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사회적 지지와 우울정도가 관상동맥중재술을 받은 노인의 자가간호 이행에 미치는 영향
조원정,최모나,김소선,조은희 노인간호학회 2010 노인간호학회지 Vol.12 No.2
Purpose: This study was conducted to identify how social support and depression influence self-care for older adults who received Percutaneous Coronary Intervention (PCI). Methods: Data were collected during October and November2009 from 136 older adultswho madea follow-up visit after receiving PCI from a tertiary hospital. Data analyses were done using t-test, ANOVA, and multiple linear regression. Results: The average score for self-care was 3.47 out of 5 points, and the lowest scored sub-domain on self-care was medication. The level of social support was 2.80 out of 4 points. Morethan half of the participants had depressive symptoms. There was a significant difference in self-care by income level (F=3.51, p=.017). The result of multiple linear regression showed that income and self-esteem supportwere significant factors influencing self-care; however, depression was insignificant. Conclusion: In order to enhance self-care of older adults with coronary artery diseases, strategies for economically vulnerable older adults are needed, including educational interventions, insurance coveragefor cardiac rehabilitation programs, and policy support.Engagingin social participation and intervention programs to strengthen self-esteemwill help older adults increase self-care capacity. Additionally, a strategy for enhancing medication self-care specifically for older adults should be considered.