Korean J Adult Nurs.  2015 Jun;27(3):294-303. 10.7475/kjan.2015.27.3.294.

The Relationships among Health Locus of Control and Resilience, Social Support and Health Promoting Behavior in Patients with Newly Diagnosed Coronary Artery Diseases

Affiliations
  • 1Graduate School, Ewha Womans University, Seoul, Korea.
  • 2Division of Nursing Science, Ewha Womans University, Seoul, Korea. yxk12@ewha.ac.kr

Abstract

PURPOSE
The purpose of this study was to determine the relationships among health locus of control, resilience, social support, and health promoting behavior in patients with coronary artery diseases.
METHODS
This study utilized a descriptive correlational design using a survey method. The subjects were 165 coronary artery disease patients at the cardiology out-patient clinic of the C university hospital. Data were collected through Health Locus of Control Scale, Resilience Scale, ENRICHD Social Support Instrument, Health Promoting Lifestyle Profile scale. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and hierarchial regression.
RESULTS
There were significant positive bivariate correlations of health promoting behavior with internal health locus of control, doctors health locus of control, resilience and social support respectively, and correlation between resilience and social support. Among predictors, internal health locus of control (beta=.28), social support (beta=.28) and resilience (beta=.25) had statistically significant influences on health promoting behavior.
CONCLUSION
These results proposed that internal health locus of control, social support and resilience have important influences on health promoting behavior. Nursing interventions to enhance internal health locus of control, resilience and social support might be essential for patients with coronary artery disease in order to promote their health behaviors.


MeSH Terms

Cardiology
Coronary Artery Disease*
Surveys and Questionnaires
Health Behavior
Health Promotion
Humans
Internal-External Control*
Life Style
Nursing
Outpatients
Resilience, Psychological

