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Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention

Asian Nursing Research 2013년 7권 4호 p.205 ~ 211
KMID : 1022320130070040205
신은숙 ( Shin Eun-Suk ) - Chonnam National University Hospital Department of Infection Control

황선영 ( Hwang Seon-Young ) - Hanyang University College of Nursing
정명호 ( Jeong Myung-Ho ) - Chonnam National University Hospital Heart Research Center
이은숙 ( Lee Eun-Sook ) - Chonnam National University College of Nursing

Abstract

Purpose: This study was conducted to identify direct and indirect factors influencing self-care compliance in patients with first acute coronary syndrome through examining the relationship among multidimensional factors.

Methods: Outpatients who made hospital visits to receive a follow-up care at more than 6 months after percutaneous coronary intervention were recruited at a national university hospital in Korea. Data of 430 participants were collected through self-administered questionnaires and analyzed using AMOS version 7.0. The fitness of the hypothetical model and the degree of significance of direct and indirect paths were analyzed.

Results: Three paths were found to have a significant effect on self-care compliance in the modified model. Social support indirectly influenced self-care compliance through enhancing self-efficacy, reducing anxiety and increasing perceived benefit. In addition, social support and body function indirectly influenced self-care compliance through reducing depression which affected self-efficacy. Self-efficacy was the most influential factor and played an important role as a mediating variable.

Conclusion: Results of this study suggest that nurses' counselling and education as a form of social support should be encouraged to enhance self-efficacy and self-care compliance among outpatients during follow-up care after percutaneous coronary intervention.
KeyWords

acute coronary syndrome, patient compliance, self-care, structural models
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed