Schadenberg, L.J. (2013) Leefstijladviezen bij patiënten met en zonder een (acuut) coronair syndroom: Zet het zoden aan de dijk? thesis, Medicine.
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Abstract
Background: Cardiovascular diseases are still one of the main causes of death in the Netherlands. In 2008, 7984 women and 16249 men were diagnosed with acute myocardial infarction. In these cases, the primary prevention unfortunately failed, but a good secondary prevention will greatly reduce the risk of a new myocardial infarction and cardiac mortality. In the secondary prevention lifestyle changes play an important role. Especially we should try to minimize the modifiable risk factors, such as unhealthy diet, lack of exercise and smoking. The aim of this study was to look at the effect of undergoing a PCI (Percutaneous Coronary Intervention) on the eating, exercising and smoking patterns of the participants. Methods: In this study, the electronic patient file of the UMCG was used for the selection of the participants. The selection period was from 1 June 2012 to 31 December 2012. The participants were divided into two groups: the PCI group and the ACP (atypical chest pain) group. The first group was formed by patients who, because of a primary (acute) myocardial infarction, underwent an PCI. The ACP group was formed by patients who visited the CSO (Central Emergency Room) due to atypical chest pain symptoms. The participants were asked to complete a questionnaire about their lifestyle for one week before the event (PCI/visiting CSO due to atypical chest pain) and for one week after the event. This questionnaire consisted of the following areas: General, diet, exercise habits and smoking pattern. By comparing the data from before and after the event, it could be investigated whether the participants improved certain aspects of their lifestyle. Finally, we checked the percentage of participants whom received lifestyle advice from their treating physicians and/or nurses during their hospital stay and whether the participants followed this advice. Results: In this study we identified the lifestyles of 104 participants. Finally, the PCI group consisted of 88 participants and the ACP group of 16 participants. In the PCI group, according to the criteria 11,4% of the participants improved their diet, 10,2% their exercise habits and 87,5% improved their smoking pattern. 35 participants improved only one aspect of their lifestyle, and 6 participants improved 2 aspects. Therefore, 41 of the 88 participants (46,6%) improved their lifestyle according to the criteria. In the ACP group, according to the criteria 12,5% of the participants improved their diet, 12,5% improved their exercise habits and 25% improved their smoking pattern. 2 participants improved only one aspect of their lifestyle, and 2 participants improved 2 aspects. Therefore, 4 of the 16 participants (25%) improved their lifestyle according to the criteria. The percentage of participants that has improved their lifestyle was significantly higher in the PCI group (p = 0,000). In the PCI group significantly more participants received lifestyle advice from their treating physicians and/or nurses during their hospital stay (p = 0,030). 73,1% of the participants in the PCI group whom had received advice about their diet, hereafter listened and were eating less. 32,1% of the participants listened to the advice about their exercise habits and 86,2% listened to the advice about their smoking pattern. In the ACP group no one received advice about their diet, only one participant received advice about his exercise habits (and has listened hereafter) and 3 participants received advice about their smoking pattern (2 of these participants have listened hereafter). Conclusion: This study shows that the hypotheses on the percentages of participants who improve their lifestyle in the PCI and ACP group are approximately correct. It is striking that, especially in the PCI group, a large percentage of participants reduces or stops smoking after the event. Also, it can be concluded that the percentage of participants who received lifestyle advice from their physicians and/or nurses during their hospital stay was too low. This study shows that a large proportion of the participants who received lifestyle advice, also improved their lifestyle and so there should be a greater role for lifestyle advisement in the treatment of patients with coronary artery disease.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Tio, Dr. R.A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:59 |
| Last Modified: | 25 Jun 2020 10:59 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1970 |
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