Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention
- Authors
- Shin, Eun Suk; Hwang, Seon Young; Jeong, Myung Ho; Lee, Eun Sook
- Issue Date
- Dec-2013
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- acute coronary syndrome; patient compliance; self-care; structural models
- Citation
- ASIAN NURSING RESEARCH, v.7, no.4, pp.205 - 211
- Indexed
- SCIE
SSCI
SCOPUS
KCI
- Journal Title
- ASIAN NURSING RESEARCH
- Volume
- 7
- Number
- 4
- Start Page
- 205
- End Page
- 211
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/161285
- DOI
- 10.1016/j.anr.2013.10.003
- ISSN
- 1976-1317
- 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. Copyright (C) 2013, Korean Society of Nursing Science. Published by Elsevier. All rights reserved.
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