Korean J Adult Nurs.  2017 Oct;29(5):547-559. 10.7475/kjan.2017.29.5.547.

Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention

Affiliations
  • 1Jeju Regional Cardiocerebrovascular Center, Jeju National University Hospital, Jeju, Korea.
  • 2College of Nursing, Jeju National University, Jeju, Korea. musemy2@jejunu.ac.kr

Abstract

PURPOSE
This study was to develop the patient-tailored education and counseling program (PTECP) for patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI), and to identify the effects of PTECP on awareness of risk factors, knowledge, self-efficacy, self-care behavior, and blood cholesterol profile (BCP).
METHODS
A non-equivalent control group pre-post design was used. Sixty patients who were newly diagnosed with CAD and treated PCI were recruited and participated either in an intervention group or a control group, thirty each. The PTECP focused on managing their own risk factors consisted of two individual educations, two individual counselings, three telephone counselings, and two short message services for eight weeks. Data were collected two times at baseline and 8 weeks after beginning of the program.
RESULTS
After eight weeks, the patients' awareness of risk factor (p < .001), knowledge (p=.015), self-efficacy (p < .001), and self-care behavior (p < .001) in the intervention group were significantly different from those of the control group. However, no difference in BCP was found between the groups.
CONCLUSION
The PTECP was effective in improving the patients' awareness of CAD risk factors, knowledge, self-efficacy, and self-care behavior. Successful PTECP might lead to better health outcome in patients with CAD through effective self-management.


MeSH Terms

Cholesterol
Coronary Artery Disease*
Coronary Vessels*
Counseling*
Education*
Humans
Percutaneous Coronary Intervention*
Risk Factors
Secondary Prevention
Self Care
Self Efficacy
Telephone
Cholesterol

Figure

  • Figure 1. Flow chart of study process.