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Reference

1.Statistics Korea. 2013 Annual report on the cause of death statistics [Internet]. Seoul: Statistics Korea;2014. [cited 2014 September 15]. Available from:. http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&bSeq=&aSeq=330181&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=.
2.Hallveig B., Louise J., Colleen N., Michelle G. Health-related quality of life in women with coronary artery disease. European Journal of Cardiovascular Nursing. 2009. 8(1):18–25. http://dx.doi.org/10.1016/j.ejcnurse.2008.05.002.
Article
3.Silarova B., Nagyova I., Rosenberger J., Studencan M., Ondu-sova D., Reijneveld SA, et al. Sense of coherence as a predictor of health-related behaviours among patients with coronary heart disease. European Journal of Cardiovascular Nursing. 2014. 13(4):345–56. http://dx.doi.org/10.1177/1474515113497136.
Article
4.Bergvik S., So̸rlie T., Wynn R. Coronary patients who returned to work had stronger internal locus of control beliefs than those who did not return to work. British Journal of Health Psychology. 2011. 17(3):596–608. http://dx.doi.org/10.1111/j.2044-8287.2011.02058.x.
Article
5.Hwang SY., Kweon YR., Kim AL. Perceptions of barriers to cardiovascular risk factors and decision to seek treatment among middle-aged men with acute myocardial infarction. The Korean Journal of Adult Nursing. 2010. 22(5):537–51.
6.Staniute M., Brozaitiene J., Bunevicius R. Effects of social support and stressful life events on health-related quality of life in coronary artery disease patients. The Journal of Cardiovascular Nursing. 2013. 28(1):83–9. http://dx.doi.org/10.1097/jcn.0b013e318233e69d.
Article
7.Grotz M., Hapke U., Lampert T., Baumeister H. Health locus of control and health behaviour: results from a nationally representative survey. Psychology, Health & Medicine. 2011. 16(2):129–40. http://dx.doi.org/10.1080/13548506.2010.521570.
Article
8.Chung MH., Chao TY., Chou KR., Lee HL. Health-promoting lifestyle factors of cancer survivors in Taiwan. Cancer Nursing. 2009. 32(3):E8–E14. http://dx.doi.org/10.1097/ncc.0b013e318199002b.
Article
9.Oh JE., Park HS., Kim DH. The relationships among hostility, perceived social support and health behavior compliance of patients with coronary artery disease. The Korean Journal of Fundamentals of Nursing. 2010. 17(1):99–108.
10.Wang W., Lau Y., Chow A., Thompson DR., He HG. Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China. European Journal of Cardiovascular Nursing. 2014. 13(1):48–54. http://dx.doi.org/10.1177/1474515113476995.
Article
11.Son HS., Thomas SA., Friedmann E. The association between psychological distress and coping patterns in post-MI patients and their partners. Journal of Clinical Nursing. 2012. 21(15/16):2392–4. http://dx.doi.org/10.1111/j.1365-2702.2012.04165.x.
Article
12.Edward KL. Empowering cardiac patients using resilience as a practice strategy. British Journal of Cardiac Nursing. 2014. 9(3):110. http://dx.doi.org/10.12968/bjca.2014.9.3.110.
Article
13.Shin SJ., Jung DY., Hwang EH. Concept analysis of resilience in patients with cardiovascular diseases. Journal of Korean Academy of Nursing. 2009. 39(6):788–95. http://dx.doi.org/10.4040/jkan.2009.39.6.788.
Article
14.Stewart DE., Yuen T. A systematic review of resilience in the physically ill. Psychosomatics. 2011. 52:199–209. http://dx.doi.org/10.1016/j.psym.2011.01.036.
Article
15.Shin SJ. Development of a cardiovascular disease resilience scale. The Korean Journal of Adult Nursing. 2010. 22(2):161–70.
16.The Korean Society of Cardiology. Intervention in patients with coronary artery disease [Internet]. Seoul: The Korean Society of Cardiology;2013. [cited 2015 January 31]. Available from:. http://www.circulation.or.kr/general/content/?depth1=4.
17.Mancia G., Fagard R., Narkiewicz K., Redon J., Zanchetti A., Böhm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension. European Heart Journal. 2014. 34(28):2159–219. http://dx.doi.org/10.1093/eurheartj/eht151.
18.Faul F., Erdfelder E., Buchner A., Lang AG. Statistical power analyses using Gpower 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009. 41(4):1149–60. http://dx.doi.org/10.3758/BRM.41.4.1149.
19.Wallston KA., Stein MJ., Smith CA. Form C of MHLC scales: a condition-specific measure of locus of control. Journal of Personality Assessment. 1994. 63(3):160–70. http://dx.doi.org/10.1207/s15327752jpa6303_10.
20.Wagnild GM., Young HM. Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement. 1993. 1(2):165–78.
21.The ENRICHD Investigators. Enhancing recovery in coronary heart disease patients (ENRICHD): study design and methods. American Heart Journal. 2000. 139(1):1–9. http://dx.doi.org/10.1016/s0002-8703(00)90301-6.
22.Walker SN., Sechrist KR., Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nursing Research. 1987. 36(2):76–81. http://dx.doi.org/10.1097/00006199-198703000-00002.
23.Thanavaro JL., Thanavaro S., Delicath T. Health promotion behaviors in women with chest pain. Heart & Lung: The Journal of Acute and Critical Care. 2010. 39(5):394–403. http://dx.doi.org/10.1016/j.hrtlng.2009.10.016.
Article
24.Egan JT., Leonardson G., Best LG., Welty T., Calhoun D., Beals J. Multidimensional health locus of control in American Indians: the strong heart study. Ethnicity & Disease. 2009. 19(3):338–43.
25.Jiang W., Samad Z., Boyle S., Becker RC., Williams R., Kuhn C, et al. Prevalence and clinical characteristics of mental stress-induced myocardial ischemia in patients with coronary heart disease. Journal of the American College of Cardiology. 2013. 61(7):714–22. http://dx.doi.org/10.1016/j.jacc.2012.11.037.
Article
26.Boo SJ., Froelicher ES. Cardiovascular risk factors and 10-year risk for coronary heart disease in Korean women. Asian Nursing Research. 2012. 6(1):1–8. http://dx.doi.org/10.1016/j.anr.2012.02.001.
Article
27.Slovinec D'A., Monika E., Pelletier LG., Reid RD., Huta V. The roles of self-efficacy and motivation in the prediction of short and long term adherence to exercise among patients with coronary heart disease. Health Psychology. 2014. 33(11):1344–53. http://dx.doi.org/10.1037/hea0000094.
28.Song RY., Park MK., Cheong JO., Park JH., Seong IW. Effects of Tai Chi exercises on cardiovascular risks, recurrence risk, and quality of life in patients with coronary artery disease. The Journal of Korean Academic Society of Adult Nursing. 2013. 25(5):515–26. http://dx.doi.org/10.7475/kjan.2013.25.5.515.
Article
29.Opuchilik K., Wrzesinska M., Kocur J. The assessment of the level of coping style and health locus of control in patients with coronary heart disease and hypertension. Psychiatria Polska. 2009. 43(2):235–45.
30.Ruiz JM., Hamann HA., Coyne JC., Compare A. In sickness and in health: interpersonal risk and resilience in cardiovascular disease. Clinical Psychology and Heart Disease. 2006. 13:233–72. http://dx.doi.org/10.1007/978-88-470-0378-1_14.
Article
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