| 추적 관상동맥조영술을 받은 급성관동맥증후군 환자의 재협착 유무와 자가관리 이행 |
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최명자1, 정명호2, 황선영3 |
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1전남대학교병원 심장계 중환자실, 2전남대학교 의과대학 전남대학교병원 순환기내과, 3조선대학교 의과대학 간호학과 |
| Restenosis and Compliance with Self-Care Among Acute Coronary Syndrome Patients Undergoing Follow-up Angiograms |
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| 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±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.
Korean J Health Promot 2011;11(1):34-41 Keywords: Coronary artery disease, Acute coronary syndrome, Patient compliance, Self care |
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