Purpose
This study identified relationships among person-centered care environment, patient engagement, and patient outcomes in stroke rehabilitation patients.
Methods
This descriptive, correlational study was conducted using data from 243 post-stroke patients who were admitted in 6 rehabilitation hospitals. We collected data using self-report, structured questionnaires, which included items about the person-centered care environment, patient engagement, patient outcomes (patient satisfaction with nursing care, activities of daily living, levels of depression), and demographic characteristics. Path analysis and descriptive analyses were performed using SPSS 20.0 and AMOS 20.0.
Results
The hypothesized path model fit well for data based on goodness-of-fit indices. In the path model, person-centered care environment was significantly related to patient engagement and patient satisfaction with nursing care but not to activities of daily living and levels of depression, controlling for demographic characteristics. Additionally, person-centered care was significantly related to patient satisfaction with nursing care and reduction of depression through patient engagement.
Conclusion
Findings indicate the importance of developing a person-centered care environment to improve satisfaction with nursing care for stroke rehabilitation patients. A person-centered care environment improves patient engagement, which might be a significant factor in patient outcomes, including reduced depression for stroke rehabilitation patients.

Citations

• Relationship between Person-Centered Climate and Patient Satisfaction in Cancer Patients: The Mediating Effects of Patient Activation and Nurse Trust
  Hyun Jin Jung, Seon Hwa Park, Jung Hwa Jo, Hyun Jo Youn, A Ram Kim, Da Hye Lee, Mi Sun Park
  Asian Oncology Nursing.2024; 24(1): 21.     CrossRef

PURPOSE
The purpose of this retrospective study was to investigate the effect of revised cardiac rehabilitation Clinical Pathways (CPs) on the Cardiac Rehabilitation (CR) participation rate of patients with Myocardial Infarction (MI) undergoing Percutaneous Coronary Intervention (PCI).
METHODS
We reviewed the electronic medical record of patients who were referred for CR after MI from July 2015 to December 2016. In April 2016, the patient groups were divided into 9-month periods: pre- and post-CP revision. We reduced the mean number of hospital visits for CR and the wait times before starting CR and the first Cardio Pulmonary Exercise (CPX) test. We added a home-based CR program and reinforced the CR liaison nurse's role. The changes in the CR wait time, mean number of hospital visits post-discharge, and participation rates at 1 and 3 months were investigated.
RESULTS
Ninety-two patients were recruited from July 2015 to March 2016. Twenty-four (26.1%) participated in CR at 1 month, and 11 (12.0%) were maintained up to 3 months. From April 2016 to December 2016, 107 patients were recruited. Sixty-five (60.7%) participated at 1 month, and 38 (35.5%) were maintained up to 3 months. The mean number of hospital visits was 3.5±0.8 versus 1.9±0.9 in the previous and revised CP groups. The average number of days to the first CPX test after MI was 43.4±17.6 versus 26.3±10.6.
CONCLUSION
Following CP revision, the CR participation rate significantly improved among patients with PCI post-MI. CP revision in terms of inter-physician communication and additional nursing interventions should be considered.

Citations

• The content and characteristics of face-to-face interventions to encourage patients’ enrollment in cardiac rehabilitation; a scoping review
  Birgit Rasmussen, Thomas Maribo, Bente Skovsby Toft
  Disability and Rehabilitation.2024; 46(13): 2734.     CrossRef

PURPOSE
This study aimed to develop a navigation program for family caregivers of stroke patients admitted to a rehabilitation hospital and evaluate differences in caregiver outcomes before and after the intervention.
METHODS
The navigation program consists of education, demonstration and return demonstration. To evaluate the program, we conducted a quasi-experimental study in 44 caregivers (22 experimental group received the navigation program vs. 22 controls group did not received). Caregivers completed the burden, anxiety, depression, self efficacy, caregiving mastery, quality of life, and patient's Activities of Daily Living (ADL). Data were collected using self-report structured questionnaires. The data were analyzed using the SPSS/WIN 21.0 with the χ2-test, and independent t-test.
RESULTS
Compared with the control group, caregivers who received the navigation program reported significant decrease in caregiver burden, depressive symptoms and anxiety and significant improvement in their mastery, self-efficacy, quality of life and patient's ADL.
CONCLUSION
Delivering the navigation program to family caregivers of stroke patients in a rehabilitation hospital setting was feasible. Our results provide preliminary support for the navigation program to reduce negative outcomes (e.g., burden, anxiety, depression) and improve positive outcomes (e.g., mastery, self efficacy, quality of life, patient's activities of daily living) in family caregivers who experience first stroke diagnosis of their loved one.

