Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention

Eun Suk Shin; Seon Young Hwang; Myung Ho Jeong; Eun Sook Lee

doi:10.1016/j.anr.2013.10.003

Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention

Asian Nurs Res (Korean Soc Nurs Sci). 2013 Dec;7(4):205-11. doi: 10.1016/j.anr.2013.10.003. Epub 2013 Oct 31.

Authors

Eun Suk Shin¹, Seon Young Hwang², Myung Ho Jeong³, Eun Sook Lee⁴

Affiliations

¹ Department of Infection Control, Chonnam National University Hospital, Gwangju, South Korea.
² Department of Nursing, Hanyang University, Seoul, South Korea. Electronic address: seon9772@hanyang.ac.kr.
³ Heart Research Center, Chonnam National University Hospital, Gwangju, South Korea.
⁴ College of Nursing, Chonnam National University, Gwangju, South Korea.

PMID: 25030346
DOI: 10.1016/j.anr.2013.10.003

Abstract

Purpose: This study was conducted to identify direct and indirect factors influencing self-care compliance in patients with first acute coronary syndrome through examining the relationship among multidimensional factors.

Methods: Outpatients who made hospital visits to receive a follow-up care at more than 6 months after percutaneous coronary intervention were recruited at a national university hospital in Korea. Data of 430 participants were collected through self-administered questionnaires and analyzed using AMOS version 7.0. The fitness of the hypothetical model and the degree of significance of direct and indirect paths were analyzed.

Results: Three paths were found to have a significant effect on self-care compliance in the modified model. Social support indirectly influenced self-care compliance through enhancing self-efficacy, reducing anxiety and increasing perceived benefit. In addition, social support and body function indirectly influenced self-care compliance through reducing depression which affected self-efficacy. Self-efficacy was the most influential factor and played an important role as a mediating variable.

Conclusion: Results of this study suggest that nurses' counselling and education as a form of social support should be encouraged to enhance self-efficacy and self-care compliance among outpatients during follow-up care after percutaneous coronary intervention.

Keywords: acute coronary syndrome; patient compliance; self-care; structural models.