DOI QR코드

DOI QR Code

Influence of Health Empowerment, Spousal Support, and Post-traumatic Growth on Health Behavior in Patients with Coronary Artery Disease

관상동맥질환자의 건강 임파워먼트, 배우자지지, 외상 후 성장이 건강증진행위에 미치는 영향

  • 정은 (전남과학대학교 간호학과) ;
  • 이경심 (전남과학대학교 간호학과) ;
  • 양승경 (경남대학교 간호학과) ;
  • 조장현 (성가롤로병원 순환기내과)
  • Received : 2022.03.17
  • Accepted : 2022.05.16
  • Published : 2022.05.31

Abstract

Purpose: The purpose of this study was to identify influence of health behavior in patients with coronary artery disease. Methods: A cross-sectional descriptive design included 150 patients treated with percutaneous coronary intervention in S hospital in S city. Data were collected by using self-questionnaires July 5-August 26, 2021 and were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression with SPSS 23.0. Results: Factors significantly influencing health behavior in patients with coronary artery disease were health empowerment (β = .48, p< .001), and post-traumatic growth (β = .20, p= .013). The explanatory power of related variables was 39%. Conclusion: Based on the this study, it was found that health empowerment and post-traumatic growth had a significant effect on the health behavior of patients with coronary artery disease. Thus, it is necessary to promote the health behavior of patients with coronary artery disease through the development of intervention programs to improve health empowerment and post-traumatic growth.