PURPOSE
The objective of the study was to identify impact of depression, fatigue, family support, and resilience on rehabilitation among cancer survivors.
METHODS
One hundred and twenty-four participants who visited an out-patient department were recruited from a university hospital in Korea. An inclusion criterion was no reported relapse following the primary cancer treatment. Data were collected from July 1st to August 31st, 2014. Data analysis included an independent t-test, ANOVA, Pearson correlation coefficients and multiple regression using the SPSS 19.0 program.
RESULTS
Rehabilitation of those with colon and breast cancer was significantly correlated with depression, fatigue, family support and resilience. In a regression analysis, cancer rehabilitation accounted for 79.2% of the variance of depression, fatigue, monthly household income and resilience. The most significant factor affecting the success of rehabilitation was depression (β=-0.39, p < .001).
CONCLUSION
The results of the study indicate the importance of managing depression for the successful rehabilitation of cancer survivors. Nurses should prioritize the development and implementation of effective interventions for the improvement of rehabilitation among cancer survivors.

Citations

• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef

PURPOSE
The purpose of this study was to examine whether the uncertainty mediates relationship between rehabilitation motivation and social support.
METHODS
Participants were 123 adults patients diagnosed as stroke in a hospital located in a Metropolitan City. Data were collected by self-administered questionnaires measuring uncertainty, family support and medical team support as social support, rehabilitation motivation. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. The significance of mediating effect was analyzed by Sobel test.
RESULTS
Family support and uncertainty, respectively, were influential on rehabilitation motivation (β=.39, p < .001, β=-.18, p=.011). Uncertainty showed partial mediating effect on relationship between family support and rehabilitation motivation, however, the effect was not significant (Z=1.63, p=.103).
CONCLUSION
Interventions improving family support and decreasing uncertainty may be helpful in enhancing rehabilitation motivation.

Citations

• Mediating Effects of Rehabilitation Motivation between Social Support and Health-Related Quality of Life among Patients with Stroke
  Yaeram Lee, Mihwa Won
  International Journal of Environmental Research and Public Health.2022; 19(22): 15274.     CrossRef
• Psychosocial Factors Affecting Post-acute Stroke Patients’ Rehabilitation Adherence
  Hye Ji Choi, Hee Kyung Chang
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 49.     CrossRef
• Psychosocial Factors Related to Stroke Patients’ Rehabilitation Motivation: A Scoping Review and Meta-Analysis Focused on South Korea
  Moon Joo Cheong, Yeonseok Kang, Hyung Won Kang
  Healthcare.2021; 9(9): 1211.     CrossRef
• The Perceived Marital Intimacy of Spouses Directly Influences the Rehabilitation Motivation of Hospitalized Stroke Survivors
  Kil Je Moon, Misook L. Chung, Seon Young Hwang
  Clinical Nursing Research.2021; 30(4): 502.     CrossRef
• Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
  Eunhee Jo, Su-Jin Lee, Jung-Hwa Jo
  Korean Journal of Adult Nursing.2021; 33(1): 56.     CrossRef
• Factors Influencing Rehabilitation Motivation of Veterans after a Stroke
  Min-Young Seo, Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 215.     CrossRef
• A Prediction Model of Rehabilitation Motivation in Middle-Aged Survivors of Stroke in Rehabilitation Facilities in Korea
  Soo Yong Oh, Seon Young Hwang, Misook L. Chung, Terry A. Lennie
  Journal of Cardiovascular Nursing.2020; 35(5): 475.     CrossRef

PURPOSE
This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness.
METHODS
The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured.
RESULTS
The result of this study showed poor adherence to VREP. The mean adherence score to VREP was 2.11+/-1.05 (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP.
CONCLUSION
Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.

