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Uncertainty, Self-care Agency and Physiological Index in Acute Myocardial Infarction Patients who Underwent Primary Percutaneous Coronary Intervention
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 Title & Authors
Uncertainty, Self-care Agency and Physiological Index in Acute Myocardial Infarction Patients who Underwent Primary Percutaneous Coronary Intervention
Cho, Sook-Hee; Jeon, Gyeong-Suk;
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Objectives : The aim of this study was to investigate the relationship among uncertainty, self-care agency and physiological index in acute myocardial infarction (AMI) patients who underwent primary percutaneous coronary intervention. Methods : A total of 196 patients who were admitted C National University Hospital from Oct 2014 to Jun 2015 participated in the study. Data were collected with a questionnaire, and the blood pressure, HgA1C, and lipid profile levels of the patients were acquired. Results : The mean age was 69.2 () years, and 74 % of the patients were men. The mean score for uncertainty in illness was 48.7 (). The mean score for self-care agency was 73.3 (). Self-care agency showed a negative correlation with uncertainty (r=-.579, p<.001), age (r=-.732, p<.001), systolic blood pressure (r=-.265, p=.001) and HgA1C (r=-.293, p<.001). Conclusions : The results of this study can be used to develop a nursing program that prevents AMI and to improve the clinical prognosis of AMI patients.
Myocardial Infarction;Uncertainty;Self-Care Agency;Blood Chemical Analysis;
 Cited by
뇌졸중 환자의 불확실성, 생리적 위험지표, 자기효능감이 자기관리에 미치는 영향,조숙희;윤경순;

Journal of muscle and joint health, 2016. vol.23. 2, pp.114-124 crossref(new window)
Influence of Uncertainty, Physiologic Risk Factors, Self-efficacy on Self-management in Stroke Patients, Journal of muscle and joint health, 2016, 23, 2, 114  crossref(new windwow)
Statistics Korea(2014), The leading causes of death 2013, Daejeon: Statistics Korea;

W.R. Lee, J.D. Seo(2007), Clinical cardiology (2nd ed.), Korea Medical Book, pp.679-713.

D.G. Kang(2008), Clinical effects of hypertension of the mortality of patients with acute myocardial infarction, Chonnam University Doctor's Thesis, pp.9-14.

E.H. Bee, S.Y. Lim, M.H. Jeoung, H.W. Park, J.H. Lim, Y.J. Hong, W. Kim, J.H. Kim, J.G. Cho, Y.K. Ahn, J.C. Park, S.P. Suh, B.H. Ahn, S.H. Kim, J.C. Kang(2005), Long-term predictive factors of major adverse cardiac events in patients with myocardial infarction complicated by cardiogenic shock, Korean Journal of Internal Medicine, Vol.20(1);8-14. crossref(new window)

N.S. Shah, M.D. Huffman, H. Ning, D.M. Lloyd-Jones(2015), Trends in myocardial infarction secondary prevention: The National Health and Nutrition Examination Surveys (NHANES), 1999-2012, Journal of American Heart Association, Vol.4(4);e001709. crossref(new window)

H.S. Oh(2001), Theory construction in nursing of uncertainty, Korean Journal of Adult Nursing, Vol.13(2);200-208.

J. Penrod(2007), Living with uncertainty: concept advancement, Journal of Advanced Nursing, Vol.57(6);658-667. crossref(new window)

H.S. Jo(1998), The effect of the team-based cardiac rehabilitation program on the health behavior performance, anxiety, and quality of life in the group of ischemic heart disease with PTCA, Korean Journal of Rehabilitation Nursing, Vol.1(1);83-92.

J.A. Eastwood, L. Doering, J. Roper, R.D. Hays(2008), Uncertainty and health-related quality of life 1year after coronary angiography, American Journal of Critical Care, Vol.17(3);232-242.

D.E. Orem(2001), Nursing concepts of practice(6th ed.), Mosby, Inc. p.85.

M.H. Mishel(1998), Uncertainty in illness, Journal of Nursing Scholarship, Vol.20(4);225-232.

J.S. Jun(2005), The effect of telephone counselling program upon the uncertainty of the patients, the level of self-efficiency and self-care ability in CABG surgery patients, Younsei University Master's Thesis, pp.1-62.

A.Y. Shin(2011), A study on self-care agency, self-care behavior, and health state in recovering patients discharged from hospital after CABG, Korea University Master's Thesis, pp.1-48.

G.Y. Choi, E.S. Hong(2008), Comparison of presentation in acute myocardial infarction by gender, Korean Journal of Adult Nursing, Vol.20(1);126-134.

World Health Organization(2005), Preventing chronic diseases: A vital investment. WHO Global Report. Geneva; World Health Organization, p.200.

Health Insurance Review & Assessment Service(2012), Disclosure of cardiocerebrovascular disease evaluation results [Internet], Seoul: Author; 2012 [cited 2013 May 15], Available from:

Y.S. Mun(2012), The correlation among uncertainty, self care agency and quality of life in elderly patients underwent percutaneous coronary intervention, Pusan Catholic University Master's Thesis, pp.1-55.

H.R. Kim(2014), Relationship between uncertainty, sick role behaviors, and quality of life of rehospitalized patients underwent percutaneous coronary intervention, Journal of Korean Clinical Nursing Research, Vol.20(3);279-289.

M.H.L Van der Wal, T. Jaarsma(2008), Adherence in heart failure in the elderly: Problem and possible solutions, International Journal of Cardiology, Vol.125(2);203-208. crossref(new window)

S.E. Capes, D. Hunt, K. Malmberg, H.C. Gerstein(2000), Stress hyperglycemia and increased risk factor of death after myocardial infarction in patients with and without diabetes: a systematic overview, Lancet, Vol.355(9206);773-778. crossref(new window)

E.J. Kim, O.J. Park, M.H. Jeong, Y.K. Ahn, J.H. Kim, S.C. Chae, T.J. Hong, I.W. Seong, J.K. Chae, C.J. Kim, M.C. Cho, K.B. Seung, S.J. Park, Other Korea Acute Myocardial Infarction Registry (KAMIR) Investigators(2010), Admission glucose is a useful prognostic factor in patients with acute myocardial infarction, Korean Journal of Internal Medicine, Vol.79(1);23-31.

L.G. Mellbin, K. Malmberg, A. Norhammar, H. Wedel, L. Ryden; DIGAMI 2 Investigators(2008), The impact of glucose lowering treatment on long-term prognosis in patients with type 2 diabetes and myocardial infarction: a report from the DIGAMI 2 trial. European Heart Journal, Vol.29;166-176.

M.Y. Choi, M.H. Jung, S.Y. Hwang(2011), Restenosis and compliance with self-care among acute coronary syndrome patients undergoing follow-up angiograms, Korean Journal of Health Promotion, Vol.11(1);34-41.

Y.H. Jang, H.S. Oh, G.S. Jang(2012), Self-care behaviors and physiological index according to cognitive function of hemodialysis patients, Korean Journal of Health Service Management, Vol.6(2);57-69. crossref(new window)