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Son: The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2008; 38(2): 217-228.

Published online: 30 April 2008

DOI: https://doi.org/10.4040/jkan.2008.38.2.217

The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention

Youn-Jung Son

Assistant Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

Address reprint requests to: Son, Youn-Jung. Department of Nursing, College of Medicine, Soonchunhyang University, 366-1 Ssangyong-dong, Cheonan 330-090, Korea. Tel: 82-41-570-2487, Fax: 82-41-575-9347, yjson@sch.ac.kr

Received 10 December 2007       Accepted 18 February 2008

Copyright © 2008 Korean Society of Nursing Science

Abstract

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.

Keywords: Percutaneous coronary intervention, Recurrence, Symptom management

Figures and Tables

Figure 1
Conceptual framework of this study
jkan-38-217-g001
Figure 2
Research design
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Table 1
Integrated Symptom Management Program
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Table 2
Homogeneity Test of Sociodemographic and Disease related Characteristics between Two Groups
jkan-38-217-i002

ACS=Acute coronary syndrome; BMI=Body mass index; DB=Diabetes mellitus; PCI=Percutaneous coronary intervention; PTCA=Percutaneous transluminal coronary angioplasty.

Table 3
Homogeneity Test of Dependent Variables between Two Groups before the Intervention
jkan-38-217-i003

HDL=High density lipoprotein; LDL=Low density lipoprotein.

Table 4
Differences of Cardiac Recurrence after the Intervention
jkan-38-217-i004
Table 5
Effects of Integrated Symptom Management on Dependent Variables
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*p<0.01. HDL=High density lipoprotein; LDL=Low density lipoprotein.

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Goverment (MOEHRD) KRF-2005-003-E00293

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