Youn-Jung Son

doi:10.4040/jkan.2008.38.2.217

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Original Article
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.
DOI: https://doi.org/10.4040/jkan.2008.38.2.217
Published online: April 30, 2008

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: December 10, 2007 • Accepted: February 18, 2008

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Abstract
NOTES
REFERENCES

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

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

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Figure 1

Conceptual framework of this study

Figure 2

Research design

Table 1

Integrated Symptom Management Program

Table 2

Homogeneity Test of Sociodemographic and Disease related Characteristics between Two Groups

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

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

Table 4

Differences of Cardiac Recurrence after the Intervention

Table 5

Effects of Integrated Symptom Management on Dependent Variables

^*p<0.01. HDL=High density lipoprotein; LDL=Low density lipoprotein.

Figure & Data

REFERENCES

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

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

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

Figure 1 Conceptual framework of this study

Figure 2 Research design

Figure 1

Figure 2

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

Table 1

Integrated Symptom Management Program

Table 2

Homogeneity Test of Sociodemographic and Disease related Characteristics between Two Groups

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

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

Table 4

Differences of Cardiac Recurrence after the Intervention

Table 5

Effects of Integrated Symptom Management on Dependent Variables

^*p<0.01. HDL=High density lipoprotein; LDL=Low density lipoprotein.

Table 1 Integrated Symptom Management Program

Table 2 Homogeneity Test of Sociodemographic and Disease related Characteristics between Two Groups

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

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

Table 4 Differences of Cardiac Recurrence after the Intervention

Table 5 Effects of Integrated Symptom Management on Dependent Variables

^*p<0.01. HDL=High density lipoprotein; LDL=Low density lipoprotein.