Effects of preventive group education on the resistance of LDL against oxidation and risk factors for coronary heart disease in bypass surgery patients

Abstract

Repeated group education applied as an economically feasible part of specialist care had only small positive effects on patients' risk factors. There was a significant, but transient, increase in the resistance of LDL against oxidation. However, effective lipid lowering drug treatment is indicated for most coronary artery bypass patients rather than repeated health education alone.

Promoting patient uptake and adherence in cardiac rehabilitation

“…Nine studies identified by the updated search did not contain a measure of adherence (Brodie 2005; Carroll 2007; Hughes 2002; Hughes 2007; Kummel 2007;Luszczynska 2006; Sniehotta 2005;Southard 2003; Vestfold 2003; see Primary outcomes for further information on how adherence was defined). Other reasons for exclusion were: not randomised (Moore 2002; Palomki 2002), no intervention to increase adherence (Froelicher 2003), not all participants had CHD (Rejeski 2002) and intervention targeting adherence to medication and medical appointments rather than cardiac rehabilitation (Stromberg 2006).…”

A systematic review of patient education in cardiac patients: Do they increase knowledge and promote health behavior change?

“…Thirty (71.4%) were experimental: 23 (55%) RCTs and 7 (16.7%) quasi-experimental [46,49,50,[59][60][61][62]; and 11 (26.2%) observational: 6 (14.3%) cross-sectional in design [45,47,48,[51][52][53] and 5 (12%) were cohort studies (4 prospective [54][55][56][57] and 1 retrospective [58]). One (2.5%) study used a mixed-methods design [63].…”

“…With regard to those delivering the intervention, nurses delivered the education in 15 (35.7%) studies [22,24,25,31,32,[36][37][38]41,42,54,55,60,61,63], a multidisciplinary team in 13 (31%) studies [23,29,34,39,40,43,48,50,51,[56][57][58]62], dietitians in 6 (14.3%) studies [28,33,45,49,52,53], and a cardiologist in 1 (2.4%) study [27].…”

“…With regard to mode of delivery, group (n=37 studies; 88.1%) education was delivered by lectures in 17 (40.5%) studies [28,29,32,33,39,42,43,45,[47][48][49][50]53,[55][56][57][58], group discussions in 17 (40.5%) studies [23,29,32,35,39,40,42,43,47,48,52,55,[58][59][60]62,63], and question and answer periods in 3 (7.1%) studies [48,52,58]. Individual education was used in 37 (88.1%) studies, including individual counselling in 21 (50%) studies [22][23][24]27,28,31,[33][34][35]37,38,…”

“…One study did not describe the educational content of its intervention [58]. Education content most-often concerned nutrition (n=26; 62%; [23,[26][27][28][29][30][31]33,35,40,42,43,45,46,[48][49][50][51][52][53][55][56][57][60][61][62]), exercise (n=19; 45.2%; [23,26,27,30,31,35,40,42,44,[46][47][48][49][50][51]55,56,60,61]), risk factors (n=17; 40.5%; [23,26,27,29,…”