Citations

• Barriers and Facilitators of Vestibular Rehabilitation: Patients and Physiotherapists’ Perspectives
  Liran Kalderon, Azriel Kaplan, Amit Wolfovitz, Shelly Levy-Tzedek*, Yoav Gimmon*
  Journal of Neurologic Physical Therapy.2024; 48(3): 140.     CrossRef
• Review on Physical Therapy for Patients with Vestibular Disorder
  Yong Hyun Kwon, Yu Min Ko
  The Journal of Korean Physical Therapy.2017; 29(6): 316.     CrossRef
• Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction
  Hyun Jung Lee, Smi Choi-Kwon
  Journal of Korean Academy of Nursing.2016; 46(5): 710.     CrossRef

PURPOSE
The study aims to evaluate the effects of Tai Chi applied cardiac rehabilitation program(TCCRP) on cardiovascular risks, recurrence risk in ten years, and cardiac specific quality of life in individuals with coronary artery disease.
METHODS
The sample was comprised of individuals diagnosed with coronary artery disease within six months of the study who were referred by their primary physicians to participate in the TCCRP. The design was a pretest/posttest with non-equivalent groups with 30 in TCCRP program and 33 wait-listed comparison group.
RESULTS
The average age of all participants was sixty seven years. At the completion of the TCCRP, the Tai Chi group showed significant reduction in their ten year recurrent risk for coronary artery disease measured by Framingham's algorithm. The quality of life for the experimental group was reported as significantly higher than the comparison group, especially the area of general symptom.
CONCLUSION
The outpatient cardiac rehabilitation with Tai Chi was applied effectively and safely without any complication to individuals with coronary artery disease. Tai Chi can be useful as an alternative exercise for cardiac rehabilitation program which may provide more access to individuals for cardiovascular risk management in the community settings.

Citations

• Effects of a spousal participation health promotion program for middle-aged and old men who have undergone percutaneous coronary intervention based on Cox’s Interaction Model: A quasi-experimental study with nonequivalent control group pre- and post-test
  Kyung Shim Lee, Kyung Mi Sung
  Journal of Korean Gerontological Nursing.2025; 27(2): 119.     CrossRef
• Validation of the cardiac health behavior scale for Korean adults with cardiovascular risks or diseases
  Rhayun Song, Hyunkyoung Oh, Sukhee Ahn, Sue Moorhead
  Applied Nursing Research.2018; 39: 252.     CrossRef
• The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial
  Jueun Lee, Haejung Lee
  Journal of Korean Academy of Nursing.2017; 47(6): 756.     CrossRef
• Effects of Self-care Health Behaviors on Quality of Life Mediated by Cardiovascular Risk Factors Among Individuals with Coronary Artery Disease: A Structural Equation Modeling Approach
  Sukhee Ahn, Rhayun Song, Si Wan Choi
  Asian Nursing Research.2016; 10(2): 158.     CrossRef
• The Relationships among Health Locus of Control and Resilience, Social Support and Health Promoting Behavior in Patients with Newly Diagnosed Coronary Artery Diseases
  Nayeon Shin, Younhee Kang
  Korean Journal of Adult Nursing.2015; 27(3): 294.     CrossRef

PURPOSE
The purpose of this study was to identity factors affecting patient adherence and to develop an explanatory model for patient adherence in patients with spinal cord injury. 8 variables that were based on the previous research and a review of literature were used to construct hypothetical model. Social support, economic status, perceived barrier, patient provider relationship and rehabilitation related knowledge were the exogenous variables, depression, self-efficacy and patient adherence were the endogenous variables.
METHODS
Data form 117 patients with SCI were analysed to test the hypothetical model, using SAS and LISREL 8.53 program.
RESULTS
The overall fitness of the model was good (GFI=.991, AGFI=.915, NNFI=1.299, NFI=.953, p=.632) Depression, powerlessness, economic status were the strong factors influencing patient adherence. Powerlessness was significant factors for self-efficacy.
CONCLUSION
To improve of patient adherence should focus on nursing intervention for depression, powerlessness and economic status.

