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A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease
Jin-Hee Park, Sun Hyoung Bae
J Korean Acad Nurs 2011;41(5):704-714.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.704
AbstractAbstract PDF
Purpose

The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD).

Methods

A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events.

Results

Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events.

Conclusion

Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.

Citations

Citations to this article as recorded by  
  • NAMS task force report on mental stress
    Rajesh Sagar, Kaushik Chatterjee, Sandeep Thareja, Anurag Timothy, A.S. Yadav, Prateek Yadav, Rajinder Dhamija, S.V. Madhu, Preethy Kathiresan, Pratibha Prasad, Swati Kedia Gupta, Kalpana Srivastava
    Annals of the National Academy of Medical Sciences (India).2025; 61: 66.     CrossRef
  • Impact of Type D Personality and Health Literacy on Resilience of Inpatients with Cardiovascular Diseases: A Cross-Sectional Study
    Da Eun Kim, Seon Young Hwang
    Korean Journal of Adult Nursing.2023; 35(1): 23.     CrossRef
  • The Effect of Perceived Stress, Fine Dust Risk Perception, and Resilience on Stress Response in Patients with Respiratory and Circulatory Disorders
    Jin-Hee Park, Kuem-Sun Han
    STRESS.2021; 29(1): 21.     CrossRef
  • Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
    Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
    Epidemiology and Health.2020; 43: e2021002.     CrossRef
  • Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
    Sun Hyoung Bae, Jin-Hee Park
    Korean Journal of Adult Nursing.2019; 31(3): 219.     CrossRef
  • Analysis of the relationship between community characteristics and depression using geographically weighted regression
    Hyungyun Choi, Ho Kim
    Epidemiology and Health.2017; 39: e2017025.     CrossRef
  • Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention
    Eun Hee Jo, Sun Hee Han, Myung Ha Lee, Sung Reul Kim
    Korean Journal of Adult Nursing.2016; 28(5): 536.     CrossRef
  • Depression and Anxiety as Predictors of Recurrent Cardiac Events 12 Months After Percutaneous Coronary Interventions
    Jin-Hee Park, Seung-Jea Tahk, Sun Hyoung Bae
    Journal of Cardiovascular Nursing.2015; 30(4): 351.     CrossRef
  • Anger, anger expression, cardiovascular risk factors, and gastrointestinal symptoms by hwa-byung symptoms in Korean adult women
    Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Hyun Cheol Kang, Yoon Tae Jin, Song I. Jeon, Inhae Cho
    Applied Nursing Research.2015; 28(4): 398.     CrossRef
  • Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
    Seon Young Hwang, Jin Shil Kim
    Asian Nursing Research.2015; 9(4): 291.     CrossRef
  • Influences of Knowledge, Self-efficacy, and Social Support on Sick Role Behavior in Patients with Coronary Artery Disease
    Soonhee Kim, Sunhee Lee
    Journal of Korean Public Health Nursing.2014; 28(2): 228.     CrossRef
  • Factors Influencing the Quality of Life in Low- Income Elders Living at Home: A Literature Review
    Chung-Min Cho
    Journal of Korean Public Health Nursing.2013; 27(2): 372.     CrossRef
  • Effects of a psychoeducational intervention for secondary prevention in Korean patients with coronary artery disease: A pilot study
    Jin‐Hee Park, Seung‐Jae Tahk, Sun Hyoung Bae, Youn‐Jung Son
    International Journal of Nursing Practice.2013; 19(3): 295.     CrossRef
  • Stress and cardiovascular disease
    Jung Jin Cho
    Journal of the Korean Medical Association.2013; 56(6): 462.     CrossRef
  • 221 View
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  • 14 Crossref
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Life Experience of Inpatients with Recurrent Breast Cancer
Young Ju Kim
J Korean Acad Nurs 2011;41(2):214-224.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.214
AbstractAbstract PDF
Purpose

Understanding daily life experiences of patients admitted to hospital with recurrent breast cancer.

Methods

The grounded theory method was used for this study.

