관상동맥질환자의 식품섭취와 가족지지

A Study on Food Intake and Family Support in Patients with Coronary Artery Disease

  • 투고 : 2008.09.22
  • 심사 : 2008.12.26
  • 발행 : 2009.02.28

초록

Purpose: This study was to examine the food intake and family support of patients with Coronary Artery Disease(CAD). Methods: 90 hospitalized patients who received CAD medical treatment were randomly selected. The food intake frequency and family support instrument were utilized. Collected data was analyzed by SPSS/WIN 14.0: t-test, $x^2$-test and Pearson's correlation coefficient. Results: The mean score of food intake frequency was 5.65(total mean score 97.50) which was relatively healthy food intake based on the CAD treatment guidelines. Undesirable food intake items were fruit, fish, milk etc. The mean score of family support was 2.44(range: 1 - 4). Food intake showed a significant(p < .001) positive correlation with family support. There was significant difference(p < .05) on family support according to exercise. There was significant difference(p < .05) on LDL level, one of the CAD risk factors, between first admission patients and readmission patients. Conclusion: These findings suggest that nursing intervention education programs should be developed to appropriately care for CHD patients for needed changes.

키워드

참고문헌

  1. American Heart Association(AHA) (1996). Cardiovascular risk factor education program for health care professionals. AHA National Center, Dallas, Tx.
  2. American Heart Association(AHA) (2006). Our 2006 diet and lifestyle recommendations. Retrieved April 20, 2007, From American Heart Association Web site: http://www.americanheart.org.
  3. American Heart Association(AHA) (2008). Risk Factors you can change. Retrieved August 25, 2008, From American Heart Association Web site: http://www.americanheart.org/presenter.
  4. Araki, A., Izumo, Y., Inoue, J., Hattori, A., Nakamura, T., Takahashi, R., Takanashi, K., Teshima, T., Yatomi, N., & Shimizu, Y. (1995). Burden of dietary therapy on elderly patients with diabetes mellitus. Nippon Ronen Igakkai Zasshi, 32(12), 804-809. https://doi.org/10.3143/geriatrics.32.804
  5. Bae, J. H., & Jun, S. S. (1999). A study about dietetic knowledge and educational needs in patients with coronary artery disease and their families. J Korean Acad Adult Nurs, 11(2), 318-329.
  6. Chu, J. A. (2003). Effects of tes(training, effiency & support) program in cardiac rehabilitation for patients with myocardial infarction. Unpublished doctoral dissertation, Seoul National University, Seoul.
  7. Han, S. S., Lee, J. I., & Kim, Y. J. (2007). Predicting factors on eating behavior in coronary artery disease patients. J Korean Acad Nurs, 37(7), 1193-1201. https://doi.org/10.4040/jkan.2007.37.7.1193
  8. International Obesity Task Force(IOTF) (2000). Report on the Asia-Pacific perspective: Redefining obesity and it treatment. 1-48.
  9. Jeong, S. K. (2006). Effects of supportive nursing intervention on Health belief and the performance of health behavior in patients with coronary artery disease. Unpublished master's thesis, Seoul National University, Seoul.
  10. Ju, K. O. (2006). Effects of the nutrition education program on self-efficacy, diet behavior pattern and cardiovascular disease risk factors for the patients with cardiovascular disease. Unpublished doctoral dissertation, Chungnam National University, DaeJon.
  11. Korean Center for Disease Control and Prevention(KCDC) (2007). In-depth analyses of the third national health and nutrition examination survey: The health interview and health attitude survey part. Korea Institute for Health and Social Affairs, Seoul.
  12. Kim J. S. (2004). Effects of web based nutrition counseling on dietary behavior and serum lipids in patients having hyperlipidemia. Unpublished master's thesis, Pusan National University, Busan.
  13. Korean National Statistical Office(KNSO) (2007). The cause of death statistics. http://www.kosis.kr/html/include/online/chapter.jsp?pubcode=YD&pub
  14. Korean Society of Lipidology Atherosclerosis(KSLA) (1996). Guidelines of Treatment for Korean Hyperlipidemia. Korean Society of Lipidology Atherosclerosis, Seoul.
