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Restenosis and Compliance with Self-Care Among Acute Coronary Syndrome Patients Undergoing Follow-up Angiograms  

Choi, Myung-Ja (Coronary Care Unit, Chonnam National University Hospital)
Jeong, Myung-Ho (Department of Cardiovascular Medicine, Chonnam National University Hospital)
Hwang, Seon-Young (Department of Nursing, College of Medicine, Chosun University)
Publication Information
Korean journal of health promotion / v.11, no.1, 2011 , pp. 34-41 More about this Journal
Abstract
Background: Compliance with self-care and lifestyle modification is recommended for all patients with acute coronary syndrome to prevent a secondary attack. Data is limited regarding the association between compliance with self-care and restenosis. This study was conducted to examine the association between compliance with self-care and restenosis and to determine the predicting factors for restenosis and low compliance with self-care. Methods: A total of 166 acute coronary syndrome patients ($64.2{\pm}10.8$ years) hospitalized for an angiogram during routine follow-up or symptom management were conveniently recruited from a university hospital cardiovascular care unit. Self-administered questionnaires were used to evaluate the level of compliance with self-care and symptom-related satisfaction. Results: In-stent restenosis was found in 40.4% of the subjects and 36.1% were persistently smoking. There was no significant relationship between low compliance with self-care and restensosis. A lower symptom-related satisfaction significantly predicted restenosis and low compliance with self-care. A longer period after initial diagnosis predicted restenosis and a shorter period after initial diagnosis predicted low compliance with self-care. Persistent smoking was independently associated with low compliance with self-care. Conclusions: Patients who continued to smoke and had lower symptom-related satisfaction with daily living showed a stronger tendency for lower compliance with self-care and lifestyle modification. Effective educational strategy focusing on smoking cessation is needed to increase compliance with self-care in patients with ACS, especially during admission with a first heart attack.
Keywords
Coronary artery disease; Acute coronary syndrome; Patient compliance; Self care;
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