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KMID : 0806120080380020217
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대한간호학회지
2008 Volume.38 No. 2 p.217 ~ p.228
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The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention
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Son Youn-Jung
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Abstract
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Purpose: This study was conducted to develop and to determine the effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention.
Methods: Subjects consisted of 58 CAD patients (experimental group: 30, control group: 28). The experimental group participated in an integrated symptom management program for 6 months which was composed of tailored education, stress management, exercise, diet, deep breathing, music therapy, periodical telephone monitoring and a daily log. The control group received the usual care.
Results: The experimental group significantly decreased symptom experiences and the level of LDL compared to
the control group. The experimental group significantly increased self care activity and quality of life compared to the
control group. Although no significant difference was found in cardiac recurrence, the experimental group had fewer recurrences.
Conclusion: These results suggest that an integrated
symptom management program for prevention of recurrent
cardiac events after percutaneous coronary intervention can
improve symptom aggravation, recurrent rate, self care activity
and quality of life. Nursing interventions are needed to
maintain and further enhance the quality of life of these patients
and the interventions should be implemented in the overall
transition period.
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KEYWORD
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Percutaneouscoronary intervention, RecurrenceSymptommanagement
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