Adherence to lifestyle changes after coronary artery bypass graft: Outcome of preoperative peer education |
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| Affiliation: | 1. Department of Community Health Nursing, Arak University of Medical Sciences, Arak, Iran;2. Student Research Committee, Arak University of Medical Sciences, Arak, Iran;3. Department of Cardiovascular Surgery, Tehran University of Medical Sciences, Tehran, Iran;4. Department of Biostatistics & Epidemiology, School of health, Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran;1. Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA;2. Division of Healthcare Policy and Research, Mayo Clinic, Rochester, MN, USA;3. Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA;4. Division of Biostatistics, Mayo Clinic, Rochester, MN, USA;5. Department of Biostatistics and Informatics, Colorado School of Public Health, Denver, CO, USA;1. Amsterdam UMC, University of Amsterdam, Department of Public Health, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, the Netherlands;2. Amsterdam UMC, University of Amsterdam, Department of Medical Psychology, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, the Netherlands;1. Department of Pediatrics, University of Colorado School of Medicine and Children''s Hospital Colorado, Aurora, CO, USA;2. Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD USA;3. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA;4. Oregon Health & Science University, Portland, OR USA;1. Oregon Health & Science University School of Nursing, Portland, OR, USA;2. University of Arizona Health Sciences Library, Tucson, AZ, USA;3. University of Arizona College of Nursing, Tucson, AZ, USA;4. University of Illinois at Chicago College of Nursing, Chicago, IL, USA;1. Department of Psychological Medicine, The University of Auckland, Private Bag 92019, Auckland, New Zealand;2. Green Lane Paediatric and Congenital Cardiac Services, Starship Children’s Hospital, Private Bag 92024, Auckland, New Zealand;3. Department of Paediatrics Child and Youth Health, The University of Auckland, Private Bag 92019, Auckland, New Zealand |
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| Abstract: | ObjectiveThis study was done to investigate the effect of preoperative peer education on patients' adherence to medication and lifestyle changes after Coronary Artery Bypass Graft (CABG).MethodsIn this randomized clinical trial, the peers of CABG patients conducted preoperative educational sessions at the ward in groups of 4–5 (n = 36) while the control group (n = 34) received routine education by a nurse. Adherence of both groups to medication and recommendations for lifestyle modification including physical activity, smoking, and diet was measured one and two months after discharge.ResultsA multivariate analysis of co-variance showed the significant effect of peer education on adherence (F = 32.586, p < 0.001; η2 = 0.671). Univariate ANCOVA revealed a significant difference in adherence to diet between the two groups (F = 62.316, p = 0 0.0001; η2 = 0.482). Based on the repeated measures ANOVA, peer education significantly improved the CABG patients' adherence to diet (F = 55.373, p = 0.0001) and their total adherence (F = 9.911, p = 0.002) compared to the control group.ConclusionPreoperative peer education had a significant effect on improving CABG patients' adherence to lifestyle changes after hospital discharge.Practice implicationPeer education can be used as an effective method to improve the CABG patients ' adherence to lifestyle changes. |
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| Keywords: | Adherence Coronary artery bypass graft Lifestyle Peer education |
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