Restenosis and Compliance with Self-Care Among Acute Coronary Syndrome Patients Undergoing Follow-up Angiograms.
- Author:
Myung Ja CHOI
;
Myung Ho JEONG
;
Seon Young HWANG
- Publication Type:Original Article
- Keywords:
Coronary artery disease;
Acute coronary syndrome;
Patient compliance;
Self care
- MeSH:
Acute Coronary Syndrome;
Compliance;
Coronary Artery Disease;
Follow-Up Studies;
Heart;
Humans;
Life Style;
Patient Compliance;
Self Care;
Smoke;
Smoking;
Smoking Cessation;
Surveys and Questionnaires
- From:Korean Journal of Health Promotion
2011;11(1):34-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Compliance with self-care and lifestyle modification is recommended for all patients with acute coronary syndrome to prevent a secondary attack. Data is limited regarding the association between compliance with self-care and restenosis. This study was conducted to examine the association between compliance with self-care and restenosis and to determine the predicting factors for restenosis and low compliance with self-care. METHODS: A total of 166 acute coronary syndrome patients (64.2+/-10.8 years) hospitalized for an angiogram during routine follow-up or symptom management were conveniently recruited from a university hospital cardiovascular care unit. Self-administered questionnaires were used to evaluate the level of compliance with self-care and symptom-related satisfaction. RESULTS: In-stent restenosis was found in 40.4% of the subjects and 36.1% were persistently smoking. There was no significant relationship between low compliance with self-care and restensosis. A lower symptom-related satisfaction significantly predicted restenosis and low compliance with self-care. A longer period after initial diagnosis predicted restenosis and a shorter period after initial diagnosis predicted low compliance with self-care. Persistent smoking was independently associated with low compliance with self-care. CONCLUSIONS: Patients who continued to smoke and had lower symptom-related satisfaction with daily living showed a stronger tendency for lower compliance with self-care and lifestyle modification. Effective educational strategy focusing on smoking cessation is needed to increase compliance with self-care in patients with ACS, especially during admission with a first heart attack.
