Effectiveness Of Self-Instructional Module On Knowledge Regarding Lifestyle Modification To Maintain A Healthy Heart Among Cad Patients Admitted In Selected Hospital Of The City

Authors

  • Nikhil Rohidas Tumbare
  • Pallavi Shekhar Kolapkar
  • Rahul Chimaji Bhusal
  • Rajkannya Prabhakar Korde
  • Dattatray Namdev Vetal

Keywords:

N\A

Abstract

Introduction: Cardiovascular disease is a main cause of mortality and disability in spite of extensive hard work to manage cardiac risk factors in the course of diet, exercise, and medications (Roger, et al 2012). Cardiovascular disease (CVD) comprises all diseases of the circulatory system, cerebro- vascular disease, hypertension, peripheral arterial disease, rheumatic heart disease, congenital disease, heart failure, deep vein thrombosis and pulmonary embolism and coronary heart disease (Go, et al, 2014). Coronary artery disease (CAD), as well referred to as coronary heart disease (CHD), is the tapering of the small blood vessels that deliver blood and oxygen to the heart (United States National Library of Medicine, 2016). Coronary artery disease (CAD) incorporates acute myocardial infarction, other acute ischemic heart disease, angina pectoris, atherosclerotic cardiovascular disease, and all other types of chronic ischemic coronary heart disease

Objectives: The objective of this study was to evaluate the effectiveness self instructional module on knowledge regarding lifestyle modification to maintain healthy heart among CAD patient admitted in selected hospital. 1. To assess the knowledge regarding knowledge regarding lifestyle modification to maintain healthy heart among CAD patient admitted in selected hospital. 2. To assess effectiveness of self instructional module on knowledge regarding lifestyle modification to maintain healthy heart among CAD patient admitted in selected hospital. 3. To find association between pre-test knowledge score with their selected demographic variables.

Methods: Quasi experimental one group pre test post test design was used to assess " effectiveness self instructional module on knowledge regarding lifestyle modification to maintain healthy heart among CAD patient admitted in selected hospital " is the main goal of the current study. Sample size was 100 CAD patient admitted in selected hospital by using nonprobability purposive sampling technique.

Results: The study reveals that majority 62% of the participants had poor knowledge in pretest and in post test 72% had average knowledge. Result shows that self instructional module is effective in improving knowledge regarding lifestyle modification to maintain health heart among CAD patient. difference of level of knowledge regarding lifestyle modification to maintain health heart among CAD patient post test and pre test mean score found 17.38 and 10 respectively and paired t test value was found to be 15.43 which is significant at the level of 0.05. The findings revealed that their was significant association between Knowledge score and socio demographic variables like Age and awareness about lifestyle modification.

Conclusion: The findings of the present study indicated regarding effectiveness of Self Instructional Module on knowledge regarding lifestyle modification to maintain health heart among CAD patient, shows that the CAD patient had good knowledge in posttest. it shows that Self Instructional Module is effective in improving knowledge regarding lifestyle modification to maintain health heart among CAD patient

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References

Ahmed E, Youssif M, Ayasreh 1. Assess the risk factors and knowledge on modification of lifestyle among patients who have experienced acute myocardial infarction in Taif. Int J Med Sei Public health. 2013; 2(2): 354-359.

Maddison, R., Pfaeffli, L., Whittaker, R., Stewart, R., & Kerr AJiang, Y. (2014). A mobile phone intervention increases physical activity in people with cardiovascular disease: Results from the HEART randomized controlled trial. European Journal https://doi.org/10.1177/2047487314535076 of Preventive Cardiology, 22(6), 701-709.

Aminpour, S., Shahamfar, M., &Shahamfar, J. (-1, November 30). Open access journals: Peer reviewed journals. Prime Scholars. Retrieved March 17, 2023, from https://www.primescholars.com/articles/effects of-lifestyle-modification-program-in- reduction-of-risk-factors-in-patients-with-coronary-heart-disease 91905.html

Aounallah Skhiri H, Ben Romdhane H, Haoula H, Kouni CM, Drissa H, Belhani A, Hentai E Secondary prevention of cardiovascular disease: knowledge and practices of patients. Tunis Med2005; 83(Supple 5): 30-5.

Combes A. (2015). Reducing the risk of cardiovascular disease. [Online]. BMC. Retrievedfromhttps://blogs.biomedcentral.com/on medicine/2015/09/29/reducing-risk- cardiovascular-disease/

Dhawan J, Bray CL. Asian Indians, coronary artery disease and physical exercises. Heart. 1997, 78(6): 550-4.