Results

Consistent comparative analysis was used throughout the study to obtain the results. Results showed that inpatients with recurrent breast cancer experience 'a co-existence of life suffering and fear of death'. The causal condition of this result was determined to be 'patient's response to cancer recurrence (acceptance/despair)', including contextual conditions such as, 'previous experience with cancer treatment', 'patient's current physical condition', and 'treatment methods for recurrent cancer'. Intervening conditions, such as 'a strong will to live', 'family support', 'moral support providers', and action/interaction strategies were found to provide patients with 'a strength to live'. Shown in these results, inpatients with recurrent breast cancer were seen to have a simultaneous 'hope for life and fear of death'.

Conclusion

When providing nursing services to inpatients with recurrent breast cancer, people must recognize there is a notable difference between individual patients' contextual conditions and interactive strategies. Henceforth, proper cognitive nursing must be provided which encourages patients to maintain a strong will to overcome the many hardships of treatment as well as physical nursing, such as management of side effects caused by chemotherapy.

Citations

Citations to this article as recorded by  
  • Post-traumatic Growth Experiences of Breast Cancer Survivors: A Grounded Theory Approach
    Seung-Kyoung Yang, Young-Suk Park, Eun-Joo Lee
    Journal of Korean Association for Qualitative Research.2024; 9(2): 79.     CrossRef
  • Journey through the Fight against Ovarian Cancer: Finding the Existence Value with being Tied to the Bridle of Death
    Young-Suk Park, Jeong Sook Park
    Korean Journal of Adult Nursing.2018; 30(6): 656.     CrossRef
  • The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty
    Ae-Kyung Kim
    Korean Journal of Adult Nursing.2017; 29(5): 472.     CrossRef
  • Decision-making process related to treatment and management in Korean women with breast cancer: Finding the right individualized healthcare trajectory
    Kkotbong Kim, Jinhyang Yang
    Applied Nursing Research.2017; 35: 99.     CrossRef
  • The Experience of Illness in Non-Hodgkin Lymphoma Patients
    Hye Sook Kim, Myungsun Yi
    Asian Oncology Nursing.2016; 16(3): 121.     CrossRef
  • A comparison of the effectiveness of complex decongestive physiotherapy and stellate ganglion block with triamcinolone administration in breast cancer-related lymphedema patients
    Jeong-Gil Kim, Soon Ook Bae, Kwan Sik Seo
    Supportive Care in Cancer.2015; 23(8): 2305.     CrossRef
  • An Ethnographic Research on Psychological Experiences of Mothers Caring for their Children with Recurent Cancer
    Seong-Heui Kim
    Asian Oncology Nursing.2015; 15(2): 75.     CrossRef
  • 181 View
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  • 7 Crossref
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The Development and Effects of an Integrated Symptom Management Program for Prevention of Recurrent Cardiac Events after Percutaneous Coronary Intervention
Youn-Jung Son
Journal of Korean Academy of Nursing 2008;38(2):217-228.   Published online April 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.2.217
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Exercise-based cardiac rehabilitation for coronary heart disease
    Grace Dibben, James Faulkner, Neil Oldridge, Karen Rees, David R Thompson, Ann-Dorthe Zwisler, Rod S Taylor
    Cochrane Database of Systematic Reviews.2021;[Epub]     CrossRef
  • Effects of Video Program by Tablet PC on Anxiety, Vital Signs, Pain, and Knowledge Level among Patients Undergoing Percutaneous Coronary Intervention
    Hyun Hee Park, Gye Seon Jeong
