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Journal of Korean Academy of Fundamentals of Nursing 2010;17(4): 575
국내 관상동맥질환자의 이차예방을 위한 ""이행"" 관련 논문분석
손연정1, 김선희2, 송효숙3
1순천향대학교 의과대학 간호학과
3홍익병원 중환자실
Analysis of Research on Adherence for Secondary Prevention in Patients with Coronary Artery Disease in Korea
Youn-Jung Son1, Sun-Hee Kim2, Hyo-Suk Song3
1Department of Nursing, College of Medicine, Soonchunhyang University
2Seoul Women's College of Nursing
3ICU, Hong-Ik Hospital
Purpose: The purpose of this study was to analyze the research on adherence for secondary prevention in patients with coronary artery disease (CAD) in Korea, and to identify the strategies for improvement that should be included in future studies.
Methods: Electric literature searches were conducted for Pubmed, CINAHL, RISS4U, KISTI, DBpia, KoreaMed, National Assembly Library, and National Library of Korea. A total of forty two articles published between 1986 and 2009 were selected based on established inclusion criteria.
Results: Forty research papers were related to nursing, and there was only one research paper focused 011 elderly people with CAD. There were no papers using concept analysis, qualitative study. or randomized controlled clinical trial. Almost all definitions of adherence were adopted from outdated compliance definitions with the attribute of 'paternalistic obligation', Measurement tools were not based on theoretical framework of adherence but borrowed from tools for measuring self-care, health behavior, or self-efficacy. Overall patient's adherence was analyzed in most studies, except for a few studies which focused on diet and exercise only. Educational strategy was the main strategy used in intervention studies.
Conclusions: The concept of adherence and measurement tools need to be clarified, along with development of the specific adherence interventions according to the type of adherence in patients with CAD.
Key words: Coronary Artery Disease | Patient Adherence | Research | Review
주요어: 관상동맥질환 | 이행 | 연구 | 분석