1단계 심장재활간호가 급성심근경색증 환자의 지식，불안 및 자가간호행위에 미치는 영향

Abstract

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 nonequivalen-t 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(17 patients) and control (17 patients) 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.(l975) and translated into korean by Hwang (1986), the Anxiety Scale developed by Spiel berger(1976), and the modified Self-Care Scaie 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 study 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 二.000). 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*1, was supported (t=-15.49, p=M)00). 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.