Changes in Modifiable Cardiovascular Risk Factors in Post Cardiac Surgery Patients after Cardiac Discharge Education Class

2.50
Hdl Handle:
http://hdl.handle.net/10755/164296
Category:
Abstract
Type:
Presentation
Title:
Changes in Modifiable Cardiovascular Risk Factors in Post Cardiac Surgery Patients after Cardiac Discharge Education Class
Author(s):
Nelson, Monica A.
Author Details:
Monica A. Nelson, MSN, RN, CCNS, Byrdine F. Lewis School of Nursing of Georgia State University, Atlanta, Georgia, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: The purpose of this study is to determine the impact of a cardiac discharge class on cardiovascular (CV) modifiable risk factors of coronary artery bypass patients. Significance: Multiple risk factor intervention was shown to reduce cardiovascular risk factors, total mortality, and mortality (by 10%) for CHD in adults (Ebrahim & Smith, 1997). The patient's ability, based on self-reported lifestyle changes to obtain treatment goals and to adhere to drug therapy, may be related to better general knowledge of risk factors for CHD (Alm- Roijer, Stagmo, Uden, & Erhardt, 2004). Design: The study incorporated a pre-test post-test quasi- experimental design using paired t-tests for analysis along with frequency, percentage and group statistics. The study was designed to incorporate a cardiac discharge class (independent variable) and the effect of a class on modifiable CV risk factors (dependent variable), such as diet, exercise, and tobacco cessation. Methods: Prior to the start of cardiac discharge education classes, patients completed a demographic questionnaire and survey on dietary habits, tobacco use, and exercise habits prior to surgery. All participants attended the cardiac discharge education class including discharge instructions, CV risk factors, tobacco cessation, recommended dietary practices, and a home exercise plan. Approximately three months post discharge; the subjects were mailed a survey on dietary habits, tobacco use, and exercise habits in the three months since discharge. Findings: Mean scores on the before and after surveys increased (p = .000) for exercise habits from 1.53 to 2.89 and the number of tobacco users decreased from 6 (13%) to 0 (0%). A paired sample t- test revealed the subjects in the study had a decrease in the protein intake (p = .020) and a decrease in the intake of fats, oils, and sugars (p = .016) three months after attending a cardiac discharge education class. Conclusions: The cardiac discharge education class positively impacted the modifiable cardiovascular risk factors of coronary artery bypass patients three months after discharge. Implications for Practice: The implication for nursing practice is to support cardiac educators and bedside nurses in educating patients on modifiable cardiovascular risk factors prior to discharge as a way to slow the progression of cardiovascular disease, and to reduce morbidity and mortality.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleChanges in Modifiable Cardiovascular Risk Factors in Post Cardiac Surgery Patients after Cardiac Discharge Education Classen_GB
dc.contributor.authorNelson, Monica A.en_US
dc.author.detailsMonica A. Nelson, MSN, RN, CCNS, Byrdine F. Lewis School of Nursing of Georgia State University, Atlanta, Georgia, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164296-
dc.description.abstractPurpose: The purpose of this study is to determine the impact of a cardiac discharge class on cardiovascular (CV) modifiable risk factors of coronary artery bypass patients. Significance: Multiple risk factor intervention was shown to reduce cardiovascular risk factors, total mortality, and mortality (by 10%) for CHD in adults (Ebrahim & Smith, 1997). The patient's ability, based on self-reported lifestyle changes to obtain treatment goals and to adhere to drug therapy, may be related to better general knowledge of risk factors for CHD (Alm- Roijer, Stagmo, Uden, & Erhardt, 2004). Design: The study incorporated a pre-test post-test quasi- experimental design using paired t-tests for analysis along with frequency, percentage and group statistics. The study was designed to incorporate a cardiac discharge class (independent variable) and the effect of a class on modifiable CV risk factors (dependent variable), such as diet, exercise, and tobacco cessation. Methods: Prior to the start of cardiac discharge education classes, patients completed a demographic questionnaire and survey on dietary habits, tobacco use, and exercise habits prior to surgery. All participants attended the cardiac discharge education class including discharge instructions, CV risk factors, tobacco cessation, recommended dietary practices, and a home exercise plan. Approximately three months post discharge; the subjects were mailed a survey on dietary habits, tobacco use, and exercise habits in the three months since discharge. Findings: Mean scores on the before and after surveys increased (p = .000) for exercise habits from 1.53 to 2.89 and the number of tobacco users decreased from 6 (13%) to 0 (0%). A paired sample t- test revealed the subjects in the study had a decrease in the protein intake (p = .020) and a decrease in the intake of fats, oils, and sugars (p = .016) three months after attending a cardiac discharge education class. Conclusions: The cardiac discharge education class positively impacted the modifiable cardiovascular risk factors of coronary artery bypass patients three months after discharge. Implications for Practice: The implication for nursing practice is to support cardiac educators and bedside nurses in educating patients on modifiable cardiovascular risk factors prior to discharge as a way to slow the progression of cardiovascular disease, and to reduce morbidity and mortality.en_GB
dc.date.available2011-10-27T11:45:44Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:44Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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