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NTIS 바로가기성인간호학회지 = Korean Journal of Adult Nursing, v.29 no.1, 2017년, pp.32 - 40
박애란 (청암대학교 간호학과) , 소향숙 (전남대학교 간호대학) , 송지은 (화순전남대학교병원 간호부)
Purpose: The purpose of this secondary data analysis was to identify factors influencing a relapse among patients with coronary artery disease (CAD). Methods: Of 250 participants enrolled in the original study 75 were selected as there was no relapse for more than one year following the initial trea...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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관상동맥질환이란 무엇인가? | 관상동맥질환은 콜레스테롤과 같은 지방 성분이 혈관 내에 침착하여 혈관벽이 두꺼워지고 혈관이 좁아져 혈액순환이 원활하게 이루어지지 않아 발생하는 질환으로 심근경색증과 협심증이 이에 해당한다[3]. 이러한 질환의 치료를 위해 고위험요인과 증상을 조절하기 위한 약물요법이 이루어지며 증상이 심할 경우 관상동맥중재술이 시행된다[4]. | |
관상동맥질환을 발생시키는 요인에는 어떠한 것들이 있는가? | 관상동맥질환의 전통적인 위험요인으로 높은 LDL 콜레스테롤 수치, 낮은 HDL 콜레스테롤 수치, 고혈압, 당뇨, 흡연, 가족력, 45세 이상의 남자, 폐경 후 여성, 및 비만 등이 있으며[5] 최근에는 D유형 성격이 유의한 요인으로 대두되고 있다[6,7].관상동맥질환이 있는 대상자 중 D유형 성격의 소유자는 삶의 질이 유의하게 저하되고, 정신건강이 현저하게 낮으며, 특히 우울과 불안이 높은 것으로 보고되었다[8,9]. | |
관상동맥질환의 치료에는 어떠한 것들이 있는가? | 관상동맥질환은 콜레스테롤과 같은 지방 성분이 혈관 내에 침착하여 혈관벽이 두꺼워지고 혈관이 좁아져 혈액순환이 원활하게 이루어지지 않아 발생하는 질환으로 심근경색증과 협심증이 이에 해당한다[3]. 이러한 질환의 치료를 위해 고위험요인과 증상을 조절하기 위한 약물요법이 이루어지며 증상이 심할 경우 관상동맥중재술이 시행된다[4]. 이후에는 재발의 위험을 감소시키기 위한 이차예방 활동이 이루어져야 한다. |
Centers for Disease Control and Prevention. Heart disease facts [internet]. Georgia: Centers for Disease Control and Prevention; 2015 [cited 2016 October 20]. Available from: http://www.cdc.gov/heartdisease/facts.htm
Statistics Korea. Causeas of death statistics [internet]. Daejeon: 2014 Statistics Korea; 2015 [cited 2016 October 20]. Available from: http://kosis.kr/ups/ups_01List.jsp?pubcodeYD
Fitchett DH, Gupta M, Farkouh ME, Verma S. Cardiology Patient Page: coronary artery revascularization in patients with diabetes mellitus. Circulation. 2014;130(12):e104-6. https://doi.org/10.1161/CIRCULATIONAHA.113.007968
King SB 3rd, Marshall JJ, Tummala PE. Revascularization for coronary artery disease: stents versus bypass surgery. Annual Review of Medicine. 2010;61:199-213. https://doi.org/10.1146/annurev.med.032309.063039
American Heart Association. Coronary artery disease - coronary heart disease [Internet]. Texas: American Heart Association; 2015 [cited 2016 October 20]. Available from: http://www.heart.org/HEARTORG/Conditions/More/My HeartandStrokeNews/Coronary-Artery-Disease---Coronary-Heart-Disease_UCM_436416_Article.jsp
Park JH, Tahk SJ, Bae SH. Impact of type D personality on health status and health behaviors in patients with coronary artery disease. Korean Journal of Health Promotion. 2010;10:123-30.
Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA, et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. Journal of the American College of Cardiology. 2011;58(23):2432-46. https://doi.org/10.1016/j.jacc.2011.10.824
Janssen V, De Gucht V, Dusseldorp E, Maes S. Lifestyle modification programmes for patients with coronary heart disease: a systematic review and meta-analysis of randomized controlled trials. European Journal of Preventive Cardiology. 2013;20(4):620-40. https://doi.org/10.1177/2047487312462824
Snaterse M, Dobber J, Jepma P, Peters RJ, Ter Riet G, Boekholdt SM, et al. Effective components of nurse-coordinated care to prevent recurrent coronary events: a systematic review and meta-analysis. Heart. 2016;102(1):50-6. https://doi.org/10.1136/heartjnl-2015-308050
Gong Y, Yang F, Hong T, Huo Y. Using a standardized followup program to improve coronary heart disease secondary prevention. Anatolian Journal of Cardiology. 2016;16(2):84-91. https://doi.org/10.5152/akd.2015.5571
Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology. 1996;70(1):115-26.
Russell KL. Bray SR. Promoting self-determined motivation for exercise in cardiac rehabilitation: the role of autonomy support. Rehabilitation Psychology. 2010;55(1):74-80. https://doi.org/10.1037/a0018416
Won M. A prediction model of health behavior adherence for secondary prevention of patients with coronary artery disease [dissertation]. Seoul: Ehwa University; 2016.
Yu HY, Son YJ. Pre-procedural hs-crp and metabolic syndrome in recurrent cardiac events after successful percutaneous coronary intervention: a retrospective study. Korean Journal of Health Promotion. 2010;10(1):31-8.
Cassese S, Byrne RA, Tada T, Pinieck S, Joner M, Ibrahim T, et al. Incidence and predictors of restenosis after coronary stenting in 10004 patients with surveillance angiography. Heart (British Cardiac Society). 2014;100(2):153-9. https://doi.org/10.1136/heartjnl-2013-304933
Park AR. A structural model of health behavior compliance in patients with percutaneous coronary intervention based on self-determination theory [dissertation]. Gwangju: Chonnam National University; 2015.
Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nursing Research. 1987;36(2):76-81.
Han SY. Basic psychological needs satisfaction of clients and counseling outcome: the application of self-determination theory to counseling [dissertation]. Suwon: Ajou University; 2010.
Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosomatic Medicine. 2005;67(1):89-97. https://doi.org/10.1097/01.psy.0000149256.81953.49
Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, et al. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. Journal of Korean Medical Science. 2011;26(1):116-23. https://doi.org/10.3346/jkms.2011.26.1.116
Luthra S, Leiva-Juarez MM, Taggart DP. Systematic review of therapies for stable coronary artery disease in diabetic patients. The Annals of Thoracic Surgery. 2015;100(6):2383-97. https://doi.org/10.1016/j.athoracsur.2015.07.005
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