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A Health Behavior Prediction Model for Patients With Coronary Artery Disease

Jiyoung Kim1, Oksoo Kim2

  • 11 Dong-eui University, Busan, Republic of Korea.

Clinical Nursing Research
|August 19, 2017
PubMed

Insights

Social support positively influences health behaviors in coronary artery disease patients. Enhancing physical function and cognitive illness perceptions is key for patient support and recovery.

Area of Science:

  • Cardiovascular Nursing
  • Health Psychology
  • Behavioral Medicine

Background:

  • Coronary artery disease (CAD) management requires understanding psychosocial factors influencing patient outcomes.
  • Functional status, hostility, social support, and illness perceptions are critical determinants of health behaviors in CAD patients.

Purpose of the Study:

  • To investigate the complex relationships among functional status, hostility, social support, illness perceptions, and health behaviors in CAD patients.
  • To utilize structural equation modeling to elucidate these interrelationships.

Main Methods:

  • A cross-sectional study involving 215 CAD patients who underwent percutaneous coronary intervention or coronary artery bypass graft.
  • Data collected via structured interviews and questionnaires in Seoul, Korea (July-August 2015).
  • Structural equation modeling (AMOS 21.0) used for data analysis.

Main Results:

  • Increased social support was associated with decreased cognitive illness perceptions.
  • Higher hostility and negative cognitive illness perceptions correlated with negative emotional illness perceptions.
  • Social support indirectly influenced emotional illness perceptions and health behaviors.
  • Lower functional status, greater social support, and positive cognitive illness perceptions predicted better health behaviors.

Conclusions:

  • Nurses should prioritize improving patients' physical functions and cognitive illness perceptions to enhance support.
  • Interventions targeting social support can indirectly improve emotional well-being and health behaviors in CAD patients.
  • A holistic approach considering psychosocial factors is essential for comprehensive CAD patient care.

Keywords:
coronary artery diseasehealth behaviorperceptionsocial support

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