    Korean Journal of Adult Nursing.2021; 33(2): 102.     CrossRef
  • Development and Assessment of a Social Network Service-Based Lifestyle-Modification Program for Workers at High Risk of Developing Cardiovascular Disease
    Soo Hee Woo, Eui Geum Oh, Kyung-SOO Kim, Sang Hui Chu, Gwang Suk Kim, Chung Mo Nam
    Workplace Health & Safety.2020; 68(3): 109.     CrossRef
  • Effect of Cardiopulmonary Physiotherapy on Patients With Percutaneous Coronary Intervention - Systematic Review and Meta-Analysis
    Na-yoon Kang, Beom-seok Park, Min-hee Kim
    Journal of The Korean Society of Physical Medicine.2019; 14(1): 63.     CrossRef
  • Moderating effect of Lifestyle and Type D personality on the Relationship between Metabolic Syndrome and Severity of Coronary Artery Disease
    In-Kyoung Noh, Myoung Soo Kim
    Korean Journal of Adult Nursing.2018; 30(3): 290.     CrossRef
  • Development and Effectiveness of Tailored Education and Counseling Program for Patients with Coronary Artery Disease undergoing Percutaneous Coronary Intervention
    So-Yeon Kim, Min Young Kim
    Korean Journal of Adult Nursing.2017; 29(5): 547.     CrossRef
  • Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study
    Jae Lan Shim, Seon Young Hwang
    BMC Nursing.2017;[Epub]     CrossRef
  • Comparison of Health Behavior Change Before and After the Percutaneous Coronary Intervention among Coronary Artery Disease Patients
    Jung-Hun Lee, Kyeong-Soo Lee, Tae-Yoon Hwang
    Journal of agricultural medicine and community health.2016; 41(3): 140.     CrossRef
  • Exercise-based cardiac rehabilitation for coronary heart disease
    Lindsey Anderson, David R Thompson, Neil Oldridge, Ann-Dorthe Zwisler, Karen Rees, Nicole Martin, Rod S Taylor
    Cochrane Database of Systematic Reviews.2016;[Epub]     CrossRef
  • Health-related Quality of Life in Symptomatic Postmyocardial Infarction Patients with Left Ventricular Dysfunction
    Ha Mi Kim, JinShil Kim, Seon Young Hwang
    Asian Nursing Research.2015; 9(1): 47.     CrossRef
  • Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
    Seon Young Hwang, Jin Shil Kim
    Asian Nursing Research.2015; 9(4): 291.     CrossRef
  • Development and Evaluation of a Self Care Education Program for Elderly Patients with Percutaneous Coronary Intervention
    Gyeong-Jin Jo, Jin-Hyang Yang
    The Journal of Korean Academic Society of Nursing Education.2014; 20(2): 266.     CrossRef
  • Development of Smartphone Educational Application for Patients with Coronary Artery Disease
    Min Jung Cho, Jae Lan Sim, Seon Young Hwang
    Healthcare Informatics Research.2014; 20(2): 117.     CrossRef
  • The Health Behavioral Experience of Patients with Myocardial Infarction during the Recovery Period
    Kyung Ja Kang, Moon Jeong Kim
    Korean Journal of Adult Nursing.2014; 26(2): 203.     CrossRef
  • Effects of a psychoeducational intervention for secondary prevention in Korean patients with coronary artery disease: A pilot study
    Jin‐Hee Park, Seung‐Jae Tahk, Sun Hyoung Bae, Youn‐Jung Son
    International Journal of Nursing Practice.2013; 19(3): 295.     CrossRef
  • Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income
    Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee
    Journal of Korean Academy of Nursing.2010; 40(6): 831.     CrossRef
  • 255 View
  • 8 Download
  • 16 Crossref
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A Study on Behaviors for Preventing Recurrence and Quality of Life in Breast Cancer Survivors
Hyo Suk Min, Sun Young Park, Joung Sun Lim, Mi Ok Park, Hyo Jin Won, Jong Im Kim
Journal of Korean Academy of Nursing 2008;38(2):187-194.   Published online April 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.2.187
AbstractAbstract PDF
Purpose

