Browse > Article
http://dx.doi.org/10.5393/JAMCH.2016.41.3.140

Comparison of Health Behavior Change Before and After the Percutaneous Coronary Intervention among Coronary Artery Disease Patients  

Lee, Jung-Hun (Department of Health Graduate School of Environment & Public Health Studies Yeungnam University)
Lee, Kyeong-Soo (Department of Preventive Medicine & Public Health, College of Medicine, Yeungnam University)
Hwang, Tae-Yoon (Department of Preventive Medicine & Public Health, College of Medicine, Yeungnam University)
Publication Information
Journal of agricultural medicine and community health / v.41, no.3, 2016 , pp. 140-151 More about this Journal
Abstract
Objectives: The purpose of this study was to investigate health behaviors of patients before and after percutaneous coronary intervention (PCI). Methods: The subjects of this study were 120 men and women whose age ranged from 40 years to 69 years among the patients who received percutaneous coronary intervention in Y university hospital that was located in Daegu city and who had diagnosed for 3 months or more and less than 2 years. Structured questionnaire was used to conduct self-administered survey from May 15 to October 12 in 2012. Results: Patients's health behavior score was ranged from 46 to 94 points after the PCI intervention. The score was $65.42{\pm}12.99$ points before and significantly increased up to $72.53{\pm}10.18$ points after the PCI intervention (p<.001). According to subcategory of health behavior, significant differences were found in scores of health responsibility (increased interest in health, watching of lecture on health and behavior to be punctual on counseling or medical treatment), diet, smoking, and drinking (p<.001, p=.039, p=<.001). However, no significant change was found in practice efforts such as exercise, eating habits and relaxation for stress management. Conclusions: In conclusion, it is necessary to provide education and counseling that enabling patients to improve smoking, drinking, practicing exercise and healthy eating habits.
Keywords
Health behavior; Patients; PCI;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Statistics Korea. Annual report on the cause of death statistics 2014. Seoul, 2015, p.8
2 Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, McQueen M, Budaj A, Pais P, Varigos J, Lisheng L. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004;364(9438):937-952   DOI
3 Lee YH, Kim HS, Cho EY. The influencing factors on health behavior of patients with coronary artery disease. J Korean Acad Nurs 2002;32(1):40-49 (Korean)   DOI
4 Castelein P, Kerr JR. Satisfaction and cardiac lifestyle. J Adv Nurs 1995;21(3):498-505   DOI
5 Odell A, Grip L, Hallberg LR. Restenosis after percutaneous coronary intervention(PCI): Experiences from the patient's perspective. Eur J Cardiovasc Nurs 2006;5(2):150-157   DOI
6 Kim NH. A study on coronary artery restenosis, knowledge related to disease and compliance with sick role behavior in the patients received follow-up coronary angiogram after coronary intervention[dissertation]. Gwangju, Chonnam National University, 2004 (Korean)
7 Choi OJ, Cho BH. The effect of supportive nursing care on the knowledge level and compliance of sick-role behavior in patient with coronary artery disease after coronary angiography. J Korean Acad Adult Nurs 2007;19(5):729-738 (Korean)
8 Son YJ. The development and effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. J Korean Acad Nurs 2008;38(2):217-228 (Korean)   DOI
9 Hwang JH. A study of self-care management of coronary heart disease in the general hospital outpatients using health belief model[dissertation]. Seoul, Seoul National University, 1993 (Korean)
10 Nam MH, Kim JN, OH YJ. The relationship between health belief.self-efficacy and exercise.diet compliance in coronary heart disease patients. J Korean Acad Community Health Nurs 1997;8(2):262-276 (Korean)
11 Lee MH. A study on the relationships between health belief and sick role behavior of patients with coronary heart disease[dissertation]. Seoul, Ewha Womans University, 2001 (Korean)
12 Song RY, Lee HJ. Managing health habits for myocardial infarction(MI) patients. Int J Nurs Stud 2001;38(4):375-380 (Korean)   DOI
13 Jang SH, Kang PS, Lee KS, Kim SB, Yun SH. Change in health behaviors of patients before and after stroke. Korean J Rural Med 2002;27(1):9-19 (Korean)
14 Ministry of Health and Welfare. Management of major chronic disease patients. Seoul, Ministry of Health and Welfare, 2010, pp.1-46
15 Song RY, Lee HJ. Effects of the inpatient cardiac rehabilitation program on behavioral modification and quality of life in patients with coronary artery disease. J Korean Acad Nurs 2000;30(2):463-475 (Korean)   DOI
16 Hong KH, Lee HY. The outcomes of cardiac rehabilitation program in the post myocardial infarction patient. J Korean Acad Adult Nurs 1997;9(1):5-21 (Korean)
17 Jeong HS. Effects of a cardiac rehabilitation program on health behavior and physiologic parameters for myocardial infarction patients. J Korean Acad Adult Nurs 2002;14(4):573-580 (Korean)
18 Nam DL. Knowledge and learning needs with coronary artery disease patients and their family members[dissertation]. Seoul, The Catholic University, 1998 (Korean)
19 Jung HS, Kang YS. The effects of 8-week Jeol meditation program on stress, depression and cardiovascular risk factors in women. J Agric Med Community Health 2013;38(3):163-173 (Korean)   DOI
20 Korea Centers for Disease Control and Prevention. Community Health Survey. Seoul, KCDC, 2015, pp.180-225
21 Ko KH, Lee SE. A study on the educational needs of the coronary heart disease patients in a municipal general hospital. Korean Journal of Health Education and Promotion 1998;15(2):143-161 (Korean)
22 Lee MS, Flammer AJ, Li J, Lennon RJ, Singh M, Holmes DR, Rihal CS, Lerman A. Time-Trend analysis on the Framingham risk score and prevalence of cardiovascular risk factors in patients undergoing PCI without prior history of coronary vascular disease over the last 17 years: A study from the Mayo Clinic PCI Registry. Clin Cardiol 2014;37(7):408-416   DOI