관상동맥질환자의 사회적지지, 대처방식이 치료지시이행에 미치는 영향 : 부산시내 1개 병원을 대상으로 = A study on the effects of social support, stress coping skills on compliance in coronary heart disease patients

다국어 초록 (Multilingual Abstract)

This study was undertaken in order to identify the relationships between various social support, stress coping styles and compliance in coronary heart disease patients.
Coronary heart disease has become one of the main cause of death in Korean and the mortality rate is increasing rapidly. Chronic disease is hard to recover completely so it's important to keep up the compliance.
The subjects for this study were 107 coronary heart disease patients at one hospital in Pusan who were diagnosed at least two months ago.
Using prepared questionnaires the data was collected from January 3 to March 31 of 1997.
The instruments used for this study were Interpersonal Support Evaluation List(ISEL), translated and modified by Kim, Family Support scale and the Professional Medical Support scale made by Tae, The Ways of Coping Checklist, translated and modified by Kim, and Compliance scale, modified and supplemented by the investigator.
The data were analyzed with t-test, ANOVA, correlation coefficient, multiple regression.

The results of the study were summarized as follows;
1. There were significant difference in compliance between age groups(P=0.0432), duration of illness(P=0.0384).
2. Correlation between social support, family support, professional medical support, coping styles and compliance were as follows;
a. The relationship between family support and compliance was statically significant(r=0.246, P=0.011).
b. The relationship between professional medical support and compliance was statically significant(r=0.352, P$lt;0.001).
c. The relationship between active coping style and compliance was statically significant(r=0.277, P=0.005).
Especially relationship between problem-focused coping and compliance was statically significant (r=0.299, P=0.002).
d. The relationship between social support and compliance, passive coping style and compliance were not statically significant.
3. By multiple regression analysis, the main influencing factors on the compliance were age, duration of illness, professional medical support and positive(especially problem-focused) coping style.
The variables could explain 34.6% of the variance in compliance.