Uhm In Ae, Hwang Seon Young
Inje University Sanggye Paik hospital, Seoul, South Korea.
College of Nursing, The Hanyang University, 222 Wangsimniro, Seongdong-gu, Seoul, South Korea.
BMC Nurs. 2023 Dec 18;22(1):479. doi: 10.1186/s12912-023-01654-6.
It is important for middle-aged patients who have undergone acute treatment for coronary artery disease to voluntarily improve their lifestyle and risk factors based on their recognition as patients with chronic diseases. This study conducted individual education to improve risk factors and tried to verify its effectiveness.
The hypothesis was verified by applying a randomized controlled pre- and post-test design through random assignment of two groups. Middle-aged (40-64 years) patients who underwent percutaneous coronary intervention for the first time were recruited from a university hospital in Seoul, Korea. For the experimental group, based on the Self-Determination Theory, risk factor- tailored counseling and education were provided individually for one hour based on the education booklet, and telephone counseling was conducted twice for 12 weeks. Differences in autonomous motivation, resilience, self-care compliance and biochemical indicators measured after 12 weeks in the experimental group and the control group were compared. Data were analyzed using SPSS/WIN ver. 22.0.
The autonomous motivation, resilience, and self-care compliance of the experimental group were significantly higher than those of the control group (p < .05). Body mass index (p = .005) and current smoking rate (p < .001) were also significantly decreased in the experimental group but there was no significant difference in other biochemical parameters.
For middle-aged patients with first coronary intervention, risk factor-tailored education emphasizing autonomy by nurses should be provided early after discharge.
This study was retrospectively registered in the Clinical Research Information Service and the identification number is KCT0008698(11/08/2023).
对于接受过冠心病急性治疗的中年患者来说，基于他们对慢性病患者身份的认知，自觉改善生活方式和风险因素非常重要。本研究开展了个体教育以改善风险因素，并试图验证其有效性。
通过将两组随机分配，采用随机对照前后测设计来验证假设。从韩国首尔的一家大学医院招募首次接受经皮冠状动脉介入治疗的中年（40 - 64岁）患者。对于实验组，基于自我决定理论，根据教育手册为个体提供针对风险因素的咨询和教育，时长为一小时，并在12周内进行两次电话咨询。比较实验组和对照组在12周后测量的自主动机、心理韧性、自我护理依从性和生化指标的差异。使用SPSS/WIN 22.0版本分析数据。
实验组的自主动机、心理韧性和自我护理依从性显著高于对照组（p < 0.05）。实验组的体重指数（p = 0.005）和当前吸烟率（p < 0.001）也显著降低，但其他生化参数没有显著差异。
对于首次接受冠状动脉介入治疗的中年患者，护士应在出院后尽早提供强调自主性的风险因素针对性教育。
本研究在临床研究信息服务中心进行了回顾性注册，识别号为KCT0008698（2023年8月11日）。
