Health Belief and Compliance of Health Behavior According to Recurrence in Patients with Coronary Artery Occlusive Disease (CAOD)

The purpose of this study is to examine health belief and compliance of health behavior in relation to recurrence of Coronary Artery Occlusive Disease(CAOD), and to analyze correlation between them. A total of 55 Cardiology patients from a A university hospital participated in the study. Of the participants, 23 patients who admitted because of recurrence of CAOD within a year after Percutaneous Coronary Intervention(PCI) were classified as the study group, and 22 patients who had similar demographic characteristics to the study group were classified as the control group. The study was held from Sep 1 2006 to Nov 30 2006. The instruments used for the study were Health Belief Scale and Compliance of Health Behavior Scale. The data for demographic characteristics, health belief and compliance of health behavior were collected through the questionnaire from the patients either face-to-face or mail survey, and the patients's medical histories were collected from medical records by the researcher. The collected data was analyzed by SPSS/ WIN version 12.0. The results of the study are as followed. 1. In demographic factors, gender(t=5.38, p=.049), cessation of smoking(t=5.02, p=.038) and drinking(t=6.71, p=.016) were significantly associated with recurrence of CAOD. 2. In medical history, Left Anterio-Descending artery(LAD) occlusion(t=7.24, p=.009), number of admission related to coronary disease(t=33.85, p=.000), complication after PCI(t=7.93, p=.009) showed significant difference. 3. In health belief, perceived susceptibility, perceived advantage and perceived barrier were not significant but perceived severity was significantly higher in the study group than the control group(t=2.21, p=.033). 4. Compliance of health behavior was not significantly related to recurrence of CAOD including responsibility of health care, exercise, diet, medication, stress control and cessation of smoking. 5. In relationship between health belief and compliance health behavior in the study group, perceived severity and compliance of health behavior showed significantly negative correlation(r=-.546, p=.007). Perceived susceptibility and responsibility of health care showed significantly positive correlation(r=.483, p=.023). Perceived barrier showed positive correlation with exercise(r=.452, p=.045), and negative correlation with diet(r=-.446, p=.049), medication(r=-.662, p=.001) and stress control(-.462, p=.040). Perceived severity demonstrated negative correlation with diet(r=-.587, p=.003) and cessation of smoking(r=-.430, p=.041). 6. In the control group, positive correlation was showed between perceived barrier and compliance of health behavior(r=.498, p=.030). Perceived barrier showed positive correlation with exercise(r=.478, p=.039), diet(r=.468, p=.043), cessation of smoking(r=.520, p=.023). In conclusion, the research indicated that CAOD patients perceived necessity of education for coronary disease care, and the patients' perceived severity and compliance of health behavior showed negative correlation. Therefore, applying education methods such as exercise, medication and stress control rather than emphasizing the severity of the disease itself would help to prevent recurrence of CAOD as it encourages the patients' compliance of health behavior.

Author dc:creator

• 정, 은선

Contributors dc:contributor

• 박, 지원
• 대학원 간호학과
• 200524109

• 관상동맥 협착질환
• 재발, 건강신념, 건강행위 이행
• 건강신념
• 건강행위 이행
• 재발유무

Language dc:language

ko

Identifier

http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000002182
000000002182

OAI identifier oai:identifier

oai:repository.ajou.ac.kr:201003/935