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KMID : 0367020170290010032
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Journal of Korean Academic of Adult Nursing
2017 Volume.29 No. 1 p.32 ~ p.40
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Impact of Risk Factors, Autonomy Support and Health Behavior Compliance on the Relapse in Patients with Coronary Artery Disease
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Park Ae-Ran
So Hyang-Sook
Song Chi-Eun
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Abstract
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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 treatment and 54 were selected because there was a relapse. Data were analyzed using x2 test, t-test or F test to determine if there were any significant differences in the study variables relative to the status of relapse. Predictors were calculated by logistic regression.
Results : Autonomy supported by healthcare providers was the significant predictor for relapse in patients with CAD. Patients with low autonomy supported by healthcare providers was 3.91 times more likely to relapse than patients with high autonomy supported. Patients with diabetes were at greater risk of recurrence.
Conclusion : Secondary prevention of CAD is a major task for patients with CAD. Behavioral strategies for cardiovascular risk reduction are essential and autonomy supported by healthcare providers should be included in their strategies.
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KEYWORD
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Coronary artery disease, Percutaneous coronary intervention, Relapse, Secondary prevention
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