Yonsei Med J.  2002 Feb;43(1):93-100. 10.3349/ymj.2002.43.1.93.

An Individualized Teaching Program for Atherosclerotic Risk Factor Reduction in Patients with Myocardial Infarction

Affiliations
  • 1Department of Nursing, Keukdong College, Chung-buk, Korea.
  • 2Department of Internal Medicine, College of Medicine, The Catholic University, Seoul, Korea.
  • 3College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-ku, Seoul 137-701, Korea, jsmoon@cmc.cuk.ac.kr

Abstract

This study was conducted to evaluate the effect of a teaching program on patients with myocardial infarction. Forty-five patients were randomly selected 22 were assigned to a teaching group and 23 to a control group. An individualized teaching program was delivered to the teaching group during the hospitalization period. It covered aspects such as: the characteristics of heart disease, the anatomy and physiology of the heart, risk factors of atherosclerosis, medication and diet and exercise therapy. When these subjects were discharged to their homes, they received regular supportive care via telephone or mail for 12 weeks. Atherosclerotic risk factors, including, smoking, exercise, blood lipid profile and BMI were measured before and after the teaching program. Post-testing revealed that the numbers of those who exercised and the number of non-smokers were significantly higher in the teaching group than in the control group. Increased HDL cholesterol (High-Density Lipoprotein cholesterol) was significantly greater in the teaching group than in the control group. The above findings suggest that this individualized teaching program might be helpful at reducing the risk factors of atherosclerosis in myocardial infarction patients.

Keyword

Individualized teaching program; atherosclerotic risk factor; myocardial infarction

MeSH Terms

Adult
Aged
Arteriosclerosis/etiology/*prevention & control
Comparative Study
Exercise
Female
Human
Lipids/blood
Male
Middle Age
Myocardial Infarction/*prevention & control
*Patient Education
Risk Factors
Smoking

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