Why the study?
Secondary prevention of coronary heart disease is important, and this study aimed to investigate the effect of a nursing intervention based on Cox's interaction model of client health behaviour on health outcomes and behaviours.
Does a nursing intervention based on Cox's interaction model improve health outcomes and behaviours in patients requiring secondary prevention of coronary heart disease?
Does a nursing intervention based on Cox's interaction model improve health outcomes and behaviours in patients requiring secondary prevention of coronary heart disease?
A nursing intervention based on Cox's interaction model significantly improves health behaviors and clinical parameters like systolic blood pressure, BMI, and LDL-C in patients undergoing secondary prevention for coronary heart disease.
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Supports adoption of Cox model-based nursing intervention for CHD secondary prevention; extends evidence for theory-driven self-management programs.
AIMS: Secondary prevention of coronary heart disease is of utmost importance to facilitate people to achieve health outcomes and behaviours. This study was to investigate the effect of a nursing intervention based on Cox's interaction model of client health behaviour to improve health outcomes and behaviours of secondary prevention of coronary heart disease. DESIGN: This study is a cluster randomised controlled trial. METHODS: tests and t tests. RESULTS: Seventy-seven participants completed this study. Compared with the control group (n = 40), the intervention group (n = 37) showed statistically significant better health outcomes and behaviours regarding self-management, physical activity (except for high energy consumption), medication compliance, anxiety, sexual knowledge, the ability to identify sexual health education needs, systolic blood pressure, BMI, and LDL-C. However, there was no statistically significant difference in diastolic blood pressure and high energy consumption for physical activity. CONCLUSION: A well-developed nursing intervention based on Cox's interaction model of client health behaviour could successfully improve health outcomes and behaviours of secondary prevention of coronary heart disease. Such an intervention may be incorporated into community healthcare practice by nurses to improve patient care. IMPACT: This study provides a valuable insight to facilitate further development of effective nursing interventions to improve secondary prevention of coronary heart disease in community settings.
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Shen et al. (2021) studied this question.
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