성인간호학회지 (Korean Journal of Adult Nursing)

  • 제27권1호
  • /
  • Pages.83-93
  • /
  • 2015
  • /
  • 1225-4886(pISSN)
  • /
  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지
DOI QR코드

DOI QR Code

급성심근경색증 환자의 증상 인지와 건강행위 이행이 내원시간에 미치는 영향

Effects of Symptom Recognition and Health Behavior Compliance on Hospital Arrival Time in Patients with Acute Myocardial Infarction

  • 한은주 (전남대학교병원 권역심뇌혈관질환센터) ;
  • 김정선 (전남대학교 간호대학)
  • Han, Eun Ju (Regional Cardiocerebrovascular Center, Chonnam National University Hospital) ;
  • Kim, Jeong Sun (College of Nursing, Chonnam National University)
  • 투고 : 2014.11.24
  • 심사 : 2015.02.10
  • 발행 : 2015.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI). Methods: The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests. Results: Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients. Conclusion: To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated.

키워드

참고문헌

  1. Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD. Third universal definition of myocardial infarction. Circulation. 2012;126:2020-35. http://dx.doi.org/10.1161/CIR.0b013e31826e1058
  2. Statistics Korea. 2013 Annual report on the cause of death statistics [Internet]. Seoul: Statistics Korea; 2014 [cited 2014 September 23]. Available from: http//kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=330181.
  3. Le May MR, Davies RF, Dionne R, Maloney J, Trickett J, So D, et al. Comparison of early mortality of paramedic-diagnosed ST-segment elevation myocardial infarction with immediate transport to a designated primary percutaneous coronary intervention center to that of similar patients transported to the nearest hospital. The American Journal of Cardiology. 2006;98:1329-33. http://dx.doi.org/10.1016/j.amjcard.2006.06.019
  4. Kim JA, Jeong JO, Ann KT, Park HS, Jang WI, Kim MS, et al. Causative factors for time delays in patients with acute STsegment elevation myocardial infarction undergoing primary percutaneous coronary intervention. The Korean Journal of Medicine. 2010;78(5):586-94.
  5. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2011 ACCF/AHA/SCAI Guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines and the society for cardiovascular angiography and interventions. Circulation. 2011;124: e574-e651. http://dx.doi.org/10.1161/CIR.0b013e31823ba622
  6. Korean Health Insurance Review & Assessment Service. 2013 Evaluation result of acute myocardial infarction [Internet]. Seoul: Korean Health Insurance Review & Assessment Service; 2013. [cited 2013 December 12]. Available from: http://www.hia.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1322009_24959.html&subject
  7. Jeong JO. Editorial: Regional cardiocerebrovascular center project in the treatment of acute myocardial infarction. The Korean Journal of Medicine. 2013;85(3):272-4. http://dx.doi.org/10.3904/kjm.2013.85.3.272
  8. McKinley S, Dracup K, Moser DK, Ball C, Yamasaki K, Kim CJ, et al. International comparison of factors associated with delay in presentation for AMI treatment. European Journal of Cardiovascular Nursing. 2004;3(3):225-30. http://dx.doi.org/10.1016/j.ejcnurse.2004.06.004
  9. Jeong MH. Editorial: Can time delay be shortened in the treatment of acute myocardial infarction?-experience from Korea acute myocardial infarction registry. The Korean Journal of Medicine. 2010;78(5):582-5.
  10. DeVon HA, Ryan CJ. Chest pain and associated symptoms of acute coronary syndromes. The Journal of Cardiovascular Nursing. 2005;20(4):232-8. http://dx.doi.org/10.1097/00005082-200507000-00006
  11. Ledwich JR, Mondragon GA. Chest pain duration in myocardial infarction. The Journal of the American Medical Association. 1980;244(19):2172-4. http://dx.doi.org/10.1001/jama.1980.03310190024015
  12. Kim KL. Restenosis according to family support and compliance of health behavior after a coronary intervention. [master's thesis]. Seoul: Ewha Womans University; 2009. p. 31-2.
