Effect of transdisciplinary cardiac rehabilitation program based on transtheoretical model on health behavior, self-efficacy and quality of life

학위논문(박사) --서울대학교 대학원 :간호학과(간호학전공),2010.2.Docto

A Study of Motivational Factors and Health Behaviors in Patients with Coronary Artery Disease

Purpose: The purpose of this study was to identify motivational factors that may influence health behaviors of patients with coronary artery disease. Methods: Structured questionnaires were used with a convenience sample of 164 subjects who were discharged from the hospital. The subjects were recruited for an interview at outpatient clinic in hospitals. The tools for the study were the motivational factors and health behaviors measure for the Elderly with cardiovascular disease. The data were analyzed using frequency, t-test, ANOVA, sheffe, Pearson correlation coefficient and stepwise multiple regressions. Results: There were significant correlations between motivational factors and health behaviors, ranging from r=.192 to .692. Stepwise multiple regression analyses indicated that 51% of variance in health behaviors was explained by self-efficacy and perceived benefits among four motivational factors(F=34.988, p＜.01). Self-efficacy contributed the greatest amount of variance in health behaviors(β=.467), followed by perceived benefits(β=.235). Conclusions: The results of the study indicate that motivation, especially self-efficacy, was very important in predicting health behaviors of patients with coronary artery disease. Thus it would be necessary to include motivational factors in designing rehabilitation program for people with coronary artery disease

Content Analysis of Questions Related to Breast Cancer Raised through Internet Counseling in Korea

Purpose: The purpose of this study was to analyze the data regarding questions raised by women with breast cancer through Internet counseling in Korea. Methods: The data were collected from one internet web-site, providing counseling by physicians. A total of 617 questions were analyzed by content analysis method. Results: About 90 percent of the counselees were patients themselves. But most of the general and health-related characteristics of them were not known from the data. As a result of content analysis, 617 questions were grouped into 9 major categories. The most common major category was identified as life after treatment (212 questions, 34.2%), followed by chemotherapy (139 questions, 22.3%) and hormone therapy (115 questions, 18.9%). Questions regarding physical symptoms were the most frequent one in the major categories of life after treatment, chemotherapy, and radiotherapy, while questions regarding psychological problems were the least. Conclusion: The findings of this study indicate that it is important for health professionals to provide continuous on-line informational support to women with breast cancer, even after all the treatment is over, especially focusing on physical symptoms. In addition, off-line program needs to be reinforced to provide emotional support that is not well delivered by on-line program