  15. Korean Society of Lipidology Atherosclerosis(KSLA) (2003). Hyperlipidemia and Atherosclerosis. Korean Society of Lipidology Atherosclerosis, Seoul.
  16. Lee, Y. W., Kim, H. S., & Cho, E. Y. (2002). The influencing factors on health behavior of patients with coronary artery disease. J Korean Acad Nurs, 32(1), 40-49. https://doi.org/10.4040/jkan.2002.32.1.40
  17. Lichtenstein, A. H., Appel, L. J., Brands, M., Carnethon, M., Daniels, S., Franch, H. A., Franklin, B., Kris-Etherton, P., Harris, W. S., Howard, B., Karanja, N., Lefevre, M., Rudel, L., Sacks, F., Horn, L., Winston, M., & Wylie-Rosett, J. (2006). Diet and lifestyle recommendations revision 2006: A scientific statement from the American Heart Association Nutrition Committee. Circulation, 114, 82-96. https://doi.org/10.1161/CIRCULATIONAHA.106.176158
  18. Ma, Y., Li, W., Olendzki, B. C., Pagato, S. L., Merriam, P. A., Chiriboga, D. E., Griffith, J. A., Bodenllos, J., Wang, Y., & Ockene, I. S. (2008). Dietary quality 1 year after diagnosis of coronary heart disease. J Am Diet Assoc, 108(2), 240-246. https://doi.org/10.1016/j.jada.2007.10.047
  19. McCullough, M. L., Feskanich, D., Stampfer, M. J., Giovannucci, E. L., Rimm, E. B., Hu, F. B., Spiegelman, D., Hunter, D. J., Colditz, G. A., & Willet, W. C. (2002). Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance. Am J Clin Nutr, 76, 1261-1271. https://doi.org/10.1093/ajcn/76.6.1261
  20. Moore, S. M., Dolansky, M. A., Ruland, C. M., Pashkow, F. J., & Blackburn, G. G. (2003). Predictors of women's exercise maintenance after cardiac rehabilitation. J Cardiopulm Rehabil, 23(1), 40-49. https://doi.org/10.1097/00008483-200301000-00008
  21. National Heart, Lung, and Blood Institute(NHLBI) (2003). The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Retrieved May 3, 2006, From http://www.nhlbi.nih.govguideline/hypertension/index.htm.
  22. Oh, S. E. (2001). The relationship of health behavior compliance and family support in coronary artery disease patients. Unpublished master's thesis, Seoul National University, Seoul.
  23. Okkonen, E., & Vanhanen, H. (2006). Family support, living alone, and subjective health of a patient in connection with a coronary artery bypass surgery. Heart Lung, 35(4), 234-244. https://doi.org/10.1016/j.hrtlng.2005.11.002
  24. Seo, Y. S. (1995). A study on the relationships of family support, self-esteem and life satisfaction in persons with cardiac disease. Unpublished master's thesis, Chonbuk National University, Jeonju.
  25. Seong, J. D. (2006, June). The role of lifestyle in coronary artery disease prevention. Paper presented at the meeting of Korean Society of Lipidology Atherosclerosis, Seoul.
  26. Smith, S. C. Jr., Jackson, R., Pearson, T. A., Fuster, V., Yusuf, S., Faergeman, O., Wood, D. A., Aldermam, M., Horgan, J., Home, P., & Grundy, S. M. (2004). Principles for national and regional guidelines on cardiovascular disease prevention: A scientific statement from the World Heart and Stroke Forum. Circulation, 109, 3112-3121. https://doi.org/10.1161/01.CIR.0000133427.35111.67
  27. Swain, J. F., McCarron, P. B., Hamilton, E. F., Sacks, F. M., & Appel, L. J. (2008). Characteristics of the diet patterns tested in the optimal macronutrient intake trial to prevent heart disease(Omniheart): options for a heart-heathy diet. J Am Diet Assoc, 108, 257-265. https://doi.org/10.1016/j.jada.2007.10.040
  28. Wister, A., Lowen, N., Kennedy-Symonds, H., McGowan, B., Mccoy, B., & Singer, J. (2007). One-year follow-up of a therapeutic lifestyle intervention targeting cardiovascular disease risk. CMAJ, 177(8), 859-65. https://doi.org/10.1503/cmaj.061059
  29. Wofford, T. S., Greenlund, K. J., Croft, J. B., & Labarthe, D. R. (2007). Diet and physical activity of U. S. adults with heart disease following preventive advice. Prev Med, 45, 295-301. https://doi.org/10.1016/j.ypmed.2007.06.013
  30. Yim, J. Y. (2004). Relationship between self-efficacy and self-care behavior in open surgery patients who received phase I cardiac rehabilitation program. Unpublished master's thesis, Yonsei University, Seoul.