The effect of self‑management intervention program on the lifestyle of postmyocardial infarction patients
نویسندگان
1
2 Department of Community Health Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4 Department of Biostatistics, Modeling of Non Communicable Diseases Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
doi
چکیده
BACKGROUND: Most patients with myocardial infarction (MI) suffer from one or more risk factorssuch as obesity and overweight, unhealthy diet, lack of physical activity (PA), and high blood pressure.Individual control of these risk factors by lifestyle modification raises the probability of survival inthese patients; hence, we used a self‑management intervention to assess its effect on the lifestyleof post‑MI patients.MATERIALS AND METHODS: This quasi‑experimental study was conducted on 92 hospitalized MIpatients in Hamadan province in 2016. Convenience sampling method was used for selecting theparticipants. The patients were selected and assigned to experimental and control groups. The mainparameters (diet, blood pressure, waist circumference, and body mass index [BMI]) were measuredat the baseline and 8 weeks after discharge. Domestic PA was the only parameter measured 8 weeksafter their discharge. A self‑management intervention was adopted for the experimental group. Thedata were analyzed using paired and independent‑sample t‑tests with SPSS software version 16.RESULTS: The comparison of the scores obtained for diet, blood pressure, waist circumference,and BMI in post‑MI patients revealed no statistically significant difference between the two groupsat the beginning of the study (P > 0.05). Following the intervention, the experimental group had asignificantly higher mean score for diet and domestic PA (walking program from 1st week to 8 weeks),compared to the control group (P < 0.001); however, the intervention had no significant effect onBMI, waist circumference, and systolic and diastolic pressure (P > 0.05).CONCLUSION: The findings indicated that the program had an impact on some risk factors. Therefore,it is recommended to use self‑management support in MI patients during the discharge process toimprove their lifestyle.
