초발 급성 심근경색증 환자의 불확실성과 자가간호 역량 및 생리적 지표

Cho, Sook-Hee;Jeon, Gyeong-Suk

  • 투고 : 2015.10.12
  • 심사 : 2015.12.11
  • 발행 : 2015.12.31


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 (${\pm}13.0$) years, and 74 % of the patients were men. The mean score for uncertainty in illness was 48.7 (${\pm}8.8$). The mean score for self-care agency was 73.3 (${\pm}13.4$). 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


  1. Statistics Korea(2014), The leading causes of death 2013, Daejeon: Statistics Korea;
  2. W.R. Lee, J.D. Seo(2007), Clinical cardiology (2nd ed.), Korea Medical Book, pp.679-713.
  3. 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.
  4. 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.
  5. 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.
  6. H.S. Oh(2001), Theory construction in nursing of uncertainty, Korean Journal of Adult Nursing, Vol.13(2);200-208.
  7. J. Penrod(2007), Living with uncertainty: concept advancement, Journal of Advanced Nursing, Vol.57(6);658-667.
  8. 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.
  9. 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.
  10. D.E. Orem(2001), Nursing concepts of practice(6th ed.), Mosby, Inc. p.85.
  11. M.H. Mishel(1998), Uncertainty in illness, Journal of Nursing Scholarship, Vol.20(4);225-232.
  12. 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.
  13. 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.
  14. 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.
  15. World Health Organization(2005), Preventing chronic diseases: A vital investment. WHO Global Report. Geneva; World Health Organization, p.200.
  16. Health Insurance Review & Assessment Service(2012), Disclosure of cardiocerebrovascular disease evaluation results [Internet], Seoul: Author; 2012 [cited 2013 May 15], Available from:
  17. 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.
  18. 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.
  19. 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.
  20. 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.
  21. 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.
  22. 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.
  23. 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.
  24. 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.

피인용 문헌

  1. Influence of Uncertainty, Physiologic Risk Factors, Self-efficacy on Self-management in Stroke Patients vol.23, pp.2, 2016,


연구 과제 주관 기관 : 국립목포대학교