Keywords

References

  1. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart disease and stroke statistics-2018 update: a report from the American Heart Association. Circulation. 2018;137(12):e67-e492. https://doi.org/10.1161/CIR.0000000000000558
  2. World Health Organization. Global health estimates 2019 [Internet]. Geneva: World Health Organization; 2020 [citied 2022 March 14]. Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates
  3. Statistics Korea. Cause of death statistics in 2020 [Internet]. Daejeon. Statistics Korea; 2020 [citied 2022 March 14]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=403046&pageNo=1&rowNum=10&amSeq=&sTarget=title&sTxt=%EC%82%AC%EB%A7%9D%EC%9B%90%EC%9D%B8
  4. National Heart, Lung and Blood Institute. Coronary heart disease [Internet]. Bethesda: National Heart, Lung and Blood Institute; 2022 [citied 2022 March 20]. Available from: https://www.nhlbi.nih.gov/health-topics/coronary-heartdisease
  5. Jokela M, Pulkki-Raback L, Elovainio M, Kivimaki M. Personality traits as risk factors for stroke and coronary heart disease mortality: pooled analysis of three cohort studies. Journal of Behavioral Medicine. 2014;37:881-889. https://doi.org/10.1007/s10865-013-9548-z
  6. Kim HR. Relationship between uncertainty, sick role behaviors, and quality of life of rehospitalized patients underwent percutaneous coronary intervention. Journal of Korean Clinical Nursing Research. 2014;20(3):279-289. https://doi.org/10.22650/JKCNR.2014.20.3.279
  7. Kim JH, Chae SC, Oh DJ, Kim HS, Kim YJ, Ahn Y, et al. Multicenter cohort study of acute myocardial infarction in Korea - interim analysis of the Korea acute myocardial infarction registry-national institutes of health registry-. Circulation Journal, 2016;80(6):1427-1436. https://doi.org/10.1253/circj.CJ-16-0061
  8. Jang JS, Han KR, Moon KW, Jeon DW, Shin DH, Kim JS, et al. The current status of percutaneous coronary intervention in Korea: based on year 2014 cohort of Korean percutaneous coronary intervention (K-PCI) registry. Korean Circulation Journal. 2017;47(3):328-340. https://doi.org/10.4070/kcj.2017.0071
  9. Buccheri D, Piraino D, Andolina G, Cortese B. Understanding and managing in-stent restenosis: a review of clinical data, from pathogenesis to treatment. Journal of Thoracic Disease. 2016;8(10):e1150-e1162. https://doi.org/10.21037/jtd.2016.10.93
  10. Kwok CS, Narain A, Pacha HM, Lo TS, Holroyd EW, Alraies MC, et al. Readmissions to hospital after percutaneous coronary intervention: a systematic review and meta-analysis of factors associated with readmissions. Cardiovascular Revascularization Medicine. 2020;21(3):375-339. https://doi.org/10.1016/j.carrev.2019.05.016
  11. Omstedt A, Hoijer J, Djarv T, Svensson P. Hypertension predicts major adverse cardiac events after discharge from the emergency department with unspecified chest pain. European Heart Journal: Acute Cardiovascular Care. 2016;5(5):441-448. https://doi.org/10.1177/2048872615626654
  12. American Heart Association. Heart attack and stroke symptoms [Internet]. Dallas: American Heart Association; 2015 [citied 2022 March 14]. Available from: https://www.heart.org/en/health-topics/heart-attack/life-after-a-heartattack/lifestyle-changes-for-heart-attack-prevention
  13. Funnell MM, Anderson RM. Patient empowerment: a look back, a look ahead. The Diabetes Educator. 2003;29(3):454-464. https://doi.org/10.1177/014572170302900310
  14. Shearer NBC, Fleury JD, Belyea M. Randomized control trial of the health empowerment intervention: feasibility and impact. Nursing Research. 2010;59(3):203-211. https://doi.org/10.1097/NNR.0b013e3181dbbd4a
  15. Ko MS, Kang KJ. Influence of health literacy and health empowerment on health behavior practice in elderly outpatients with coronary artery disease. Journal of Korean Clinical Nursing Research. 2018;24(3):293-302. http://dx.doi.org/10.22650/JKCNR.2018.24.3.293
  16. Jung MR, Jeong E, Cho JH, Lee KS. Effect of health empowerment and health behavior compliance on quality of life in patients with coronary artery disease. Journal of Convergence for Information Technology. 2021;11(2):73-81. https://doi.org/10.22156/CS4SMB.2021.11.02.073
  17. Shin NY, Kang YH. The relationships among health locus of control and resilience, social support and health promoting behavior in patients with newly diagnosed coronary artery diseases. Korean Journal of Adult Nursing. 2015;27 (3):294-303. https://doi.org/10.7475/kjan.2015.27.3.294
  18. Hwang HJ, Lee EN. Effects of spousal support and self-efficacy on adherent behavior among patients with percutaneous coronary intervention. Journal of Korean Critical Care Nursing. 2012;5(1):34-43.
