Effectiveness of a health educational program on quality life and nutrition of coronary artery bypass graft patients

Main Article Content

Dlzar Omer Qadir
Yousif Mohammed Younis

Keywords

Coronary Artery Bypass Grafting, Educational program, Quality of life, Diagnosis, Management, SF 36 Questionnaire, Nutrition

Abstract

Background and Objective: The healing and quality of life of CABG patients might be impacted by changes in lifestyle. Therefore, this study aims to the impact of a health-related education program on the nutritional needs and quality of life following coronary artery bypass surgery at Surgical Specialty Hospital-Erbil Cardiac Center.
Patients and Methods: This study is a quesi-experimental conducted between 2021 and 2023. The samples were divided into two groups by random allocation, each group of 100 people. Data collection was based on a researcher-made questionnaire including demographic section and SF-36 questionnaire. The intervention consisted of 6 sessions, which included 2 sessions of general training for patients, and 4 sessions of training including physiological aspects, self-concept, Reciprocal relations and the fulfillment of obligations.
Results: When the intervention program was implemented, the health-related quality of life in the intervention group improved in comparison to the control group in terms of vitality, pain, overall health, physical role function, emotional role functioning, and mental health (P<0.05). The educational program's impact on participants' nutritional status revealed a shift in the intake of unhealthy meals and an increase in the consumption of nutritious foods (P<0.05).
Conclusions: This study demonstrated the beneficial effects of the health education program on patients who had had coronary artery bypass grafts (CABG) in terms of quality of life and diet quality.

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References

1. Bachar, B.J. B. Manna. (2021). Coronary Artery Bypass Graft. StatPearls Publishing, Treasure Island (FL).
2. Elmadfa I, Freisling H. (2005). Fat intake, Dietvariety and health promotion. Diet diversification and health promotion. Karger Publishers; 57, 1-10. https://doi.org/10.1159/000083749.
3. Coyan GN, Reeder KM, Vacek JL. (2014). Diet and Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review and Call to Action. The Physician and Sportsmedicine, 42(2), 119-29. https://doi.org/10.3810/psm.2014.05.2064.
4. Sebregts EH, Falger PR, Appels A, et al. (2003). Cholesterol changes in coronary patients after a short behavior modification program. International Journal of Behavioral Medicine, 10(4), 315-30. https://doi.org/10.1207/S15327558IJBM1004_3.
5. Nahapetyan A. (2015). Relationship between Patients’ Knowledge about Post Operative Risk Factors after Coronary Artery Bypass Surgery (CABG) and Adherence to Medication and Lifestyle Changes in Armenia.
6. Alkan S, Topal E, Hanedan MO, et al. (2018). Assessment of healthy lifestyle behaviors after coronary artery bypass surgery. Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir, 46(3), 169-74. https://doi.org/10.5543/tkda.2017.98442.
7. Akbari M, Celik SS. (2018). The effects of discharge training and postdischarge counseling on quality of life after coronary artery bypass graft surgery. Nursing and Midwifery Studies, 7(3), 105. https://doi.org/10.4103/2322-1488.235641.
8. Kalogianni A, Almpani P, Vastardis L, et al. (2016). Can nurse-led preoperative education reduce anxiety and postoperative complications
of patients undergoing cardiac surgery? European Journal of Cardiovascular Nursing, 15(6), 447-58. https://doi.org/10.1177/1474515115602678.
9. Mohsenipouya H, Majlessi F, Forooshani AR, et al. (2018). The effects of health promotion model-based educational program on self-care behaviors in patients undergoing coronary artery bypass grafting in Iran. Electronic physician, 10(1), 6255-64. https://doi.org/10.19082/6255.
10. Albert NM, Paul S, Murray M. (2012). Complexities of Care for Patients and Families Living With Advanced Cardiovascular Diseases: Overview. Journal of Cardiovascular Nursing, 27(2), 103-13. https://doi.org/10.1097/JCN.0b013e318239f4dd.
11. Fredericks S, Yau T. (2013). Educational intervention reduces complications and rehospitalizations after heart surgery. Western journal of nursing research, 35(10), 1251-65. https://doi.org/10.1177/0193945913490081.
12. Shahbazi S HM. (2012). Effect of self-care training program on quality of life of elders. Iran Journal of Nursing (IJN), 25(75), 1-8.
13. Failde I, Ramos I. (2000). Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. Journal of clinical epidemiology, 53(4), 359-65. https://doi.org/10.1016/s0895-4356(99)00175-4.
14. Gohari F, Hasanvand S, Gholami M, et al. (2022). Comparison of the effectiveness of home visits and telephone follow-up on the self-efficacy of patients having un-dergone coronary artery bypass graft surgery (CABG) and the burden of their family caregivers: A randomized con-trolled trial. Investigacion y educacion en enfermeria, 40(1), e14. https://doi.org/10.17533/udea.iee.v40n1e14.
15. Ghorbani B, Jackson AC, Noorchenarboo M, et al. (2021). Comparing the Effects of Gamification and Teach-Back Training Methods on Adherence to a Therapeutic Regimen in Patients After Coronary Artery Bypass Graft Surgery: Randomized Clinical Trial. Journal of medical Internet research, 23(12), e22557. https://doi.org/10.2196/22557.
16. Cichosz SL, Udsen FW, Hejlesen O. (2020). The impact of telehealth care on health-related quality of life of patients with heart failure: Results from the Danish TeleCare North heart failure trial. Journal of telemedicine and telecare, 26(7-8), 452-61. https://doi.org/10.1177/1357633x19832713.
17. Pačarić S, Turk T, Erić I, et al. (2020). Assessment of the Quality of Life in Patients before and after Coronary Artery Bypass Grafting (CABG): A Prospective Study. Int J Environ Res Public Health, 17(4), 1417. https://doi.org/10.3390/ijerph17041417.
18. Fayazi N, Naseri Salahshour V, Karimy M, et al. (2020). An Educational Intervention to Improve Quality of Life: A Single-blind Randomized Controlled Trial on the Quality of Life in Patients with Acute Coronary Syndrome. Journal of Vessels and Circulation, 1(2), 21-6. https://doi.org/10.29252/jvesselcirc.1.2.21.
19. Rea J, Walters K, Avgerinou C. (2019). How effective is nutrition education aiming to prevent or treat malnutrition in community-dwelling older adults? A systematic review. European geriatric medicine, 10(3), 339-58. https://doi.org/10.1007/s41999-019-00172-6.
20. Zhu Y, Gu X, Xu C. (2020). Effectiveness of telemedicine systems for adults with heart failure: a meta-analysis of randomized controlled trials. Heart failure reviews, 25(2), 231-43. https://doi.org/10.1007/s10741-019-09801-5.
21. Vieira LP, Nobre MRC, da Silveira JAC. (2016). Effects of nutrition education on recurrent coronary events after percutaneous coronary intervention: A randomized clinical trial. BMC Nutrition, 2(1), 72. https://doi.org/10.1186/s40795-016-0111-5.
22. Younus K, Yousif M. (2021). Effect of Dietary Education Program on Health Status of Heart Failure Patients. Iranian Journal of Public Health, 50(7), 1515-1516. https://doi.org/10.18502/ijph.v50i7.6655.