Reference

1. Statistics Korea. 2015 annual statistical report on the disease statistics [Internet]. Daejeon: Statistics Korea;2016. [cited 2017 February 10]. Available from:. http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parmTabId=M_01_01.
2. Son YJ. The development and effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. Journal of Korean Academy of Nursing. 2008; 38(2):217–28. https://doi.org/10.4040/jkan.2008.38.2.217.
Article
3. Kim JH, Chae SC, Oh DJ, Kim HS, Kim YJ, Ahn Y, et al. Multi-center cohort study of acute myocardial infarction in Korea-in-terim analysis of the Korea acute myocardial infarction regis-try-national institutes of health registry. Circulation Journal. 2016; 80(6):1427–36. https://doi.org/10.1253/circj.CJ-16-0061.
4. Thune JJ, Signorovitch JE, Kober L, McMurray JJ, Swedberg K, Rouleau J, et al. Predictors and prognostic impact of recurrent myocardial infarction in patients with left ventricular dysfunction, heart failure, or both following a first myocardial infarction. European Journal of Heart Failure. 2011; 13(2):148–53. https://doi.org/10.1093/eurjhf/hfq194.
Article
5. National Health Insurance Service. 2014 National health insurance statistical yearbook [Internet]. Wonju: National Health Insurance Service;2015. [cited 2016 May 13]. Available from:. http://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3321.
6. Song YS. Analyses of studies on cardiac rehabilitation for patients with cardiovascular disease in Korea. Journal of Korean Academy of Nursing. 2009; 39(3):311–20. https://doi.org/10.4040/jkan.2009.39.3.311.
Article
7. Cho HY, Kim HS. Effects of individualized cardiac health education on self care behavior and serum cholesterol in patients with coronary artery disease. Korean Journal of Adult Nursing. 2010; 22(3):322–8.
8. Park IS, Kim EM, Oh PJ, Kim SJ, Kim HJ, Kim BK, et al. Developing telephone guidelines for symptom management of cancer for outpatients with cancer after chemotherapy. Journal of Korean Clinical Nursing Research. 2012; 18(2):317–28. https://doi.org/10.22650/JKCNR.2012.18.2.317.
9. Martsevich SY, Semenova YV, Kutishenko NP, Zagrebelnyy AV, Ginzburg ML. Awareness of cardiovascular disease, its risk factors, and its association with attendance at outpatient clinics in acute coronary syndrome patients. Integrative Medicine Research. 2017; 6(3):240–4. https://doi.org/10.1016/j.imr.2017.06.003.
Article
10. Yang IS, Choi D, Kang Y. The awareness of cardiovascular risk factors and its correlates in patients with coronary artery diseases. Korean Journal of Adult Nursing. 2010; 22(5):499–508.
11. Tchicaya A, Braun M, Lorentz N, Delagardelle C, Beissel J, Wagner DR. Social inequality in awareness of cardiovascular risk factors in patients undergoing coronary angiography. European Journal of Preventive Cardiology. 2013; 20(5):872–9. https://doi.org/10.1177/2047487312446123.
Article
12. Lee KS, Sung KM. Effects of an individualized cardiac rehabilitation education program on knowledge about coronary artery disease, compliance of sick role, and vascular health status in patients of percutaneous coronary intervention. The Korean Journal of Rehabilitation Nursing. 2015; 18(2):135–44. https://doi.org/10.7587/kjrehn.2015.135.
Article
13. Song KJ. The effects of self-efficacy promoting cardiac rehabilitation program on self-efficacy, health behavior, and quality of life. Journal of Korean Academy of Nursing. 2003; 33(4):510–8. https://doi.org/10.4040/jkan.2003.33.4.510.
Article
14. Cho SH. Effects of a smoking cessation education on smoking cessation, endothelial function, and serum carboxyhemoglobin in male patients with variant angina. Journal of Korean Academy of Nursing. 2012; 42(2):190–8. https://doi.org/10.4040/jkan.2012.42.2.190.
Article
15. Rahe RH, Scalzi C, Shine K. A teaching evaluation questionnaire for postmyocardial infarction patients. Heart & Lung: The Journal of Critical Care. 1974; 4(5):759–66.
16. Choi KJ. Knowledge & learning needs of coronary artery disease patients [master's thesis]. Gwangju: Chosun University;2003. p. 1–53.
17. Becker DM, Levine DM. Risk perception, knowledge, and lifestyles in siblings of people with premature coronary disease. American Journal of Preventive Medicine. 1987; 3(1):45–50.
Article
18. Park JA. The comparative study on stress and the compliance of sick role behavior according to the restenosis of coronary artery intervention patient [master's thesis]. Seoul: Kyunghee University;2003. p. 1–61.
19. The Korean Society of Cardiology. Standards of medical care in coronary artery disease [Internet]. Seoul: The Korean Society of Cardiology;2013. [cited 2013 April 19]. Available from:. http://www.circulation.or.kr/bbs/?code=m_info.
20. American Heart Association. Risk factors and coronary heart disease [Internet]. Dallas: American Heart Association;2013. [cited 2013 August 18]. Available from:. http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/Coronary-Artery-Disease-Coronary-Heart-Disease_UCM_436416_Article.jsp.
21. Centers for Disease Control and Prevention. Epidemiology and management of cardiocere- brovascular diseases [Internet]. Cheongju: Centers for Disease Control and Prevention;2013. [cited 2013 March 24]. Available from:. http://www.cdc.go.kr/CDC/main.jsp.
22. Bang SY, Park MY. The analysis of risk factor management programs for patients with coronary artery disease. The Korean Journal of Rehabilitation Nursing. 2013; 16(1):27–36. https://doi.org/10.7587/kjrehn.2013.27.
Article
23. Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Miller NH, Hub-bard VS, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2014; 129(suppl 2):S76–99. https://doi.org/10.1161/01.cir.0000437740.48606.d1.
24. Kozan Ö, Zoghi M, Ergene O, Arı cı M, Derici Ü, Bakaç G, et al. Prevention and control program for cardiovascular diseases in Turkish population: pre-control study group. Global Heart. 2013; 8(2):115–9. https://doi.org/10.1016/j.gheart.2012.10.006.
25. Tchicaya A, Lorentz N, Demarest S, Beissel J. Persistence of so-cioeconomic inequalities in the knowledge of cardiovascular risk factors five years after coronary angiography. European Journal of Cardiovascular Nursing. 2017; July:1–12. [Epub ahead of print].https://doi.org/10.1177/1474515117720789.
Article
26. Choi MJ, Jeong MH, Hwang SY. Restenosis and compliance with self-care among acute coronary syndrome patients undergoing follow-up angiograms. Korean Journal of Health Promotion. 2011; 11(1):34–41.
27. Wu CJ, Chang AM, Courtney M, Kostner K. Peer supporters for cardiac patients with diabetes: a randomized controlled trial. International Nursing Review. 2012; 59(3):345–52. https://doi.org/10.1111/j.1466-7657.2012.00998.x.
Article
28. Park HS, Lee MH, Ha JH. The effects of individualized education on stroke patients' post-discharge anxiety and self-care compliance. The Korean Journal of Rehabilitation Nursing. 2013; 16(1):1–8. https://doi.org/10.7587/kjrehn.2013.1.
Article
29. Shin NM, Yoon JW, Choi J, Park Y, Jeon S. A pilot study of APN-led self-management program to improve cardiovascular health status among Korean women with risk factors. Korean Journal of Adult Nursing. 2016; 28(2):237–45. https://doi.org/10.7475/kjan.2016.28.2.237.
Article
30. Lin JS, O'Connor E, Evans CV, Senger CA, Rowland MG, Groom HC. Behavioral counseling to promote a healthy lifestyle in persons with cardiovascular risk factors: a systematic review for the U.S. preventive services task force. Annals of Internal Medicine. 2014; 161(8):568–78. https://doi.org/10.7326/M14-0130.
Article
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