PURPOSE
The purpose of this study was to examine the effects of the cardiac rehabilitation program (Phase III) on cardiovascular and cardiorespiratory function in the elderly (age, > or = 60) who experienced acute myocardial infarction.
METHODS
The design of research was nonequivalent control group pretest-posttest design. Subjects were 10 people in the experimental group and 10 in the control group. The intervention program was the cardiac rehabilitation program (Phase III), and was performed for 50 ~ 60 minutes, twice a week for 8 weeks. The dependent variables were the cardiovascular and cardiorespiratory function.
RESULTS
Significant differences were shown in RHR, RSBP, SRPP, SBS, BMI, PT of the experimental group after the intervention. As for the differences in the amount of changes, there were differences among groups in RHR, RSBP, SRPP, SBS, PMET, and PT of the experimental group.
CONCLUSION
The cardiac rehabilitation program (Phase III) may be effective in improving cardiovascular function and enhancing cardiorespiratory function in elderly patients with acute myocardial infarction.

PURPOSE
The purpose of this study was to develop an empowerment program as a nursing intervention for the patients having an acute stroke and to determine the effects of the program on their motivation, depression, and activities of daily living(ADLs). METHODS: An non-equivalent control group pretest-posttest design was used in this study. Sixty subjects were recruited from two separated institutions: 31 patients were allocated into experimental group and 29 were into control group. Six week empowerment program was provided to the experimental group. The study was conducted from November 2006 to March 2007. RESULTS: After 6 week empowerment program, rehabilitation motivation was significantly increased in the experimental group in comparison to the control group(t=-2.173, p=.036). There were no significant differences in depression and ADLs between experimental and control groups. CONCLUSION: The empowerment program effectively increased rehabilitation motivation of patients with stroke, while did not improve the levels of depression and ADLs. Future long-term intervention may benefit the patients more in terms of depression and ADLs when considering the acute stage of the patients in this study.

PURPOSE
The purpose of this study was to investigate the effects of aquatic exercise on rehabilitation in home stroke patients.
METHOD
A quasi-experimental pretest and posttest design was used to examine the change of balance, ADL, IADL, pain, depression and self-efficacy at the completion of 6-weeks aquatic exercise program. The subjects consisted of 25 adults who had a stroke. Thirteen experimental and twelve control subjects completed pre and post test measures. Outcome variables were balance, ADL, IADL, pain, depression and self-efficacy. Chi-Square test(Fisher's exact method) was used to examine the equality of the subjects and Wilcoxon Rank Sum Test used to examine the group difference by using SAS.
RESULTS
There was no significant difference in balance and depression between the two groups. However, there was a significant difference in ADL, IADL, pain and self-efficacy between the two groups.
CONCLUSION
Aquatic exercise can improve ADL, IADL, self-efficacy and reduce pain. Therefore, further research is recommended by increasing the length of aquatic exercise and number of subjects, so that its effects can be more generalizable.

PURPOSE
This study was to examine the effect of morning stretching on depression and motivation of rehabilitation for stroke patients. METHOD: Design of this study was noneqivalent control pre-test post-test design. Subjects were total 62 patients (Experimental: 30 subjects, Control: 32 subjects) being hospitalized for stroke in a national medical center. Measures were CES-D for depression and PAREMO for motivation of rehabilitation. Data were collected from 1st March to 30th July, 2004. Data have been processed using SPSS/WIN 11.0. RESULTS: The results of this study were as followings: 1) Experimental group was showed lower level of depression than that of control group (t=8.934, P=.000). 2) Experimental group was showed higher motivation of rehabilitation than control group (t=-12.43, P=.000). CONCLUSION: As a result, it was confirmed that morning stretching which was intervened in this study was one of the nursing intervention that lowers the level of depression and promotes motivation of rehabilitation for stroke patients, that helps to improve their psychological and mental problems.