Goyal A, Yusuf S. The burden of cardiovascular disease in the Indian subcontinent. Indian J Med Res 2006; 124(3): 235 244.

Gupta Rajeev. Burden of coronary heart disease in India. Indian Heart J. 2005; 57(6): 632-638

Modak RK. Anesthesiology Key words Review (2nd ed.) Philadelphia PA: Lippincott Williams and Wilkins; 2013.

Bertoni, A.G., Hunldley, G.W., Massing, M.W., Bonds, D.E., Barke, G.L. et al. 2004. Heart failure prevalence, incidence and mortality in the elderly with diabetes. Diabetes care, March; 27(3): 699-703

Curtis, HL., Whellan, JD., Hamill, BG., Hernandez, AF., Anstrom, KJ. et al. Incidence and prevalence of heart failure in elderly persons 1994-2003. Archieves of internal medicine, 2008; 168(4): 418-424

Scott MG. Primary prevention of coronary heart disease. The American Journal of Medicine.1999;107:1-5

Wilson WF, Culleton F. Over view of risk factors for cardiovascular disease. Up to date 2001.

Smeltzer CS, Bare BG. Text book of Medical Surgical Nursing. 8th ed. Philadelphia: Pennsylvania; 1996.

Elena L, Navas-Nacher, Colangelo L et al. Risk factors for coronary heart disease in men 18 -39 years of age. Ann Intern Med. March 20, 2001. Vol 134; 6.

Black JM, Hawks JH. Medical Surgical Nursing. 7th ed. St. Louis Missouri: Saunders Elsevier; 2005

Dr. Peter Jasper Youtham and a study to assess the effectiveness of a self-instructional module on knowledge regarding life style modification for maintaining healthy heart among cardiac patients in selected hospital International Journal of Nursing and Medical Science 2022:11(1) 16-20 IJNMS ISSN: 2454-6674

Dr. Nitin Soni Study to Evaluate the Effectiveness of Structured Teaching Programme Regarding Lifestyle Modification for Prevention of Myocardial Infarction among Diabetes Mellitus Patients in Selected Hospital Volume 6, Issue 6, September 2024 Received: 30 July 2024 Accepted: 23 August 2024 Published: 04 September 2024 doi: 10.33472/AFJBS.6.6.2024.8899-8905

Mohan B A Study to Evaluate the Efficacy of Self Instructional Module on Knowledge Regarding Diet, Exercise and Lifestyle Modification for Preventive and Curative Modalities of Hypertension among Nursing Officer. International Journal of Health Sciences and Research Vol.12; Issue: 5; May 2022 ISSN: 2249-9571

Gnana Leonarld Das Effectiveness of a Self-Instructional Module on Lifestyle Changes to Prevent Heart Disease Indian Journal of Continuing Nursing Education Vol. 19, No. (1), January - June 2018

Brinks J, Fowler A, Franklin BA, Dulai J. Lifestyle Modification in Secondary Prevention: Beyond Pharmacotherapy. Am J Lifestyle Med. 2016 Jul 8;11(2):137-152. doi: 10.1177/1559827616651402. PMID: 30202327; PMCID: PMC6125029.

Aminde LN, Takah NF, Zapata-Diomedi B, Veerman JL. Primary and secondary prevention interventions for cardiovascular disease in low-income and middle-income countries: a systematic review of economic evaluations. Cost Eff Resour Alloc. 2018 Jun 14;16:22. doi: 10.1186/s12962-018-0108-9. PMID: 29983644; PMCID: PMC6003072.

Pramila Gaudel Effects of a lifestyle-related risk factor modification intervention on lifestyle changes among patients with coronary artery disease in Nepal Volume 104, Issue 6, June 2021, Pages 1406-1414 https://doi.org/10.1016/j.pec.2020.11.030

Roya Amini Conducted a study on The effect of self-management intervention program on the lifestyle of post myocardial infarction patients 2021 Volume 106, Issue 6, June 2021, Pages 1406-1414 https://doi.org/10.1016/j.pec.2020.11.030

Brinks J, Fowler A, Franklin BA, Dulai J. Lifestyle Modification in Secondary Prevention: Beyond Pharmacotherapy. Am J Lifestyle Med. 2016 Jul 8;11(2):137-152. doi: 10.1177/1559827616651402. PMID: 30202327; PMCID: PMC6125029.

