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Eur J Cardiovasc Nurs. 2004 Dec;3(4):321-30.

Better knowledge improves adherence to lifestyle changes and medication in patients with coronary heart disease.

Author information

  • 1Department of Cardiology, Malmö University Hospital, S-205 02, Malmö, Sweden. Carin.Alm-Roijer@skane.se

Abstract

BACKGROUND:

Many patients with coronary heart disease (CHD) are not managed adequately, and we often fail to reach treatment targets.

AIM:

To investigate if knowledge of risk factors for CHD, measured by a questionnaire, would show any relation to advice to compliance to lifestyle changes to attain treatment goals and adherence to drug therapy.

METHOD:

Men and women <71 years who had had a cardiac event were screened consecutively (509) from the medical records. Responders (392) were interviewed, examined and received a questionnaire. Three hundred and forty-seven patients answered the questionnaire regarding their general knowledge of risk factors for CHD, compliance to lifestyle changes to attain treatment goals and adherence to drug therapy.

RESULTS:

There were statistically significant correlations between general knowledge about risk factors for CHD and compliance to certain lifestyle changes: weight, physical activity, stress management, diet, attainment of lipid level goals and the likelihood of taking prescribed blood pressure-lowering drugs. General knowledge of risk factors had no correlation to blood glucose or blood pressure levels nor on smoking habits or treatment patterns for prescribed lipid- and blood glucose-lowering drugs.

CONCLUSION:

Knowledge correlates to patient behaviour with respect to some risk factors, which should be recognised in preventive programs.

[PubMed - indexed for MEDLINE]
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