Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients

Abstract

A patient’s compliance to a physician’s lifestyle information is essential in chronic coronary syndrome (CCS) patients. We assessed potential characteristics associated with a patient’s recollection of physician information and lifestyle changes. This study recruited and interviewed patients (aged ≤ 80 years) 6–18 months after hospitalization due to acute coronary syndrome or elective myocardial revascularization. A physician’s information on risk factors was recognized if patients recollected the assessment of their diet, weight management, blood pressure control, cholesterol level, diabetes, and other lifestyle factors by the doctor. Of a total of 946 chronic coronary syndrome patients, 52.9% (501) of them declared the recollection of providing information on more than 80% of the risk factors. A good recollection of risk factor information was associated with the following: a patient’s age (OR per year: 0.97; 95% CI: 0.95 to 0.99), obesity (OR: 4.41; 95% CI: 3.09–6.30), diabetes (OR: 4.16; 95% CI: 2.96–5.84), diuretic therapy (OR: 1.41; 95% CI: 1.03–1.91), calcium channel blockers (OR: 1.47; 95% CI: 1.04–2.09), and ACEI/sartan (OR: 0.65; 95% CI: 0.45–0.94) at hospitalization discharge. In terms of goal attainment, better adherence to antihypertensive drugs (OR: 1.80; 95% CI: 1.07–3.03) was observed in the patients with a good compared to a poor recollection of risk factor information. The recollection of physician risk factor information was significantly associated with more comorbidities. Strategies to tailor the conveying of information to a patient’s perception are needed for optimal patient–doctor communication.

Disparities in knowledge of cardiovascular risk factors and prevention methods related to cardiovascular status and functional health literacy in Poland, 2020–2021

“…People, even those who participate in prevention programs, do not comply with the advice they receive from healthcare professionals. Moreover, older patients (65+ years) are 50% less likely to recollect information compared to younger patients [22]. Probably, in patients with inadequate HL, this percentage would be higher.…”

Effects of Implementing Personalized Health Education in Ambulatory Care on Cardiovascular Risk Factors, Compliance and Satisfaction with Treatment

“…People over 40 reduced their alcohol consumption to a lesser extent after the intervention of a primary care physician than younger people. Perhaps one of the reasons might be the fact that the recollection of risk factor information decreased with age, and patients aged ≥ 65 years were fifty percent less likely to recollect risk factor information compared to younger patients [ 12 ].…”

Fatores de risco para síndromes coronarianas crônicas

“…Cessar o tabagismo limita a progressão da doença arterial coronariana (DAC) e, consequentemente, da síndrome coronariana crônica (SCC), repercutindo diretamente nas taxas de mortalidade por eventos cardiovasculares (SINNADURAI et al, 2022). Para isso, recomenda-se a implementar medidas tais como grupos de apoio, terapias comportamentais, programas de autoajuda e terapias intensivas, pois estratégias de suporte a longo prazo são mais eficazes quando comparadas a conselhos durante consultas (PROCHASKA; BENOWITZ, 2016).…”

“…Vale mencionar também a eficácia e https://doi.org/10. 29327/4185487 ISSN: 1806-6763 recomendação das terapêuticas farmacológicas com Bupropiona ou Vareniclina pelo efeito cardioprotetor em tabagistas (SINNADURAI et al, 2022).…”