경피적 관상동맥중재술을 받은 환자의 질병 관련 지식, 자기효능감이 건강행위 이행에 미치는 영향

소개

기존 논문을 참조하여 논문을 만들어보는 연구계획서

목차

Ⅰ. 서론
1. 연구의 필요성
2. 연구목적
3. 용어정의

Ⅱ. 본론
1. 연구설계
2. 연구대상
3. 연구도구
4. 자료수집
5. 자료분석
6. 윤리적 고려
7. 가설설정

Ⅲ. 참고문헌

본문내용

1. 연구의 필요성
심장질환은 세계적인 주요 사망원인으로 미국에서 1위를 차지하고 있고, 국내의 경우 2020년 기준으로 암에 이어 두 번째 사망원인으로 보고되고(Statistics Korea. 2020) 있으며 그중 관상동맥질환(Coronary Artery Diseases, CAD)은 우리나라 심장질환 사망원인의 약 55%를 차지하고 있다.(Jinnouchi H, Kolodgie FD, Romero M, Virmani R, Finn AV. 2022). 일반적으로 관상동맥질환 치료는 심근의 허혈이나 경색의 진행을 막기 위해 내과적 치료인 경피적 관상동맥중재술(Per-cutaneous Coronary Intervention, PCI)을 실시하고 있으며, 표준 치료법으로써 치료 효과가 우수하다(Lee, 2012; Shin et al., 2019). 관상동맥중재술 후 심장질환이 재발하면 첫 발병 때보다 사망률이 4배 정도 높아지므로(Thune et al., 2011), 철저한 건강관리를 통해 재발을 예방하는 것이 무엇보다 중요하다(Durstine, Moor, Lamonte, & Frankline, 2013).
심근의 허혈이나 경색의 진행을 막기 위해 내과적 치료(Lee,2012))이자 관상동맥협착을 치료하기 위한 경피적 관상동맥중재술(Percutaneous Coronary Intervention,PCI)은 관상동맥우회술에 비해 환자의 신체적, 정신적, 경제적 부담이 적고, 시술 후 즉각적인 임상적 호전을 보이며, 반복 시행도 가능하지만 높은 성공률과 사망률 감소라는 우수한 치료 성적을 보이고 있다.(Son YJ. 2008)
PCI는 성공률이 99.4%인 반면, 시술 후 30일 내 사망률은 3.9%, 1년 이내 사망률은 4.3%, 2년 이내 사망률은 8.6%로 보고되며(Kim JH, Chae SC, Oh DJ, Kim HS, Kim YJ, Ahn Y, et al. 2016), 재시술률은 27%

참고자료

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· 이경심, 성경미(2019)의 관상동맥중재술을 받은 중노년 남성의 건강 행위에 영향을 미치 는 요인
· 김소연, 김민영(2017)의 경피적 관상동맥중재술을 받은 관상동맥질환자를 위한 맞춤식 교 육‧상담 프로그램 개발 및 효과
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