Adherence to lifestyle changes after coronary artery bypass graft: Outcome of preoperative peer education.

Patient Educ Couns 2019 12 16;102(12):2231-2237. Epub 2019 Jul 16.

Department of Biostatistics & Epidemiology, School of health, Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Objective: This study was done to investigate the effect of preoperative peer education on patients' adherence to medication and lifestyle changes after Coronary Artery Bypass Graft (CABG).

Methods: In this randomized clinical trial, the peers of CABG patients conducted preoperative educational sessions at the ward in groups of 4-5 (n = 36) while the control group (n = 34) received routine education by a nurse. Adherence of both groups to medication and recommendations for lifestyle modification including physical activity, smoking, and diet was measured one and two months after discharge.

Results: A multivariate analysis of co-variance showed the significant effect of peer education on adherence (F = 32.586, p < 0.001; η = 0.671). Univariate ANCOVA revealed a significant difference in adherence to diet between the two groups (F = 62.316, p = 0 0.0001; η = 0.482). Based on the repeated measures ANOVA, peer education significantly improved the CABG patients' adherence to diet (F = 55.373, p = 0.0001) and their total adherence (F = 9.911, p = 0.002) compared to the control group.

Conclusion: Preoperative peer education had a significant effect on improving CABG patients' adherence to lifestyle changes after hospital discharge.

Practice Implication: Peer education can be used as an effective method to improve the CABG patients ' adherence to lifestyle changes.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pec.2019.07.019DOI Listing
December 2019

Publication Analysis

Top Keywords

peer education
12
coronary artery
8
artery bypass
8
preoperative peer
8
changes coronary
8
bypass graft
8
lifestyle changes
8
medication recommendations
4
clinical trial
4
conducted preoperative
4
preoperative educational
4
measured months
4
adherence
4
educational sessions
4
patients conducted
4
months dischargeresults
4
dischargeresults multivariate
4
modification including
4
peers cabg
4
sessions ward
4

Similar Publications