Type D 성격 유형이 관상동맥중재술 환자의 증상 경험과 삶의 질에 미치는 영향 = Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to investigate the influencing effects of type D personality on symptom experiences and quality of life in percutaneous coronary intervention patients. Methods: A descriptive, cross-sectional study design was used. A total of 158 patients with percutaneous coronary intervention participated in this study, between July 1 and November 1, 2015. Data were analyzed by means, standard deviations, t-test, x2 test, ANCOVA, and stepwise multiple regression analysis using SPSS 22.0 program. Results: About 53.8% of participants were classified as type D personality. The type D personality group reported statistically significantly higher symptom experience, lower cardiac function, and lower cardiovascular-specific quality of life compared to non- type D personality group. On stepwise multiple regression, the most significant factor of quality of life was symptom experiences (adjusted R2=.25, p<.001), followed by type D personality (adjusted R2=.31, p<.001). Conclusion: Personality trait assessment is recommended for patients with percutaneous coronary intervention to assess symptom experiences and quality of life. In addition, development of nursing intervention might be beneficial to manage symptom experience and quality of life in percutaneous coronary intervention patients with type D personality.

참고문헌 (Reference)

1 이은현, "만성 심혈관질환자의 삶의 질 의미" 성인간호학회 19 (19): 12-23, 2007

2 박진희, "관상동맥질환자의 심질환 재발에 영향을 미치는 심리적 디스트레스에 대한 체계적 문헌고찰" 한국간호과학회 41 (41): 704-714, 2011

3 박인숙, "관상동맥질환자의 삶의 질에 영향을 미치는 요소" 한국간호과학회 38 (38): 866-873, 2008

4 손연정, "고혈압 환자의 D유형 성격 양상에 따른 생활습관과 삶의 질" 성인간호학회 19 (19): 644-655, 2007

5 Lynn Williams, "Type-D personality mechanisms of effect: The role of health-related behavior and social support" Elsevier BV 64 (64): 63-69, 2008

6 Susanne S. Pedersen, "Type-D personality exerts a stable, adverse effect on vital exhaustion in PCI patients treated with paclitaxel-eluting stents" Elsevier BV 62 (62): 447-453, 2007

7 Margarita Staniute, "Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study" Springer Nature 13 (13): 1-, 2015

8 Susanne S. Pedersen, "Type D personality predicts death or myocardial infarction after bare metal stent or sirolimus-eluting stent implantation" Elsevier BV 44 (44): 997-1001, 2004

9 Floortje Mols, "Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems" Springer Nature 8 (8): 9-, 2010

10 Lynn Williams, "Type D personality and three-month psychosocial outcomes among patients post-myocardial infarction" Elsevier BV 72 (72): 422-426, 2012

11 Johan Denollet, "Type D personality" Elsevier BV 49 (49): 255-266, 2000

12 Susanne S. Pedersen, "Type D Personality Is Associated With Increased Anxiety and Depressive Symptoms in Patients With an Implantable Cardioverter Defibrillator and Their Partners" Ovid Technologies (Wolters Kluwer Health) 66 (66): 714-719, 2004

13 Isaksson RM, "Time trends in symptoms and prehospital delay time in women vs. men with myocardial infarction over a 15-year period. The Northern Sweden MONICA Study" 7 : 152-158, 2008

14 Terri S. Armstrong, "Symptoms Experience: A Concept Analysis" Oncology Nursing Society (ONS) 30 (30): 601-606, 2003

15 Hwang SJ, "Symptom clusters and quality of life changes according to recovery periods of heart valve surgery patients" Chonbuk University 2015

16 Denollet J, "Psychological risk factors in heart disease : what type D personality is(not)about" 51 : 465-468, 2001

17 The Criteria Committee for the New York Heart Association, "Nomenclature and criteria for diagnosis of disease of the heart and the great vessels" Little Brown and Company 253-255, 1994

18 Susanne Schmidt Pedersen, "Increased vital exhaustion among type-D patients with ischemic heart disease" Elsevier BV 51 (51): 443-449, 2001

19 Susanne S. Pedersen, "Impaired health status in Type D patients following PCI in the drug-eluting stent era" Elsevier BV 114 (114): 358-365, 2007

20 Statistics Korea, "Health insurance major surgery statistics" Statistics Korea

21 Ritin Santiago Fernandez, "Development of a health-related lifestyle self-management intervention for patients with coronary heart disease" Elsevier BV 38 (38): 491-498, 2009

22 Janet L. Nieveen, "Development and content validity testing of the Cardiac Symptom Survey in patients after coronary artery bypass grafting" Elsevier BV 37 (37): 17-27, 2008

23 Johan Denollet, "DS14: Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality" Ovid Technologies (Wolters Kluwer Health) 67 (67): 89-97, 2005

24 손행미, "D 유형 성격이 관상동맥질환자의 삶의 질 및 질병장애에 미치는 영향" 한국간호과학회 39 (39): 349-356, 2009

25 Man Sin Wong, "Changes in health-related quality of life following percutaneous coronary intervention: A longitudinal study" Elsevier BV 44 (44): 1334-1342, 2007

26 임홍의, "Assessment of the Type D Personality Construct in the Korean Population: A Validation Study of the Korean DS14" 대한의학회 26 (26): 116-123, 2011

27 M. M. Glymour, "Alcohol and cardiovascular disease" BMJ 349 (349): g4334-g4334, 2014

28 S. C. Smith, "AHA/ACC Guidelines for Secondary Prevention for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2006 Update: Endorsed by the National Heart, Lung, and Blood Institute" Ovid Technologies (Wolters Kluwer Health) 113 (113): 2363-2372, 2006

29 Choi KJ, "A study on stress, coping strategy, and depression in the patients having percutaneous transluminal coronary angioplasty" Yonsei University 2001

30 Statistics Korea, "2015 Annual report on the cause of death statistics" Statistics Korea