The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention.
10.4040/jkan.2008.38.2.217
- Author:
Youn Jung SON
1
Author Information
1. Department of Nursing, Soonchunhyang University, Cheonan, Korea. yjson@sch.ac.kr
- Publication Type:Original Article ; Controlled Clinical Trial ; English Abstract ; Research Support, Non-U.S. Gov't
- Keywords:
Percutaneous coronary intervention;
Recurrence;
Symptom management
- MeSH:
Adult;
Aged;
*Angioplasty, Balloon;
Biological Markers/blood;
Coronary Disease/*prevention & control/psychology/surgery;
Female;
Follow-Up Studies;
Humans;
Male;
Middle Aged;
*Patient Education as Topic;
Postoperative Care;
Program Development;
Program Evaluation;
Quality of Life;
Recurrence;
*Self Care
- From:
Journal of Korean Academy of Nursing
2008;38(2):217-228
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to develop and to determine the effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. METHODS: Subjects consisted of 58 CAD patients (experimental group: 30, control group: 28). The experimental group participated in an integrated symptom management program for 6 months which was composed of tailored education, stress management, exercise, diet, deep breathing, music therapy, periodical telephone monitoring and a daily log. The control group received the usual care. RESULTS: The experimental group significantly decreased symptom experiences and the level of LDL compared to the control group. The experimental group significantly increased self care activity and quality of life compared to the control group. Although no significant difference was found in cardiac recurrence, the experimental group had fewer recurrences. CONCLUSION: These results suggest that an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention can improve symptom aggravation, recurrent rate, self care activity and quality of life. Nursing interventions are needed to maintain and further enhance the quality of life of these patients and the interventions should be implemented in the overall transition period.