PURPOSE
The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on grip strength, pinch strength, the shoulder joint function, flexibility, and fatigue in mastectomy patients. METHOD: The subjects were fifty-five women with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for 10 weeks, which was composed of education, stress management, exercise, and peer support group activity. RESULTS: The results revealed that the increase in grip strength, key pinch, the shoulder joint function, and flexibility (Back & Reach test, Standing & Bending reach test) of the operated extremity, and the decrease in fatigue were significantly higher in the experimental group than in the control group. However, the results revealed that tip strength and palmar pinch of the experimental group increased but there was no significant difference from that of the control group. CONCLUSIONS: The 10-week comprehensive rehabilitation program showed much affirmative effect on physical function, and fatigue of breast cancer patients after mastectomy.

PURPOSE
The purpose of this preliminary study was to develop and evaluate the effects of East-West Self-help program for Rehabilitation of post-stroke clients. METHOD: This program is developed through literature review, survey and seminar. The program is consisted of six sessions twice a week for 6 weeks. This program is composed of health education on stroke, exercise, oriental nursing interventions, and therapeutic recreation. The outcomes have been evaluated on the basis of perceived health status, self-efficacy, U/E function, ADLs and subjective response. RESULTS: 1) After the 6 week program, the perceived health status had improved and the score of rehabilitation self-efficacy increased significantly. 2) After the 6 week program, the score of BADL increased significantly, but, the score of IADL was not statistically significant. 3) After the 6 week program, the amount of use and quality of movement of the affected U/E were increased significantly. 4) All of the participants showed satisfaction with this program. CONCLUSION: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be continuously developed and implemented as a community based self-helf group program for post-stroke clients.

PURPOSE
The purpose of this study was to investigate the effects of a cardiac rehabilitation program for patients with myocardial infarction.
METHOD
The subjects were 45 myocardial infarction patients(22 for experimental group and 23 for the control group). Data were collected through questionnaire survey, blood test, and the treadmill test, between October 1, 1999 and December 31, 2000. As for data analyses, paired and unpaired t-test and x2 test were adopted using the SAS program.
RESULT
1. The post-test revealed that increase in compliance score of health behavior was significantly higher in the experimental group than in the control group. 2. The increase in HDL cholesterol was significantly higher in the experimental group than in the control group, in the post-test. 3. The experimental group showed significantly higher duration of exercise time and maximal METs than the control group after the program.
CONCLUSION
The above findings indicate that a cardiac rehabilitation program was effective in increasing compliance of health behaviors, serum HDL cholesterol level, duration of exercise time, and maximal METs in patients with myocardial infarction. Accordingly, we can adopt the individualized cardiac rehabilitation programs as a nursing intervention.

PURPOSE
to develop an instrument to assess the rehabilitation motivation and to test its reliability and validity.
METHOD
The data was collected with in-depth interviews of nine participants that include adults with disabilities acquired after they reached 18 years' of age. The development of the preliminary items was based on the theory of self-determination proposed by Deci and Ryan (1985) and the results from the analysis of the data. After these, appropriate specialists clarified the validity of the contents of the preliminary items twice. A test to reliability and validity was conducted with 186 disabled. A principal axis factor analysis with oblimin rotation was performed on 29 items.
RESULT
Finally 27 items were selected. The 5-factor solution emerged as the most appropriate model for the data. The different types of motivation for rehabilitation were identified as: task-oriented motivation, change- oriented motivation, obligatory motivation, external motivation, and amotivation. The alpha coefficient of internal consistency was .85.
CONCLUSION
The results of this study suggest that the instrument to measure motivation for the rehabilitation of the disabled may be a useful instrument with a high degree of reliability and validity.

