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Published on: August 24, 2019
Health related quality of life in post-acute coronary patient
Aliya Hisam1, Aqsa Khan2, Bisma Zahid2
1Department of Community Medicine, Army Medical College, NationalUniversity of Medical Sciences, Rawalpindi.
Insights
Lifestyle modification counselling significantly improved knowledge and practice in patients after myocardial infarction (MI). While attitude also improved, the primary gains were in understanding and adopting healthier habits post-MI.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Background:
- Lifestyle factors significantly impact cardiovascular health and patient recovery post-myocardial infarction (MI).
- Effective patient education and counselling are crucial for promoting adherence to lifestyle modifications after cardiac events.
Purpose of the Study:
- To evaluate the effectiveness of lifestyle-modification counselling on the knowledge, attitude, and practice (KAP) of patients following myocardial infarction.
- To assess behavioural changes and outcomes in post-MI patients receiving targeted health messages.
Main Methods:
- A quasi-experimental study involving 50 post-MI patients at the Armed Forces Institute of Cardiology (AFIC).
- Utilized a pre-tested, validated questionnaire to assess KAP regarding lifestyle modifications.
- Intervention involved 15-20 minute counselling sessions based on WHO guidelines, covering diet, exercise, smoking cessation, and monitoring.
Main Results:
- Significant improvements were observed in MI knowledge (28,100%) and healthy practices (24, 85.71%) (p<0.001).
- A positive shift in attitude towards lifestyle changes was noted in 96.4% of participants.
- Counselling demonstrated a significant positive impact on patient knowledge and practice, with attitude also showing improvement.
Conclusions:
- Lifestyle modification counselling is an effective strategy for enhancing knowledge and practices in post-myocardial infarction patients.
- Targeted interventions can promote healthier behaviours, contributing to better recovery and secondary prevention in cardiac patients.
Abstract:
The study aimed to assess the effects of lifestyle-modification counselling on behavioural outcomes among patients after myocardial infarction. This was a quasi-experimental study, conducted at the Armed Forces Institute of Cardiology (AFIC), Rawalpindi, from December 2018 to February 2019, on 50 post-myocardial infarction (post-MI) patients. Knowledge, attitude, and practice regarding lifestyle was assessed using a self-designed, pre-tested, validated questionnaire. The participants were given health messages regarding lifestyle modifications for 15-20 minutes based on WHO guidelines on the nature of the disease, diet, exercise, smoking cessation, weight and blood pressure monitoring, and salt intake. The mean age of the patients was 58.68±10.8 years. The MI knowledge sufficiently improved (28,100%), positive attitude was observed (27, 96.4%), and healthy practices were anticipated (24, 85.71%) significantly (p<0.001) after counselling. The lifestyle modification counselling improved the knowledge, attitude, and practice among post- MI patients but significant improvement was seen only in knowledge and practice.
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Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...

