Relationship between Cognitive Appraisal and Cardiac Risk Reduction Behavior Following Coronary Angioplasty.
- Author:
Sook Won HAHN
1
;
Myung Sun LEE
Author Information
1. Department of nursing, Dongnam Health College, Korea. beautii@dreamwiz.com
- Publication Type:Original Article
- Keywords:
Risk reduction behavior;
Stress;
Appraisal;
PTCA
- MeSH:
Angioplasty*;
Cholesterol;
Diet;
Heart Diseases;
Risk Reduction Behavior*
- From:Journal of Korean Academy of Adult Nursing
2004;16(4):556-565
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. METHOD: Data were collected from 50 subjects with successful primary PTCA. RESULT: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). CONCLUSION: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.
