Knowledge about health and disease in obese patients after myocardial infarction. An observational study

Abstract

Introduction. Conscious implementation of a therapeutic plan immediately after discharge from hospital is pivotal in myocardial infarction survivors. Obesity and overweight are known as factors increasing the risk of adverse cardiovascular events and worsening long-term clinical outcome. The aim of the study was to assess the knowledge regarding cardiovascular diseases in patients with myocardial infarction undergoing in-hospital brochure-based education in relation to the prevalence of overweight and obesity. Patients and methods. A prospective, single-centre, cohort, observational study was conducted in 228 patients hospitalised due to myocardial infarction (women n = 52, men n = 176). A dedicated questionnaire containing 20 single-choice questions was applied for the knowledge assessment. Patients were divided into three groups depending on the BMI level (normal, overweight, obesity). Results. Comparison of patients' knowledge at baseline and on the day of discharge revealed a significant increase of overall result (p = 0.0264) and of knowledge about prophylaxis (p = 0.0115). Multivariate analysis showed education level (-5.82 ± 2.576, p = 0.025) and BMI (-4.54 ± 1.771, p = 0.011) as independent factors determining the overall increase in patients' knowledge. Conclusions. Educational interventions in overweight and obese patients should be intensified. The brochure is an effective educational tool.

Functioning of patients with post-COVID syndrome — preliminary data

“…An integrated, comprehensive rehabilitation programme is recommended for post-COVID patients, involving a multidisciplinary and multi-professional team providing neuromuscular, cardiac, respiratory, and swallowing interventions, and psychological support, in order to improve patients' quality of life [14,17]. Similarly to other chronic diseases, rehabilitation should be complemented by patient education and strengthening of patient motivation [11,[18][19][20][21][22]. We are convinced that, despite the logistic difficulties related to the epidemiological situation, education of patients should be initiated before discharge from hospital [23,24].…”

Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome

“…To ensure patient understanding, satisfaction and safety, discharge planning, including the assessment of patients' readiness for discharge, should be applied [6][7][8]. Such an evaluation allows a personalized definition of needs for additional educational intervention [9]. It is expected that effective patients' preparation for discharge will improve adherence to long-term treatment and functioning in chronic faze of disease improving clinical outcome [6,7,10].…”

A new approach to ticagrelor-based de-escalation of antiplatelet therapy after acute coronary syndrome. A rationale for a randomized, double-blind, placebo-controlled, investigator-initiated, multicenter clinical study

“…To increase adherence to treatment all patients will undergo continuous multilevel educational and motivational interventions according to the Multilevel Educational and Motivational Intervention in Patients After Myocardial Infarction (MEDMOTION) project, including assessment with the Readiness for Hospital Discharge after Myocardial Infarction Scale at the end of hospitalization, and with the Functioning in Chronic Illness Scale during follow-ups [41][42][43][44][45][46][47][48].…”