  13. Chew CK, Jolly S, Rao-Melacini P, Fox KAA, Anand SS, Yusuf S. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation. 2010;121:750-8. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.891523
  14. Lee SO, Oh SE, Jeong MH, Kim HK, Jeon HJ, Choi YJ, et al. Clinical impact of symptom to door time on 1-year mortality in patients with non-ST segment elevation acute myocardial infarction. The Korean Journal of Medicine. 2010;78(6):717-24.
  15. McKee G, Mooney M, O'Donnell S, O'Brien F, Biddle MJ, Moser DK. Multivariate analysis of predictors of pre-hospital delay in acute coronary syndrome. International Journal of Cardiology. 2013;168(3):2706-13. http://dx.doi.org/10.1016/j.ijcard.2013.03.022
  16. Armstrong PW, Westerhout CM, Welsh RC. Duration of symptoms is the key modulator of the choice of reperfusion for STelevation myocardial infarction. Circulation. 2009;119:1293-303. http://dx.doi.org/10.1161/CIRCULATIONAHA.108.796383
  17. Hwang SY, Kweon YR, Kim AL. Perceptions of barriers to cardiovascular risk factors and decision to seek treatment among middle-aged men with acute myocardial infarction. The Journal of Korean Academic Society of Adult Nursing. 2010;22(5):537-51.
  18. Centers for Disease Control and Prevention USA. 2009 Behavioral risk factor surveillance system questionnaire [Internet]. Atlanta: 2008 [cited 2008 December 30]. Available from: http://www.cdc.gov/brfss/annual_data/pdf-ques/2009brfss.pdfCenters
  19. Regional Cardio-Cerebro-Vascular Center. Report of open survey about myocardial infarction and stroke 2012. Seoul, Korean Ministry of Health and Welfare, 2012.
  20. Choi YO. A comparison of factors influencing health behavior compliance by type D personality in the patients with coronary artery disease. [master's thesis]. Gwangju: Chonnam National University; 2013. p. 62-3.
  21. Kang KJ, Yu SJ. Health behavior and influencing factors in patients with coronary artery disease admitted to hospital. The Korean Journal of Fundamentals of Nursing. 2010;17(1):16-25.
  22. Kim KJ, Yi MS. A study of motivational factors and health behaviors in patients with coronary artery disease. Korean Academic Society of Rehabilitation Nursing. 2007;10(2):125-33.
  23. Ahn NY, Kim KJ. Effects of regular exercise on endothelial function in cardiovascular disease. The Korean Journal of Obesity. 2008;17(1):1-9.
  24. Ting HH, Chen AY, Roe MT, Chan PS, Spertus JA, Nallamothu BK, et al. Delay from symptom onset to hospital presentation for patients with non-ST-segment elevation myocardial infarction. Archives of International Medicine. 2010;170(20):1834-41. http://dx.doi.org/10.1001/archinternmed.2010.385
  25. Lee JH, Sohn JD, Kim SW, Chung TN, Park YS, Park YC. The effect of symptom recognition on pre-hospital delay in patients with acute coronary syndrome. The Korean Society of Emergency Medicine. 2010;21(1):9-18.
  26. Jung DH, Jeong MH, Kim KH, Lee WS, Lee KH, Yoon HJ, et al. Predictors of total occlusion of the infarct-related artery in patients with acute Non-ST elevation myocardial infarction. The Korean Journal of Medicine. 2008;74(3):271-80.
  27. DeVon HA, Penckofer S, Larimer K. The association of diabetes and older age with the absence of chest pain during acute coronary syndromes. Western Journal of Nursing Research. 2007;30(1):130-44. http://dx.doi.org/10.1177/0193945907310241

피인용 문헌

  1. Self-Care Performance of Middle-Aged Stroke Patients in Korea pp.1552-3799, 2017, https://doi.org/10.1177/1054773817740670
  2. 머신러닝을 이용한 급성심근경색증 환자의 퇴원 시 사망 중증도 보정 방법 개발에 대한 융복합 연구 vol.17, pp.2, 2015, https://doi.org/10.14400/jdc.2019.17.2.217
  3. Factors Affecting Health-Promoting Behaviors in Patients with Cardiovascular Disease vol.9, pp.1, 2015, https://doi.org/10.3390/healthcare9010060
  4. Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of Korean adults vol.43, pp.None, 2015, https://doi.org/10.4178/epih.e2021006
  5. The Effect of Residence in Underserved Emergency Medical Services Areas on Awareness of Myocardial Infarction Symptoms in Korea vol.46, pp.1, 2021, https://doi.org/10.21032/jhis.2021.46.1.8