Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention.
- Author:
Eun Suk SHIN
1
;
Seon Young HWANG
;
Myung Ho JEONG
;
Eun Sook LEE
Author Information
1. Department of Infection Control, Chonnam National University Hospital, Gwangju, South Korea.
- Publication Type:Original Article
- Keywords:
acute coronary syndrome;
patient compliance;
self-care;
structural models
- MeSH:
Acute Coronary Syndrome*;
Anxiety;
Compliance*;
Depression;
Education;
Follow-Up Studies;
Humans;
Korea;
Models, Structural;
Negotiating;
Outpatients;
Patient Compliance;
Percutaneous Coronary Intervention*;
Self Care*;
Surveys and Questionnaires
- From:Asian Nursing Research
2013;7(4):205-211
- CountryRepublic of Korea
- Language:English
-
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.
