Asian Nursing Research
Volume 4, Issue 1 , Pages 45-55, March 2010

Correlates of Health Behaviors in Patients With Coronary Artery Disease

  • Younhee Kang, RN, MSN-ANP, PhD

      Affiliations

    • Associate Professor, Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea
    • Corresponding Author InformationCorrespondence to: Younhee Kang, RN, MSN-ANP, PhD, Associate Professor, Division of Nursing Science, College of Health Sciences, Ewha Womans University, 11-1 Daehyun-dong, Seodaemun-gu, Seoul, 120-750, Korea
    • ,
  • In-Suk Yang, RN, MSN

      Affiliations

    • Docotoral Student, Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea
    • ,
  • Narae Kim, RN, BSN

      Affiliations

    • Master's Student, Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea

Received 15 February 2010; received in revised form 17 February 2010; accepted 9 March 2010.

Article Outline

Purpose

To investigate the effect of cardiac knowledge and cardiac self-efficacy on health behaviors after controlling for influences from associating factors of health behaviors in patients with coronary artery diseases (CADs).

Methods

A descriptive correlational and cross-sectional design was used. Subjects with CADs were recruited from outpatient clinics of three academic medical centers. The cardiac knowledge, cardiac self-efficacy, and health behaviors were measured by Coronary Heart Disease Awareness and Knowledge Questionnaire, Cardiac Self-Efficacy Scale, and Health-Promoting Lifestyle Profile II respectively. The data collected were statistically analyzed by descriptive statistics, t test, Kruskal-Wallis test, analysis of variance, Pearson's correlation analysis, and the hierarchical multiple regression analysis.

Results

A total of 157 subjects were recruited for this study. The mean age of subjects was 59.38 ± 10.04 years, and three-fourths (75.2%) were male. Subjects showed relatively low cardiac knowledge, moderately high cardiac self-efficacy, and moderate level of health behaviors. The overall model significantly explained 48% of variance in health behaviors (F = 14.52, p < .001). Among predictors, age, education, smoking status, experience of receiving patient education, and cardiac self-efficacy significantly affected health behaviors, and cardiac self-efficacy had the greatest effect on health behaviors (β= .39). However, cardiac knowledge had no statistically significant influence on health behaviors after controlling for the other factors.

Conclusion

The findings suggested that cardiac self-efficacy was shown to be the most influencing factor on health behaviors but cardiac knowledge had no influence on health behaviors. The nursing interventions tailored on the patient characteristics should be developed in order to improve the health behaviors of patients with CADs.

Key Words:  coronary artery disease , knowledge , self-efficacy , health behaviors