Dehghani A, Kumar Bhasin S, Dwivedi S, Kumar Malhotra R. Influence of Comprehensive Life Style Intervention in Patients of CHD. Glob J Health Sci. 2015 Mar 26;7(7 Spec No):6-16. doi: 10.5539/gjhs.v7n7p6. PMID: 26153198; PMCID: PMC4803950.

Gaudel P, Kaunonen M, Neupane S, Joronen K, Koivisto AM, Rantanen A. Lifestyle- related risk factors among patients with coronary artery disease in Nepal. Scand J Caring Sci. 2020 Sep;34(3):782-791. doi: 10.1111/scs.12784. Epub 2019 Oct 30. PMID: 31667878.

vaibhav sonawane Effectiveness of Information Pamphlet on Knowledge Regarding Myocardial Infarction among Adults Tuijin Jishu/Journal of Propulsion Technology ISSN:1001-4055 Vol. 44 No.4 (2023)

Deepak Raj A Study to Assess the Knowledge Regarding Lifestyle Modifications Among the Cardiac Patients in NMCH, Jamuhar, Sasaram, Rohtas (Bihar), International Journal of Advanced Research in Science, Communication and Technology (IJARSCT) Volume 3, Issue 2, April 2023

Kebede T, Taddese Z, Girma A. Knowledge, attitude and practices of lifestyle modification and associated factors among hypertensive patients on-treatment follow up at Yekatit 12 General Hospital in the largest city of East Africa: A prospective cross- sectional study. PLoS One. 2022 Jan 27;17(1):e0262780. doi: 10.1371/journal.pone.0262780. PMID: 35085323; PMCID: PMC8794133.

Roya Amini Effect of Health-related Lifestyle Self-management Program on Quality of Life of Patients with Ischaemic Heart Disease 2022 Journal of Clinical and Diagnostic Research 2022 11(12) DOI:10.7860/JCDR/2017/27874.10981

Ahmed ET, Youssif MA, Ayasreh IR, AlMawajdeh NA. Assess the risk factors and knowledge on modification of lifestyle among patients who have experienced Acute Myocardial Infarction in Taif. Int J Med Sci Public Health 2013; 2:368-373

Saeed Omar, Gupta Vineet, Naveen Dhawan.et al Knowledge of modifiable risk factors of Coronary Atherosclerotic Heart Disease (CASHD) among a sample in India AIIMS study, Biomed central health and human rights, Feb, 2009 Vol:9

peter jasper youtham A study to assess the effectiveness of a self-instructional module on knowledge regarding life style modification for maintaining healthy heart among cardiac patients in selected hospital at indore International Journal of Nursing and Medical Science 2022:11(1) 16-20 IJNMS ISSN: 2454-6674

Gaudel, P., Neupane, S., Koivisto, A.- M., Kaunonen, M., & Rantanen, A. (2022). Effects of intervention on lifestyle changes among coronary artery disease patients: A 6- month follow- up study. Nursing Open, 9, 2024–2036. https://doi.org/10.1002/nop2.1212

Shrestha R, Rajbanshi L, Singh JP, Shrestha K, Shrestha S. the EFFECTIVENESS OF NURSES-LED CARDIAC REHABILITATION PROGRAM AMONG CORONARY ARTERY DISEASE PATIENTS ATTENDING A TEACHING HOSPITAL,

BHARATPUR. Journal of Chitwan Medical College. 2020 Mar 14;10(1):48-53.

Justin V Sebastian A study to assess the effectiveness of self-instructional module on knowledge regarding life style modification of patient with heart failure among staff nurses in selected hospital Mangalore International Journal of Development Research Vol. 09, Issue, 12, pp. 32316-32331, December, 2019

Manandhar T, Moche S. A study to evaluate the effectiveness of self instructional module on knowledge regarding prevention of coronary artery disease among middle aged women in selected urban area, Bangalore. Int J Health Sci Res. 2019; 9(3):187-193

Justin V Sebastian and Gireesh, G. R. 2019.“A study to assess the effectiveness of self instructional module on knowledge regarding life style modification of patient with heart failure among staff nurses in selected hospital mangalore”, International Journal of Development Research, 09, (12), 32316-32331.

