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Journal of Korean Academy of Fundamentals of Nursing 2006;13(1): 76
심장질환자의 심리사회적 요인 및 증상 경험간의 관계 : 6개월 추적조사
김조자1, 김기연2, 노영숙3, 송은경4, 강석민5, 유명숙6, 손연정7
1연세대학교 간호대학
2연세대학교 원주의과대학 간호학과
3적십자 간호대학
4연세대학교 간호대학
5연세대학교 의과대학
6대구가톨릭대학교 의과대학 간호학과
7순천향대학교 의과대학 간호학과
Relationship between Psychosocial Factors and Symptom Experience in Patients with Cardiovascular Disease: Over a Six-month follow-up Period
Cho-Ja Kim1, Gi-Yon Kim2, Young-Sook Roh3, Eun-Kyeung Song4, Seok-Min Kang5, Myung-Sook Yoo6, Youn-Jung Son7
1Yonsei University
2Yonsei Wonju University
3Redcross Nursing College
4Yonsei University
5Yonsei University
6Daegu Catholic University
7Department of Nursing, Soonchunhyang University
Abstract
Purpose: The purpose of this study was to identify the relationship between psychosocial factors and symptom experience of patients with cardiovascular disease over a 6-month follow-up period.
Method: Baseline data for each of the 138 patients were collected. Eighteen patients were dropped for a final total of 120 patients in the present study. To monitor patients' symptom experience after discharge, each patient was interviewed by telephone, and interviewed directly with a questionnaire at each clinic visit.
Results: Mean scores for hostility, anger, anxiety, and depression were 51.63, 22.87, 48.95, and 41.21, respectively. Mean scores for the level of symptom experience at discharge, 3 months and 6 months after discharge were 32.83, 24.79, and 26.70, respectively. There were significant differences in the level of hostility by gender, BMI, job, and monthly income. Also the differences in the level of anxiety and depression were statistically significant according to gender and existence of spouse. In the regression analysis, depression was identified as the significant factor associated with symptom experience at discharge, 3 months, and 6 months after discharge.
Conclusion: This study presented baseline data to elucidate whether psychosocial factors were associated with the progression of cardiovascular diseases. Accordingly, it suggests that nurses need to take into consideration psychosocial factor as well as physiological factor in symptom management for patients with cardiovascular disease.
Key words: Psychosocial factors | Symptom | Experience | Cardiovascular disease
주요어: 심리사회적 요인 | 증상 경험 | 심장질환