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KMID : 0367019980100020353
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Journal of Korean Academic of Adult Nursing
1998 Volume.10 No. 2 p.353 ~ p.368
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The Effect of Phase 1 Cardiac Rehabilitation Nursing Care on Knowledge, Anxiety and Self-Care Behavior in Patients with Acute Myocardial Infarction
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Abstract
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The purpose of this study was to identify the effects of phase 1 cardiac rehabilitation nursing care on cardiac rehabilitation knowledge, anxiety, and self-care behavior in patients with acute myocardial infarction. The study design was composed of a nonequivalent control group non-synchronized design and a non equivalent control group posttest design. The subjects of the study consisted of thirty-four acute myocardial infarction patients hospitalized at a university hospital in Taegu between February 16. 1998 and May 12. 1998. The 34 research subjects were assigned to experimental (17patients) and control (17patients)groups. The phase 1 cardiac rehabilitation nursing care was composed of cardiac rehabilitation education taken from a rehabilitation manual and booklet, and participating in a progressive exercise program. After discharge, a phone interview was conducted in order to encourage the self-care behavior. The modified Knowledge Scale developed by Rahe et al.(1975) and translated into korean by Hwang(1986), the Anxiety Scale developed by Spielberger (1976), and the modified Self-Care Scale of exercise and diet based on Hickey et al. (1992), were used for data collection. Analysis of data was done by use of Chi-square test, t-test, Repeated measure ANOVA, Simple Main Effect and Time contrast. The results of this are as follows: 1. The first hypothesis , "The experimental group which received the phase 1 cardiac rehabilitation nursing care will have a higher level of knowledge than the control group", was supported (F=27.05, P=.000). 3. The third hypothesis, "The experimental group which received the phase 1 cardiac rehabilitation nursing care will have higher self-care behavior scores than the control group", was supported (t=-15.49, p=.000). From the above results, it can be concluded that phase 1 cardiac rehabilitation nursing care is an effective nursing intervention for increasing their cardiac rehabilitation knowledge, reducing anxiety, and improving self-care behavior in patients with acute myocardial infarction.
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KEYWORD
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Self-care behavior, Anxiety, Knowledge, Phase 1 cardiac rehabilitation nursing care
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