title: Relationships of Factors Affecting Self-care Compliance in Acute Coronary Syndrome Patients Following Percutaneous Coronary Intervention.
abstract: OBJECTIVE
  This study was conducted to identify direct and indirect factors influencing self-care compliance in patients with first acute coronary syndrome through examining the relationship among multidimensional factors.
  
  
  METHODS
  Outpatients who made hospital visits to receive a follow-up care at more than 6 months after percutaneous coronary intervention were recruited at a national university hospital in Korea. Data of 430 participants were collected through self-administered questionnaires and analyzed using AMOS version 7.0. The fitness of the hypothetical model and the degree of significance of direct and indirect paths were analyzed.
  
  
  RESULTS
  Three paths were found to have a significant effect on self-care compliance in the modified model. Social support indirectly influenced self-care compliance through enhancing self-efficacy, reducing anxiety and increasing perceived benefit. In addition, social support and body function indirectly influenced self-care compliance through reducing depression which affected self-efficacy. Self-efficacy was the most influential factor and played an important role as a mediating variable.
  
  
  CONCLUSIONS
  Results of this study suggest that nurses' counselling and education as a form of social support should be encouraged to enhance self-efficacy and self-care compliance among outpatients during follow-up care after percutaneous coronary intervention.
authors.affiliation: Department of Infection Control, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Eun Suk
authors.initials: ES
authors.lastname: Shin
authors.affiliation: Department of Nursing, Hanyang University, Seoul, South Korea. Electronic address: seon9772@hanyang.ac.kr.
authors.forename: Seon Young
authors.initials: SY
authors.lastname: Hwang
authors.affiliation: Heart Research Center, Chonnam National University Hospital, Gwangju, South Korea.
authors.forename: Myung Ho
authors.initials: MH
authors.lastname: Jeong
authors.affiliation: College of Nursing, Chonnam National University, Gwangju, South Korea.
authors.forename: Eun Sook
authors.initials: ES
authors.lastname: Lee
keywords: acute coronary syndrome; patient compliance; self-care; structural models