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Effect of Individualized Education-counseling Program on Cardiovascular Risk and Health Behavior in Patients with Percutaneous Coronary Intervention

관상동맥중재술 후 개별화된 교육-상담 프로그램이 심혈관위험도 및 건강행위에 미치는 효과

  • Cho, Hwa Young (Professional Nursing Team, Bucheon St. Mary's Hospital, The Catholic University of Korea) ;
  • Woo, Soo Hee (Department of Nursing, Kyung-In Women's University)
  • 조화영 (가톨릭대학교 부천성모병원 전문진료지원팀) ;
  • 우수희 (경인여자대학교 간호학과)
  • Received : 2023.11.16
  • Accepted : 2023.12.09
  • Published : 2023.12.31

Abstract

Purpose: This study was to determine the effect of Individualized education-counseling program on the performance of Health behavior and Cardiovascular risk after discharge inpatients with percutaneous coronary intervention. Methods: This study is a quasi-experimental study of the non-equivalence control group and the subjects of this study were patients who underwent percutaneous coronary intervention for coronary artery disease and had no complications due to severe arrhythmia or heart failure. The purpose of the study was explained to the subjects who met the selection conditions, and written consent was obtained, and 50 randomized experimental groups and 50 control groups were selected and assigned. Results: Compared to the control group, health behaviors were significantly higher after 1 week (F=33.63, p<.001) and 12 weeks (F=23.63, p<.001). The cardiovascular risk score based on Framingham risk score differed significantly depending on the measurement period (F=26.18, p<.001), there was no significant difference in the interaction between the two groups and the measurement period (F=0.72, p=.469). Conclusion: It was confirmed that the Individualized education counseling program provided to patients with Percutaneous coronary intervention was effective in increasing the subject's health behavior, but not in lowering the cardiovascular risk.

Keywords

References

  1. Ann, S. H. (2013). The Effects of individualized cardiac rehabilitation education on knowledge, self-efficacy and health behavior of patients with percutaneous coronary intervention (PCI). Unpublished master's thesis, The Graduate school of Kyung-Hee University, Seoul.
  2. Baldacchino, D. (2011). Myocardial infarction: A turning point in meaning in life over time. British Journal of Nursing, 20(2), 107-114. https://doi.org/10.12968/bjon.2011.20.2.107
  3. Castelein, P., & Kerr, J. R. (1995). Satisfaction and cardiac lifestyle. Journal of Advanced Nursing, 21(3), 498-505. https://doi.org/10.1111/j.1365-2648.1995.tb02733.x
  4. Cho, H. Y., & Kim, H. S. (2010). Effects of individualized cardiac health education on self care behavior and serum cholesterol in patients with coronary artery disease. Korean Journal of Adult Nursing, 22(3), 322-328.
  5. Jang, Y. C., & Han, J. Y. (2021). cardiac rehabilitation in patients with ischemic heart disease. Annals of CardioPulmonary Rehabilitation, 1(1), 42-49. https://doi.org/10.53476/acpr.2021.1.1.42
  6. Jeon, H. R., & Park, J. S. (2007). A survey of knowledge of cardiac rehabilitation and the level of educational need of patients with coronary artery disease. Clinical Nursing Research, 13(1), 51-63.
  7. Jeong, H. S. (2002). Effects of a cardiac rehabilitation program on health behavior and physiologic parameters for myocardial infarction patients. Korean Journal of Adult Nursing, 14(4), 573-580.
  8. Jeong, M. H. (2004). Percutaneous coronary intervention for coronary artery disease. Journal of the Korean Medical Association, 47(8), 736-757. https://doi.org/10.5124/jkma.2004.47.8.736
  9. Jung, M. Y., Choi, H. R., & Ahn, J. M. (2020). The correlations between the number of cardiac rehabilitation program participation and its effects. Korean Journal of Family Practice, 2020, 10(6), 448-455. https://doi.org/10.21215/kjfp.2020.10.6.448
  10. Kang, K. J., Yoo, H. J., & Lee, H. J. ( 2010). A study on the difference of disease related knowledge level, compliance of health behavior, and educational needs according to time in percutaneous coronary intervention patients. Journal of Korean Academy of Adult Nursing, 22(2), 190-199.
  11. Kil, A. R., & Shin, Y. S. (2022). The influence of knowledge of coronary artery disease and self-efficacy on health behavior compliance among patients with coronary artery disease. Journal of Korean Academy of Fundamentals of Nursing, 29(1), 57-66.
  12. Kim, H. C. (2014). Cardiovascular risk assessment. Cardiovascular Update, 16(2), 8-11.
  13. Kim, I. S., Choi, N. G., Kong, C. G., Eun, S. J., & Han, J. B. (2019). Effect of simultaneous use of platelet glycoprotein IIb / IIIa receptor blocker and thrombus aspiration in patients with coronary artery stent thrombosis. Journal of the Korean Society of Radiology, 13(3), 359-369. https://doi.org/10.7742/jksr.2019.13.3.359
  14. Kim, K. J., & Yi, M. S. (2007). A study of motivational factors and health behaviors in patients with coronary artery disease. Korean Academic Society of Rehabiltaion Nursing, 10(2), 125-133.
  15. Kwon, S. Y., & Na, Y. A. (2016). The assessment of Framingham risk score and 10 year CHD risk according to application of LDL cholesterol or total cholesterol. Korean Journal of Clinical Laboratory Science, 48(2), 54-61. https://doi.org/10.15324/kjcls.2016.48.2.54
  16. Lee, K. S., & Sung, K. M. (2015). Effects of an individualized cardiac rehabilitation education program on knowledge about coronary artery disease, compliance of sick role, and vascular health status in patients of percutaneous coronary intervention. The Korean Journal of Rehabilitation Nursing, 18(2), 135-144. https://doi.org/10.7587/kjrehn.2015.135
  17. Park, K. O., & Seo, J. Y. (2014). Gender differences in factors influencing the Framingham risk score-coronary heart disease by BMI. Journal of Korean Academy of Community Health Nursing, 25(4), 248-258. https://doi.org/10.12799/jkachn.2014.25.4.248
  18. Song, R. Y. (2004). Psychometric test of motivation scale to predict health behaviors of older adults. Journal of Soonchunhyang Medical Science, 10(1), 283-289.
  19. Song, R. Y., Park, M. Y., Chung, J. O., Park, J. H., & Sung, I. W. (2013). Effects of Tai Chi exercises on cardiovascular risks, recurrence risk, and quality of life in patients with coronary artery disease. Korean Journal of Adult Nursing, 25(5), 515-526. https://doi.org/10.7475/kjan.2013.25.5.515
  20. Song, Y. S. (2009). Analyses of studies on cardiac rehabilitation for patients with cardiovascular disease in Korea. Journal of Korean Academy of Nursing, 39(3), 311-320. https://doi.org/10.4040/jkan.2009.39.3.311
  21. Statistics Korea. 2020 annual report on the causes of deaths statistics. Retrieved April 26, 2021. http://www.index.go.kr/potal/stts/idxMain/selectPoSttsIdxMainPrint.do?idx_cd=1012&board_cd=INDX_001
  22. Sung, H. N., Cho, H. J., Kim, J. H., & Park, S. J. (2007). Effect of smoking cessation on mortality after percutaneous coronary intervention. Journal of the Korean Academy of Family Medicine, 28(9)698-704.