PURPOSE
The purpose of this study was to analyze the trend of research on the use of home-based pulmonary rehabilitation.
METHOD
Using Medline and CINAHL search engine, experiemental research, titled as 'home-based pulmonary rehabilitation' and 'chronic lung disease', statistics were collected. The total 29 experimental studies published between 1981 to 2000 were selected and analyzed according to the ATS guidelines.
RESULT
1) The study samples in research were mostly of men, whose lung function was moderate to severe. 2) The total period of the intervention program varied from 5 to 12 week. The program included excercise intervention and educational intervention. Psychosocial intervention was minimal. 3) The outcome of the home-based pulmonary rehabilitation had been measured mostly by physical aspects. Quality of life and cost were less frequently measured. 4) In terms of effectiveness of the home based pulmonary rehabilitation program, physiologic outcome, such as lung function and hematologic markers, there was more 'no effect' than 'positive effect', whereas there was more 'positive effect' in decreasing dyspnea, improving excercise capacity, and improving quality of life.
CONCLUSION
Based on these findings, future research on home-based pulmonary rehabilitation should be emphasized and provide standardized protocol, including psychosocial intervention, and analyses on cost and quality of life.

Social readjustment is very important in rehabilitation of stroke survivors. The purpose of this study was to examine the level of social readjustment and related factors in stroke survivors. Especially, to find the most useful predictor for social readjustment is a major point of this research. The study included 254 outpatients who were given follow-up care after discharge from. Occupational rehabilitation and resumption of the perceived meaningful social activity prios to the stroke were used to measure social readjustment. The resumptions of first meaningful social activity was the best predictor for life satisfaction in stroke survivors(r=.245, p<.01). The substance of perceived meaningful social activities were job, meeting with friends, hobby and activities for the family. The sum of meaningful social activities (r=.175, p<.01) and occupational rehabilitation (r=.116, p<.05) were significantly related to life satisfaction. There were significant difference in IADL, depression and life satisfaction according to resumption of meaningful social activity. But, occupational rehabilitation was not related to depression. The level of social readjustment was different between occupational rehabilitation and resumption of meaningful social activity. It was 45.7% in the first meaningful social activity and 36.6% in occupational rehabilitation. The related factors with resumption of the first meaningful social activity were that of IADL, depression, illness intrusiveness and cognitive function. And the level of IADL, illness intrusiveness, cognitive function, and age were significantly related to occupational rehabilitation. In conclusion, we suggest that the resumption of the first meaningful activity in stroke survivors is the best predictor of social rehabilitation. Thus, nurses need to work for resumption of meaningful activity as well as occupational rehabilitation.

The purpose of this study was to identify the effects of phase 1 cardiac rehabilitation nursing care on cardiac rehabilitation knowledge, anxiety, and self-care behavior in patients with acture myocardial infarction. The study design was composed of a nonequivalent control group non-synchronized design and a non-equivalent control group post-test design. The subjects of the study consisted of thirty-four acute myocardial infarction patients hospitalized at a university hospital in Taegu between February 16, 1998 and May 12, 1998. the 34 research subjects were assigned to experimental( 17 patients ) and control( 17 patients ) groups. The phase 1 cardiac rehabilitation nursing care was composed of cardiac rehabilitation education taken from a rehabilitation manual and booklet, and participating in a progressive exercise program. After discharge, a phone interview was conducted in order to encourage the self-care behavior. The modified Knowledge Scale developed by Rahe et al.(1975) and translated into Korean by Hwang(1986), and the modified Self-Care Scale of exercise and diet based on Hickey et al.(1992), were used for data collection. Analysis of data was done by use of Chi-square test, t-test, Repeated measure ANOVA, Simple Main Effect, and Time contrast. The results of this study are as follows : 1. The first hypothesis, "The experimental group which received the phase 1 cardiac rehabilitation nursing care will have a higher level of knowledge than the control group", was supported(F=24.07, p=.000). 3. The third hypothesis, "The experimental group which received the phase 1 cardiac rehabilitation nursing care will have higher self-care behavior scores than the control group", was supported( t=-15.49, p=.000 ). From the above results, it can be concluded that phase 1 cardiac rehabilitation nursing care is an effective nursing intervention knowledge, reducing anxiety, and improving self-care behavior in patients with acute myocardial infarction.