Reduction of risk factors following lifestyle modification programe in patients with coronary heart disease

Abstract

This study was conducted to the effect of a teaching program on patients with myocardial infarction by modification of risk fartors or behavior changes: 100 patients out of those who admitted to the CCU ward of Shahyd Madani Heart Hospital from January to September, 2004 were assigned to a teaching group and 50 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 risk factors of atherosclerosis, diet and exercises therpy. After discharge they received educational package for 6 month. The lifestyle and risk factors of patients as smoking, blood pressure, pulse, blood lipid profile, BMI waist hip ratio (WHR) were measured before amd after the teaching program. Result: Initially, there was no significant difference in the number of non-smokes. After post testing the result revealed that the number of non smokers had singnificanty increased in teaching group from 66% to 90.1% . The number of patients who exercisde, significantly increase after teaching program froom 30% to 88%. while no significant change Was shown by the control. The result showed that WHR of case group before edication was in abnormal range (1.01) compared with control group (0.99), while after education the WHR reduced in case group (0.98), this difference in WHR was found be statistically signnificant the above finding suggest that the individualized teaching program can be helpfull in reducing the risk factors of atherosclerosis in patients with myocardial infarction.