Knowledge about health and disease in obese patients after myocardial infarction. An observational study (original) (raw)
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Patient Education Strategies among Patients with Acute Myocardial Infarction: A Systematic Review
Open Access Macedonian Journal of Medical Sciences, 2022
BACKGROUND: There is a need to summarize the effect of existing research-based education strategy on patients' physical condition, health behavior change, as well as psychosocial well-being in patients with acute myocardial infarction. AIM: The aim of this study was to review and synthesis relevant studies on patient educational strategy and its effect on patients' physical condition, health behavior change, as well as psychosocial well-being in patients with acute myocardial infarction. METHODS: A literature search was conducted on MEDLINE, Academic Search Ultimate, CINAHL-EBSCO, and PubMed. Articles were selected by predefined inclusion and exclusion criteria. Assessment of methodological quality of each study was executed using the Downs and Black scale. RESULTS: Nineteen studies (3588 patients with myocardial infarction) were included in the study. Educational intervention methods ranged from face-to-face method only, face-to-face method in combination with telephone call(s), the combination of both face-to-face method, and telephone call(s) with one other method. Outcome measured on each study varied and the effectiveness of the intervention in at least one of their outcome measures demonstrated in 17 studies. CONCLUSIONS: Findings support the pivotal role of patient education on the management of myocardial infarction patient.
Background: Cardiovascular disease is a major cause of mortality and morbidity in Pakistan. Knowledge regarding any disease is an important pre-requisite for implementation of preventive and control measures. This study aimed to evaluate the knowledge of modifiable risk factors of cardiovascular diseases in acute myocardial infarction (MI) patients admitted to Ayub Teaching Hospital, Abbottabad, Pakistan. Methods: It was a hospital based cross sectional descriptive study carried out in cardiology unit of Ayub Teaching Hospital, on 150 patients with first attack of acute MI. knowledge of four modifiable risk factors; fatty food consumption, smoking, physical activities and obesity , was assessed. Results: Among 150 subjects, 103 (68.7%) were males while 47 (31.3%) were females. Forty three (28.7%) of the patients were having good level of knowledge. Male gender and educational status were associated with good level of knowledge. Conclusion: There is a lack of good level of knowledge ...
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Objectives: To describe current status of knowledge and practice of myocaridal infarction (MI) prevention and toevaluate effectiveness of health education intervention on MI prevention among - patients with type 2 diabetes and dyslipidemia treated at the Vietnam National Hospital of Endocrinology in 2022. Participants and methods: An interventional study was conducted on 62 inpatients with type 2 diabetes and dyslipidemia treated at the Department of Cardiology and Metabolic Disorders of Vietnam National Hospital of Endocrinology from June to August 2022. The intervention was guided by the MOH guidelines with the sessions on knowledge and practice of myocardial infarction and infarction prevention. The knowledge and practice questionnaire were used to measure outcomes at three-point times, namely, baseline, post-intervention, and follow-up. Results: The average score of knowledge about myocardial infarction prevention of the participants was 35.61 ± 9.33 out of 57 points. In which, ...
Recognition, diagnosis and management of obesity after myocardial infarction
International Journal of Obesity, 2004
OBJECTIVE: We investigated the documentation of obesity as a medical problem, and subsequent management recommendations, in patients after myocardial infarction (MI). DESIGN: We performed a cross-sectional analysis of a randomly selected sample of 627 patients discharged after an MI, from five US teaching hospitals between 1/1/01 and 12/31/02. Information was extracted from clinical notes using standardized definitions. RESULTS: Mean body mass index (BMI) was 31713 kg/m 2 , which was documented in only 14% of patients and had to be calculated post hoc in the rest. Waist circumference and waist/hip ratio were not documented at all; 83% of patients were overweight, 55% obese, and 8% morbidly obese. In only 20% of patients with BMIZ30 kg/m 2 was the diagnosis of obesity documented either as a current medical problem, as part of past medical history or as a final diagnosis. A dietary counseling was carried out in 61% of patients with BMIZ25 kg/m 2 and in 61% of patients with BMIo25 kg/m 2 , P ¼ 0.96. Weight loss was described as part of the goals/plan at discharge in 7% of overweight and 9% of obese patients. There was no change in either the level of recognition of obesity (22 vs 19%, P ¼ 0.3) or in the proportion of obese patients for whom weight loss was described as part of the goals/plan at discharge (8 vs 10%, P ¼ 0.7) before (n ¼ 301) compared to after (n ¼ 326) the Call to Action in Obesity by the Surgeon General in December 2001. CONCLUSION: Obesity is underecognized, underdiagnosed and undertreated in persons with acute MI.
Journal of Ayub Medical College, Abbottabad : JAMC
Cardiovascular disease is a major cause of mortality and morbidity in Pakistan. Knowledge regarding any disease is an important pre-requisite for implementation of preventive and control measures. This study aimed to evaluate the knowledge of modifiable risk factors of cardiovascular diseases in acute myocardial infarction (MI) patients admitted to Ayub Teaching Hospital, Abbottabad, Pakistan. It was a hospital based cross sectional descriptive study carried out in cardiology unit of Ayub Teaching Hospital, on 150 patients with first attack of acute MI. knowledge of four modifiable risk factors; fatty food consumption, smoking, physical activities and obesity, was assessed. Among 150 subjects, 103 (68.7%) were males while 47 (31.3%) were females. Forty three (28.7%) of the patients were having good level of knowledge. Male gender and educational status were associated with good level of knowledge. There is a lack of good level of knowledge among patients admitted with acute MI. Impl...
Patients' knowledge and attitudes about myocardial infarction
Nursing & Health Sciences, 2019
Delay in seeking emergency care contributes significantly to the mortality associated with myocardial infarction. The aims of this descriptive study were to determine Lebanese patients' knowledge, attitudes, and beliefs about heart disease following their hospitalization for acute myocardial infarction, the factors associated, and to investigate the education they receive about heart disease. The study targeted 50 participants diagnosed with myocardial infarction who were interviewed about their knowledge, attitudes, and perceived control related to heart disease in their home
Journal of Holistic Nursing and Midwifery, 2018
Introduction: Patient training can be effective in preventing and controlling disease complications. Providing patient and family trainings is particularly important for improving compliance with a treatment diet. Objective: The present study aimed at “determining the effect of two training methods (familycentered and patient-centered) on the frequency of hospitalization and clinical symptoms of patients after acute myocardial infarction”. Materials and Methods: This clinical trial was performed in the Heart Care Unit of one of the hospitals in Arak, Iran between October and March 2014. Here, 60 patients who had experienced their first heart attack were randomly selected and divided into two groups: patient training and family training. Thereafter, for the intervention group, each patient was trained with an active member of the family through a computer in three fields of food, medicine, motion in three sessions of 30-45 min, and in the control group the same training content was g...
Qualitative Health Research, 2019
Coronary heart disease (CHD) has no cure, and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients’ understanding and motivation for lifestyle change, but little is known about patients’ experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication. A total of 2,221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized using thematic analysis. Findings show that both “what” was communicated, and “the way” it was communicated, had the potential to influence patients’ engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk was largely missing causing uncertainty, anxiety, and, for some, disengagement with lifestyle change. Recommendations for ways to improve health education and risk communication are discusse...