This study was to identify behaviors preventing the recurrence of breast cancer and the level of quality of life.

Methods

This descriptive study was conducted using a structured questionnaire from November 1, 2006 to December 25, 2006 . One hundred and twenty two women breast cancer survivors were recruited by convenience sampling.

Results

The most frequent behavior for preventing recurrence of the breast cancer was dietary treatment (90.9%) and exercise (86.8%) was the second behavior. In addition, most of them perceived these behaviors as 'very effective' (82.8%). The degree of the quality of life of a breast cancer survivor was 5.34 point indicating a 'medium level'.

Conclusion

Breast cancer survivors pursued various behaviors for preventing recurrence of breast cancer. Therefore, the nursing interventions should be focused on a systematic educational approach considering healthy behaviors to prevent breast cancer recurrence for breast cancer survivors.

Citations

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  • Impact of post-treatment symptoms on supportive care needs among breast cancer survivors in South Korea
    Unhee Kim, Ju-Young Lee
    Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100295.     CrossRef
  • Factors Associated with Hospital Length of Stay among Women’s Cancer Patients: Based on the In-depth Injury Patient Surveillance System Data
    Yoonjung Kang, Hyewon Lee
    Journal of Health Informatics and Statistics.2022; 47(2): 148.     CrossRef
  • A Study on Breast Cancer Patients’ Commitment to a Plan for Exercise based on Health Beliefs
    Hyoung Sook Park, Yun Seo Jung, Young Mi Kim, Jae Hyun Hwang
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 64.     CrossRef
  • Analysis of Health management Awareness and Practice Experience of Breast Cancer Survivors using Focus Group Interviews
    Hye Won Kim, Su Jeong Han, Mi Ran Kim
    The Korean Journal of Rehabilitation Nursing.2020; 23(1): 48.     CrossRef
  • The mediating effect of social support on uncertainty in illness and quality of life of female cancer survivors: a cross-sectional study
    Insook Lee, Changseung Park
    Health and Quality of Life Outcomes.2020;[Epub]     CrossRef
  • Effects of a web-based expert support self-management program (WEST) for women with breast cancer: A randomized controlled trial
    Hye-Jin Kim, Hee-Seung Kim
    Journal of Telemedicine and Telecare.2020; 26(7-8): 433.     CrossRef
  • Quality of Life and Supportive Care Needs of Back-to-Work Breast Cancer Survivors
    Su Jeong Han, Hye Won Kim, Dae Sung Yoon, Mi Ran Kim
    Korean Journal of Adult Nursing.2019; 31(5): 552.     CrossRef
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    So Young Baek, Ja Yun Choi
    Asian Oncology Nursing.2018; 18(1): 11.     CrossRef
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    Sunhwa Shin, Hyojung Park
    Japan Journal of Nursing Science.2017; 14(4): 311.     CrossRef
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    Nam Yee Koo, Ji Hyun Lee
    Asian Oncology Nursing.2017; 17(2): 69.     CrossRef
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    Hye Sook Kim, Myungsun Yi
    Asian Oncology Nursing.2016; 16(3): 121.     CrossRef
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    Yoonsun Lee, Hyunsoo Shin, Eunjoo Bae, Hyunjung Lim, Pei-Yi Chu
    PLOS ONE.2016; 11(10): e0163281.     CrossRef
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    Jung Ran Lee, Pok Ja Oh
    Korean Journal of Adult Nursing.2016; 28(2): 202.     CrossRef
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    Asian Oncology Nursing.2014; 14(3): 146.     CrossRef
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    Myungsun Yi, Jieun Cha, Youngmi Ryu
    The Journal of the Korea Contents Association.2014; 14(4): 256.     CrossRef
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    Yeon Hee Choi, Young Sun Ha
    Journal of Korean Academy of Community Health Nursing.2014; 25(2): 109.     CrossRef
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    Sun Ae Kim, Jong Im Kim, Sun Young Park
    Journal of muscle and joint health.2014; 21(1): 27.     CrossRef
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    Sun Young Park, Jong Im Kim
    Journal of muscle and joint health.2013; 20(3): 171.     CrossRef
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    Asian Nursing Research.2013; 7(4): 161.     CrossRef
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    Jeong-Sook Park, Yun-Jung Oh
    Korean Journal of Adult Nursing.2012; 24(3): 219.     CrossRef
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    Asian Oncology Nursing.2012; 12(1): 12.     CrossRef
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    Jeong-Sun Lim, Jong-Im Kim
    Journal of muscle and joint health.2012; 19(1): 37.     CrossRef
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    Oncology Nursing Forum.2011; 38(2): E97.     CrossRef
  • Life Experience of Inpatients with Recurrent Breast Cancer
    Young Ju Kim
    Journal of Korean Academy of Nursing.2011; 41(2): 214.     CrossRef
  • Effects of Laughter Therapy on Depression, Quality of Life, Resilience and Immune Responses in Breast Cancer Survivors
    Eun A Cho, Hyun Ei Oh
    Journal of Korean Academy of Nursing.2011; 41(3): 285.     CrossRef
  • Symptom Experience and Quality of Life in Breast Cancer Survivors
    Jin Hee Park, Eun-Young Jun, Mi-Young Kang, Yong-Sik Joung, Gu-Sang Kim
    Journal of Korean Academy of Nursing.2009; 39(5): 613.     CrossRef
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  • 26 Crossref
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