관상동맥중재술 환자의 자기효능감, 건강행위, 사회적 지지가 회복탄력성에 미치는 영향

Abstract

Purpose To determine effects of self-efficacy, health behavior, and social support on resilience of patients with percutaneous coronary intervention (PCI). Method Data were collected from August 1, 2023 to October 3, 2023 using a structured questionnaire, targeting 146 patients with PCI in a university hospital located in B Metropolitan City. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlations, and multiple regression analysis with SPSS 28.0 program. Result Mean scores of self-efficacy, health behavior, social support, and resilience were 39.03±8.84, 2.38±0.54, 4.43±2.24, and 3.38±0.68, respectively. There were statistically significant differences in resilience according to gender (t=2.586, p<.05), educational status (t=-4.849, p<.001), occupation (t=-2.992, p<.01), family income (t=-3.113, p<.01), family type (t=3.514, p<.001), comorbidity (t=3.090, p<.01), and LDL (t=-2.351, p<.05). Resilience showed statistically significant positive correlations with self-efficacy (r=.82, p<.001), health behavior (r=.63, p<.001), and social support (r=.70, p<.001). Using a multiple regression method, self-efficacy (β=.55, p<.001), social support (β=.27, p<.001), health behavior (β=.17, p=.003), and LDL (β=.10, p=.026) were significantly associated with resilience. These variables accounted for 75.2% of the total variance in resilience of patients with PCI (F=44.697, p<.001). Conclusion Results of this study suggest that basic data for the development of patient education protocols can be provided based on self-efficacy, health behavior, and social support to improve the resilience of patients with PCI.