Abstract
Preventing reoccurrence of ischemic heart disease needs to control coronary risk factors through improving lifestyle by patients themselves with environmental assistance from their family and health care providers. We ought to clarify the effectiveness of in-hospital education with re-readable pamphlets on patients underwent percutaneous coronary intervention (PCI). Forty-three consecutive patients were randomly assigned either to receive lifestyle guidance with pamphlets, or not to receive any guidance. Patient backgrounds, vital signs and blood test results were compared between the groups at discharge and their office visits on 1 and 3 months later. As results, systolic blood pressure at 1 month was significantly lower (115±18 vs. 127±19 mmHg, p=0.045), and negative change of body weight between discharge and 1-month visit was significantly larger (−0.58±1.7 vs. +0.60±1.9 kg, p=0.041) in the educated group. However, these favorable effects disappeared at 3-month visit. It suggests that nurse-leading education may have improved lifestyle of patients performed PCI, yet further needed continual assistance for long-term improvement.