  19. Lee KS, Sung KM. Factors influencing health behavior adherence in middle and old aged men who underwent percutaneous coronary intervention. The Korean Journal of Rehabilitation Nursing. 2019;22(2):87-94. https://doi.org/10.7587/kjrehn.2019.87
  20. Lee S. The relationship between middle-aged marital communication and selfidentity: based on the actor-partner interdependence model. The Korean Association of Speech Communication. 2021;51:95-131. https://doi.org/10.18625/jsc.2021..51.95
  21. Jeon HW, Chang HK. Analysis of psychosocial factors affecting health behavior adherence among community-dwelling older adults undergoing percutaneous coronary intervention. The Journal of the Convergence on Culture Technology. 2020;6(4):231-244. https://doi.org/10.17703/JCCT.2020.6.4.231
  22. Edmondson D, Richardson S, Falzon L, Davidson KW, Mills MA, Neria Y. Posttraumatic stress disorder prevalence and risk of recurrence in acute coronary syndrome patients: a meta-analytic review. Plos One. 2012;7(6):e38915. https://doi.org/10.1371/journal.pone.0038915
  23. Jo HS, Kim KJ. The effects of a cardiac rehabilitation program on health behavior compliance, cardiovascular function, and quality of life for the patients with ischemic heart disease. Journal of Korean Academy of Nursing. 2000;30(3):560-570. https://doi.org/10.4040/jkan.2000.30.3.560
  24. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-471. https://doi.org/10.1002/jts.2490090305
  25. Jang SH, Lee HR, Yeu HN, Choi SO. The effects of posttraumatic growth and meaning in life on health promotion behavior in cancer patients. Asian Oncology Nursing. 2014;14(2):100-108. https://doi.org/10.5388/aon.2014.14.2.100
  26. World Health Organization Western Pacific Region. The Asia-Pacific perspective: redefining obesity and its treatment. Report. Sydney: Health Communications (Australia), World Health Organization Western Pacific Regional Office; 2000 Feb. https://apps.who.int/iris/handle/10665/206936
  27. Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DES-SF). Diabetes Care. 2003;26(5):1641-1642. https://doi.org/10.2337/diacare.26.5.1641-a
  28. Park CR, Park YH. Validity and reliability of Korean version of health empowerment scale (K-HES) for older adults. Asian Journal of Nursing. 2013;7(3):142-148. https://doi.org/10.1016/j.anr.2013.07.004
  29. Park JW. Development of the measuring scale of social support [dissertation]. Seoul: Yonsei University; 1985. p. 105-113.
  30. Jang CM. The effects of stress on marital satisfaction [dissertation]. Seoul: Seoul Women's University; 2001. p. 34-36.
  31. Kim SY, Seo YS. The relationships between stress, perceived marital support, and marital satisfaction: testing actor and partner effects of stress and perceived marital Support. The Korean Journal of Woman Psychology. 2010;15(2):189-213. http://dx.doi.org/10.18205/kpa.2010.15.2.002
  32. Song SH. Lee HS, Park JH, Kim KH. Validity and reliability of the Korean version of the posttraumatic growth inventory. Korean Journal of Health Psychology. 2009;14(1):193-214. http://dx.doi.org/10.17315/kjhp.2009.14.1.012
  33. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nursing Research. 1987;36(2):76-81. http://dx.doi.org/10.1097/00006199-198703000-00002
  34. Song R, June KJ, Ro YJ, Kim CG. Effects of motivation-enhancing program on health behaviors, cardiovascular risk factors, and functional status for institutionalized elderly women. Journal of Korean Academy of Nursing. 2001;31(5):858-870. https://doi.org/10.4040/jkan.2001.31.5.858
  35. Kim JY. Convergence review of factors related to empowerment of patients with chronic diseases in Korea. Journal of the Korea Convergence Society. 2020;11(8):381-390. http://dx.doi.org/10.15207/JKCS.2020.11.8.381
  36. Park C, Song M, Cho B, Lim J, Song W, Chang HK, et al. Effects of a multi-disciplinary approached, empowerment theory based self-management intervention in older adults with chronic illness. Journal of Korean Academy of Nursing. 2015;45(2):192-210. http://dx.doi.org/10.4040/jkan.2015.45.2.192
  37. Son HJ. Health empowerment of old adults with high risk diseases of cardio-cerebrovascular system [master's thesis]. Seoul: Yonsei University; 2016. p. 32
  38. Leung YW, Alter DA, Prior PL, Stewart DE, Irvine J, Grace SL. Posttraumatic growth in coronary artery disease outpatients: relationship to degree of trauma and health service use. Journal of Psychosomatic Research. 2012;72(4):293-299. https://doi.org/10.1016/j.jpsychores.2011.12.011
  39. Rahimi R, Heidarzadeh M, Shoaee R. The relationship between posttraumatic growth and social support in patients with myocardial infarction. Canadian Journal of Cardiovascular Nursing. 2016;26(2):19-24.
  40. Park JS, Kim YJ, Ryu YS, Park MH. Factors influencing posttraumatic growth in cancer survivors. Asian Oncology Nursing. 2018;18(1):30-39. https://doi.org/10.5388/aon.2018.18.1.30