관상동맥중재술 환자의 지지교육이 삶의 질에 미치는 영향
The effect of supportive education on quality of life in patients after percutaneous coronary intervention
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본 연구는 관상동맥중재술 후에 이전에 심장재활프로그램에 참여하지 않았던 환자들로 지지교육을 제공한 후 육체적, 심리적 상태에 대한 삶의 질에 미치는 영향을 조사하기 위해 실시되었다. 본 연구는 비동등성대조군 전후설계로 49명의 관상동맥중재술 후 환자를 대상으로 2014년 8월에서 12월까지 실시하였다. 실험군 (n=25)은 지지교육 프로그램(자가간호 관리 책자와 퇴원 후 병원 외래에서와 전화로 8번의 지지교육)을 실시하였다. 대조군 (n=24)은 기존에 사용하던 퇴원 교육을 받았다. 통계분석은 SPSS/ WIN 22.0 프로그램으로 기술통계와 χ2- test, ANCOVA를 이용하였다. 일대일 지지교육을 받은 실험군은 받지 않은 대조군보다 전체적인 삶의 질에서 유의한 차이가 있었고(F=25.45, p＜.001), 하위 영역 중 기능수준 점수(F=19.61, p＜.001)와 전반적 건강(F=10.59, p＜.001)에서 유의한 차이가 있었으나 안녕 수준(F=.69, p=.505)에서는 유의미하지 않았다. 본 연구의 관상동맥중재술 환자의 지지교육은 대상자의 삶의 질 향상에 기여 할 수 있는 효과적인 간호중재임이 확인되었다.
Abstract
This study was conducted to examine the effects of supportive education on physical, psychological status and quality of life in the patients after percutaneous coronary intervention who had not participated previously in cardiac rehabilitation program. This study was used a non-equivalent control pre-post design, conducted on 49 patients after percutaneous coronary intervention. The experimental group (n=25) received the supportive educational program (self-care management through the booklet respectively and 8 times after discharge through outpatient visits or telephone contact). The control group (n=24) received a traditional discharge education. Data were analyzed by means of descriptive statistics, χ2- test and ANCOVA using the SPSS/ WIN 22.0 program. Quality of life of the experimental group provided with supportive education was significantly higher than that of the control group (F=25.45, p＜.001) and functional status between two groups was also significantly different (F=19.61, p＜.001). Supportive education must be the effective nursing intervention enhancing quality of life of coronary artery disease patient.
참고문헌 (25)
- "Annual report on the cause of death statistics" (2013)[URL]
- A. Odell, "Restenosisafterpercutaneous coronary intervention: experiences from the patient’s perspective", European Journal of Cardiovascular Nursing, 5, pp.150~157 (2006)
- 윤현주, "급성 심근경색증 환자의 입원 중 합병증과 1년간 임상경과의 예측인자", 대한내과학회지, 77(6), pp.723~733 (2009), 대한내과학회
- World Health Organization Quality of Life SRPD Group, "A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life", Social Science Medicine, 62, pp.1486~1497 (2007)
- American Heart Association, "2007 Performance measureson cardiac rehabilitation for referred to and delivery ofcardiac rehabilitation", secondary prevention service, 2007, pp.116, 1611~1642
- P. Johansson, "Global perceived health and ten‐year cardiovascular mortality in elderly primary care patients with possible heart failure", European journal of heart failure, 10(10), pp.1040~1047 (2008)
- S. Hӧfer, "Determinants of health-related quality of life in patientswith coronary artery disease", European Journal of Cardiovascular Prevention and Rehabilitation, 13, pp.398~406 (2006)
- 이은현, "만성 심혈관질환자의 삶의 질 의미", 성인간호학회지, 19(1), pp.12~23 (2007), 한국성인간호학회
- A. D. Auerbach, "Shop for quality or Volume, quality, and outcomes of coronary artery bypass surgery", Annals of International Mesicine, 150(10), pp.696~704 (2009)
- H. Tung, "Gender differences in quality of life for post coronary artery bypass grafting patient in taiwan", Journal of Nursing Research (Taiwan Nurses Association), 15(4), pp.275~284 (2007)
- H. S. Jeong, "Disease-related Knowledge Level and Compliance of Health Behavior in Patients with Myocardial Infarction According to the Atherosclerotic Risk Factors", Korean Journal of Adult Nursing Research, 13(4), pp.529~238 (2001)
- 이영휘, "관상동맥질환자의 건강행위이행에 영향을 미치는 요인: 건강신념 변수를 중심으로", Journal of Korean Academy of Nursing, 32(1), pp.40~49 (2002), 한국간호과학회
- 조원정, "사회적 지지와 우울정도가 관상동맥중재술을 받은 노인의 자가간호 이행에 미치는 영향", 노인간호학회지, 12(2), pp.119~130 (2010), 노인간호학회
- M. J. Kim, "Effects of the supportive program on the chronic arthritis patients", The Journal of Korea Community Health Nursing Academic Society, 14(2), pp.203~215 (2000)
- 전현례, "심장판막수술 후 프로트롬빈 INR 모니터링형 자가관리프로그램 개발 및 적용", Journal of Korean Academy of Nursing, 45(4), pp.554~564 (2015), 한국간호과학회
- J. E. Ware, "How to Score Version 2 of the SF-36 Health Survey" (2000), QualityMetric, Inc
- S. Y. Lee, "Reliability and Validity of the Korean Version Shortened Type 36Health Questionnaire", Fall Conference of Korean Neuropsychiatric Association (2001), Korean Neuropsychiatric Association
- E. O. Lee, "Nursing research and statistical analysis" (2009), Soomoonsa
- J. A. Ahn, "Effects of a comprehensive cardiac rehabilitation program in patients with coronary heart disease in Korea", Nursing & health sciences, 16(4), pp.476~482 (2014)
- 손연정, "관상동맥중재술후심질환재발방지를위한통합적증상관리프로그램의개발및효과검증", Journal of Korean Academy of Nursing, 38(2), pp.217~228 (2008), 한국간호과학회
- 원미화, "교육상담 기반 심장재활 프로그램이 노인 관상동맥질환자의 심혈관 위험도, 건강행위 및 삶의 질에 미치는 효과", 한국콘텐츠학회 논문지, 15(6), pp.303~313 (2015), 한국콘텐츠학회[DOI]
- J. S. Jeong, "A study on social support and quality of life in patients underwent coronary artery bypass graft surgery", master, pp.2007
- J. Frattaroli, "Angina pectoris and atherosclerotic risk factors in the multi-site cardiac lifestyle intervention program", The American Journal of Cardiology, 101(7), pp.911~918 (2008)
- S. Barnason, "Impact of a home communication intervention for coronary artery bypass graft patients with ischemic heart failure on self-efficacy, coronary disease risk factor modification, and functioning", Heart & Lung, The Journal of Acute and Critical Care, 32(3), pp.147~158 (2003)
- C. R. Pischke, "Comparison of coronary risk factors and quality of life in coronary artery disease patients with versus without diabetes mellitus", The American Journal of Cardiology, 97(9), pp.1267~1273 (2006)