Effect of Education and Counselling-based Cardiac Rehabilitation Program on Cardiovascular Risk, Health Behavior and Quality of Life in Elderly with Coronary Artery Disease

Objectives: The purpose of this study is to understand the effect of online health information orientation and e-health literacy on health behavior for patients with coronary artery disease.Methods: A cross-sectional and descriptive study design was used. Data collection was conducted from 130 patients with coronary artery disease who admitted to a general hospital in Pohang city between April and June 2020, and a self-administrated questionnaire was conducted. Data analysis was performed using the SPSS 22.0 program with descriptive statistics, Pearson’s correlation, and multiple regression analysis.Results: Online health information orientation and e-health literacy (r = 0.77, p< 0.001) showed a statistically significant positive correlation, but health behavior did not show any correlation with two variables. Online health information orientation and e-health literacy had a significant correlation with exercise out of health behavior (r = 0.22, p= 0.013; r = 0.22, p= 0.011). Multiple regression analysis for health behavior revealed that the significant predictors were smoking (β= 0.36), age ≤ 49 (β= -0.35), and 50-59 (β= -0.26). These factors explained 33.2% of the variance (F = 7.41, p< 0.001). Among the sub-areas of health behavior, it was e-health literacy that influenced the exercise area (β= 0.22, p= 0.011).Conclusions: Online health information orientation and e-health literacy did not affect health behavior, but e-health literacy was found to be a significant variable in the exercise area among the lower areas of health behavior. Therefore, the higher the e-health literacy is, the higher the exercise behavior during health activities.

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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

Lee

2017

J Korean Acad Nurs

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This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0)If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. Purpose: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. Methods: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, c 2 test, and t-test. Results: After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p<.001), regular exercise (Z=-4.47, p<.001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p<.001) and sodium intake (t=-4.43, p<.001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol. Conclusion: The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.

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Effect of Education and Counselling-based Cardiac Rehabilitation Program on Cardiovascular Risk, Health Behavior and Quality of Life in Elderly with Coronary Artery Disease

Cited by 3 publications

References 17 publications

Validation of the cardiac health behavior scale for Korean adults with cardiovascular risks or diseases

Validation of the cardiac health behavior scale for Korean adults with cardiovascular risks or diseases

The Influence of Online Health Information Orientation and e-Health Literacy on Health Behavior in Patients with Coronary Artery Disease

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

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