영향을 규명하기 위해 설계되었다. 대상자들은 심장재활에 참여한 실험군 (n=60명)과 참여하지 않은 대조군(n=51명)으로 나뉘었으며 실험군은 입원단계 심장재활에 참여하여 수술 전, 후에 호흡 운동, 조기 보행, 계단 걷기 활동, 위험요인 관리 교육을 받았다. 그리고 두 군 모두 퇴원 후 2년 동안 실험군과 대조군의 재입원 횟수, 재입원 기간, 의료비용을 추적 조사하였다. 연구 결과 실험군에서 재입원 횟수, 재입원 기간, 의료비용이 유의하게 감소된 것으로 나타났다. 이를 바탕으로 임상에서 관상동맥 우회 술 환자에게 입원단계 심장재활이 재입원 횟수, 재입원 기간, 의료비용 감소를 위한 효과적인 중재 방법들 중 하나로 고려되어질 것으로 사료된다.

Abstract

The purpose of this study was to investigate the effect of inpatient cardiac rehabilitation(CR) program on the number of readmission, length of hospital stay and total medical costs. Subjects randomly assigned to Experimental group(CR, n=60) and control group(Non-CR, n=51). The inpatient CR program was included with breathing exercise, early gait, stair exercise and education about risk factor to preventing recurrent. And we follow up after discharged for 2 years. Our result demonstrated that the Experimental group effectively decreased number of readmission, length of hospital stay and medical cost(<0.05). These mean that Inpatient CR program considered as one of effective interventions to decrease the number of readmission, length of hospital stay and medical costs in patient with coronary artery bypass graft.

참고문헌 (25)

  1. 국민행위통계(Health Insurance Review & Assessment Service. national disease․behavior statistics), "국민건강심사평가원", ~ (2014)
  2. 김세윤, "심장재활 1단계 프로그램 참여가 관상동맥 우회수술 후 신체적 능력에 미치는 영향", 대한스포츠의학회지, 30(2), pp.85~91 (2012), 대한스포츠의학회[DOI]
  3. 김철, "관상동맥질환에서 운동능력 및 위험인자에 대한 심장재활의 효과", Annals of Rehabilitation Medicine, 30(1), pp.74~79 (2006), 대한재활의학회
  4. 김현진, "뇌졸중의 경제적 질병부담과 고혈압의 치료 지속성, 의료비용 및 건강결과에 관한 연구", 박사, 보건학협동과정 보건정책및병원관리학전공, pp.2013
  5. 이동진, "뇌졸중 후 우울 증상과 인지, 신체 기능 및 일상생활동작과의 관련성", 특수교육재활과학연구, 49(4), pp.159~178 (2010), 특수교육재활과학연구소
  6. 최명애, "입원기간 중 관상동맥 우회술 환자를 위한 심장재활 교육의 효과", Journal of korean biological nursing science, 10(1), pp.69~79 (2008), 기초간호학회
  7. Ades P. A., "Cardiac rehabilitation participation predicts lower rehospitalization cost", Am Heart J, 123, pp.916~921 (1992)
  8. Canyon S., "cardiac rehabilitation reducing hospital readmissions through community based programs", Australian Family Physician, 37(7), pp.575~577 (2008)
  9. Conn, Vicki S., "Cardiac rehabilitation program participation and outcomes after myocardial infarction", Rehabilitation Nursing, 17(2), pp.58~63 (1992)
  10. Edé ll-Gustafsson U. M., "Axiety, depression and sleep in male patients undergoing coronary artery bypass surgery", Scandinavian Journal CaringScience, 13(2), pp.137~143 (1999)
  11. Hansen D., "Reduction of cardiovascular event rate : different effects of cardiac rehabilitation in CABG and PCI patients", Acta Cardiol, 64(5), pp.639~644 (2009)
  12. Hartford K., "Randomized controlled trial of a telephone intervention by nurses to provide information and support to patients and their partners after elective coronary artery bypass graft surgery : effects of anxiety", Heart Lung, 31(3), pp.199~206 (2002)
  13. Haskell W. L., "Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project(SCRIP)", Circulation, 89(3), pp.975~990 (1994)
  14. Hedbä ck B., "Cardiac rehabilitation after coronary artery bypass surgery : 10-year results on mortality, morbidity and readmissions to hospita", Journal of cardiovascular risk, 8(3), pp.153~158 (2001)
  15. Huang Y., "Costs and effectiveness of cardiac rehabilitation for dialysis patients following coronary bypass", Kidney Int, 74(8), pp.1079~1084 (2008)
  16. Kim K. B., "Current trends of surgical treatment for coronary disease", Hanyang Journal Med, 26(2), pp.61~68 (2006)
  17. Krumholz H. M., "Randomized trial of an education and support intervention to prevent readmission of patients with heart failure", Journal of the American College of Cardiology, 39(1), pp.83~89 (1992)
  18. Marchionni N., "Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction results of a randomized, controlled trial", Circulation, 107(17), pp.2201~2206 (2003)
  19. Shin S. J., "A study on the gender difference of health status on the recovery state after CABG(coronary Artery Bypass Grafting)", Nurs science, 15(1), pp.1~8 (2003)
  20. Taylor R. S., "Mortality reductions in patients receiving exercise-based cardiac rehabilitation : how much can be attributed to cardiovascular risk factor improvements?", European Journal of Cardiovascular Prevention & Rehabilitation, 13(3), pp.369~374 (2006)
  21. Thomas R. J., "AACVPR", ACC, secondary prevention services endorsed by the American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association for Cardiovascular Prevention and Rehabilitation, Inter-American Heart Foundation, National Association of Clinical Nurse Specialists, Preventive Cardiovascular Nurses Association, and the Society of Thoracic Surgeon, pp.Journal of the American college of Cardiology, 2007[DOI]
  22. The top 10 causes of death, "WHO(World health organization)", ~ (2013)
  23. Wong E. L., "Unplanned readmission rates, length of hospital stay, mortality, and medical costs of ten common medical conditions : a retrospective analysis of Hong Kong hospital data", BMC health services research, 11(1), pp.149~156 (2011)
  24. Yates, Bernice C., "Outcomes of cardiac rehabilitation participants and nonparticipants in a rural area", Rehabilitation Nursing, 28(2), pp.57~63 (2003)
  25. Yusuf S., "Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration", Lancet, 344, pp.563~570 (1994)

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