Manal Hamed Mahmoud Effect of Lifestyle Modification Intervention on Health Status of Coronary Artery Disease Patients. International Journal of Studies in Nursing; Vol. 3, No. 3; 2018 ISSN 2424-9653 E-ISSN 2529-7317 Published by July Press URL:

https://doi.org/10.20849/ijsn.v3i3.523

Kotseva K, De Backer G, De Bacquer D, Rydén Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. Eur J Prev Cardiol. 2019 May;26(8):824-835. doi: 10.1177/2047487318825350. Epub 2019 Feb 10. PMID: 30739508.

Barbara Riegel Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke. 2024 Journal of the American Heart Association DOI: 10.1161/JAHA.117.00699

43. Ghodeshwar GK, Dube A, Khobragade D. Impact of Lifestyle Modifications on Cardiovascular Health: A Narrative Review. Cureus. 2023 Jul 28;15(7):e42616. doi: 10.7759/cureus.42616. PMID: 37641769; PMCID: PMC10460604.

Ahmed ST, Rehman H, Akeroyd JM, Alam M, Shah T, Kalra A, Virani SS. Premature Coronary Heart Disease in South Asians: Burden and Determinants. Curr Atheroscler Rep. 2018 Jan 27;20(1):6. doi: 10.1007/s11883-018-0706-1. PMID: 29374801.

Aggarwal M, Bozkurt B, American College of Cardiology’s Nutrition and Lifestyle Committee of the Prevention of Cardiovascular Disease Council. Lifestyle Modifications for Preventing and Treating Heart Failure. J Am Coll Cardiol. 2018 Nov 6;72(19):2391- 2405. doi: 10.1016/j.jacc.2018.08.2160. PMID: 30384895.

46. Bhattarai S, A. Cardiovascular disease trends in Nepal - An analysis of global burden of disease data 2017. Int J Cardiol Heart Vasc. 2020 Jul 31;30:100602. doi: 10.1016/j.ijcha.2020.100602. PMID: 32775605; PMCID: PMC7399110.

Dod HS, Bhardwaj R, Sajja V, Weidner G, Hobbs GR, Konat GW, Manivannan S, Gharib W, Warden BE, Nanda NC, Beto RJ, Ornish D, Jain AC. Effect of intensive lifestyle changes on endothelial function and on inflammatory markers of atherosclerosis. Am J Cardiol. 2010 Feb 1;105(3):362-7. doi: 10.1016/j.amjcard.2009.09.038. PMID: 20102949

48. Iestra JA, Kromhout D, van der Schouw YT, Grobbee DE, Boshuizen HC, van Staveren WA. Effect size estimates of lifestyle and dietary changes on all-cause mortality in coronary artery disease patients: a systematic review. Circulation. 2005 Aug 9;112(6):924-34. doi: 10.1161/CIRCULATIONAHA.104.503995. PMID: 16087812

Ijzelenberg W, Hellemans IM, van Tulder MW, Heymans MW, Rauwerda JA, van Rossum AC, Seidell JC. The effect of a comprehensive lifestyle intervention on cardiovascular risk factors in pharmacologically treated patients with stable cardiovascular disease compared to usual care: a randomised controlled trial. BMC Cardiovasc Disord. 2012 Sep 10;12:71. doi: 10.1186/1471-2261-12-71. PMID: 22962863; PMCID: PMC3479017.

Sharma S. Nursing research and statistics. Third Edition. New Delhi: Elsevier. 2018June 9;125-126p.

Sharma S. K , Nursing Research & Statistics, Second Edition (2017), Elsevier publication, Page no: 98,85,116,105,163,168,43,109,251-252,305-306.

Denis F Polit, Bernadette P. Hungler, Nursing Research, Principles & Methods, 5 th edition, Philadelphia publication, JB Lippincott Company,1995,page no-640-656

Denis F Polit, Cheryl Tatano Beck, Nursing Research Generating & Assessing Evidence for Nursing Practice, 10th Edition, New Delhi, Wolters Kluwer, India, 2017,page no.74

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Published

2025-08-20

How to Cite

1.
Tumbare NR, Kolapkar PS, Bhusal RC, Prabhakar Korde R, Vetal DN. Effectiveness Of Self-Instructional Module On Knowledge Regarding Lifestyle Modification To Maintain A Healthy Heart Among Cad Patients Admitted In Selected Hospital Of The City. J Neonatal Surg [Internet]. 2025Aug.20 [cited 2025Dec.7];14(21S):1660-92. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8924