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Alm-Roijer C , Stagmo M , Udén G , Erhardt L . Better knowledge improves adherence to lifestyle changes and medication in patients with coronary heart disease . European Journal of Cardiovascular Nursing . 2004;3:321–330
  2. Beal CC , Stuifbergen AK , Brown A . Predictors of a health promoting lifestyle in women with fibromyalgia syndrome . Psychology, Health and Medicine . 2009;14:343–353
  3. Buckley T , McKinley S , Gallagher R , Dracup K , Moser DK , Aitken LM . The effect of education and counselling on knowledge, attitudes and beliefs about responses to acute myocardial infarction symptoms . European Journal of Cardiovascular Nursing . 2007;6:105–111
  4. Charlson ME , Pompei P , Ales KL , MacKenzie CR . A new method of classifying prognostic comor-bidity in longitudinal studies: Development and validation . Journal of Chronic Disease . 1987;40:373–383
  5. Cohen J . Statistical Power Analysis for the Behavioral Sciences . 2nd ed.. Hillsdale, NJ: Lawrence Erlbaum; 1988;
  6. Coulson I , Strang V , Mariño R , Minichiello V . Knowledge and lifestyle behaviors of healthy older adults related to modifying the onset of vascular dementia . Archives of Gerontology and Geriatrics . 2004;39:43–58
  7. Fleury J , Sedikides C . Wellness motivation in cardiac rehabilitation: The role of self-knowledge in cardiovascular risk modification . Research in Nursing & Health . 2007;30:373–384
  8. Han SS , Lee JI , Kim YJ . Predicting factors on eating behavior in coronary artery disease patients . Journal of Korean Academy of Nursing . 2007;37:1193–1201
  9. Karimi A , Ahmadi H , Davoodi S , Movahedi N , Marzban M , Abbasi K , et al.   Factors affecting postoperative morbidity and mortality in isolated coronary artery bypass graft surgery . Surgery Today . 2008;38:890–898
  10. Kayaniyil S , Ardern CI , Winstanley J , Parsons C , Brister S , Oh P , et al.   Degree and correlates of cardiac knowledge and awareness among cardiac inpatients . Patient Education and Counseling . 2009;75:99–107
  11. Lau-Walker M . Importance of illness beliefs and self-efficacy for patients with coronary heart disease . Journal of Advanced Nursing . 2007;60:187–198
  12. Lauck S , Johnson JL , Ratner PA . Self-care behaviour and factors associated with patient outcomes following same-day discharge percutaneous coronary intervention . European Journal of Cardiovascular Nursing . 2009;8:190–199
  13. Lloyd-Jones D , Adams R , Carnethon M , De Simone G , Ferguson TB , Flegal K , et al.   Heart disease and stroke statistics-2009 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee . Circulation . 2009;119:480–487
  14. Maeland JG , Havik OE . Measuring cardiac health knowledge . Scandinavian Journal of Caring Sciences . 1987;1:23–31
  15. Martin MY , Person SD , Kratt P , Prayor-Patterson H , Kim Y , Salas M , et al.   Relationship of health behavior theories with self-efficacy among insufficiently active hypertensive African-American women . Patient Education and Counseling . 2008;72:137–145
  16. McKinley S , Dracup K , Moser DK , Riegel B , Doering LV , Meischke H , et al.   The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: A randomized controlled trial . International Journal of Nursing Studies . 2009;46:1037–1046
  17. Mosca L , Mochari H , Christian A , Berra K , Taubert K , Mills T , et al.   National study of women's awareness, preventive action, and barriers to cardiovascular health . Circulation . 2006;113:525–534
  18. Nakahara R , Yoshiuchi K , Kumano H , Hara Y , Suematsu H , Kuboki T . Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes . Psychosomatics . 2006;47:240–246
  19. Redfern J , Ellis E , Briffa T , Freedman SB . Modular prevention of heart disease following acute coronary syndrome (ACS) . BMC Cardiovascular Disorder . 2006;6:26–32
  20. Sheahan SL , Fields B . Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females . Journal of the American Academy of Nurse Practitioners . 2008;20:217–224
  21. Smith MM , Hicks VL , Heyward VH . Coronary heart disease knowledge test: Developing a valid and reliable tool . The Nurse Practitioner . 1991;16:28–38
  22. Sol BGM , van der Graaf Y , van der Bijl JJ , Goessens BMB , Visseren FLJ . The role of self-efficacy in vascular risk factor management: A randomized controlled trial . Patient Education and Counseling . 2008;71:191–197
  23. Statistics Korea  . The cause of death and mortality . www.kosos.kr/domestic/theme/do01_index.jsp 2007; Retrieved February 12, 2010, from
  24. Stewart DE , Abbey SE , Shnek ZM , Irvine J , Grace SL . Gender differences in health information needs and decisional preferences in patients recovering from an acute ischemic coronary event . Psychosomatic Medicine . 2004;66:42–48
  25. Sullivan MD , LaCroix AZ , Russo J , Katon WJ . Self-efficacy and self-reported functional status in coronary heart disease: A six-month prospective study . Psychosomatic Medicine . 1998;60:473–478
  26. Walker, S. N., & Hill-Polerecky, D. M. (1996). Psychometric evaluation of the Health-Promoting Lifestyle Profile II. Unpublished manuscript, University of Nebraska Medical Center at Omaha.
  27. Walker SN , Kerr MJ , Pender NJ , Sechrist KR . A Spanish language version of the Health-Promoting Lifestyle Profile . Nursing Research . 1990;39:268–273
  28. Walker SN , Sechrist KR , Pender NJ . The Health-Promoting Lifestyle Profile: Development and psychometric characteristics . Nursing Research . 1987;36:76–81
  29. Walker SN , Volkan K , Sechrist KR , Pender NJ . Health-promoting lifestyles of older adults: Comparisons with young and middle-aged adults, correlates and patterns . Advances in Nursing Science . 1988;11:76–90

PII: S1976-1317(10)60005-9

doi:10.1016/S1976-1317(10)60005-9

Asian Nursing Research
Volume 4, Issue 1 , Pages 45-55, March 2010

Article Tools