Key result
Micro-lecture education improved the mean coronary self-management scale score compared to traditional education (3.84 vs 2.78) at 12 weeks in patients with coronary artery disease.
Why the study?
The study was conducted to explore the effectiveness of micro-lecture education on self-management ability and lifestyle changes in patients with coronary artery disease.
Does micro-lecture education improve the ability of coronary self-management in inpatients with coronary artery disease?
RCT (n=89)
randomized
No
Does micro-lecture education improve the ability of coronary self-management in inpatients with coronary artery disease?
Absolute Event Rate: 3.84% vs 2.78%
Micro-lecture based cardiac rehabilitation education improves self-management and promotes therapeutic lifestyle changes in patients with coronary artery disease.
Supports micro-lecture education for better self-management in CAD inpatients; extends evidence for digital formats in cardiac rehabilitation.
OBJECTIVE: To explore the effectiveness of the micro-lecture education on the ability of self-management and lifestyle changes in patients with coronary artery disease. DESIGN: A randomized control trial with a 12-week follow-up. SETTING: Cardiology wards of a large Chinese University Hospital. SUBJECTS: One hundred eligible inpatients with coronary artery disease were recruited. INTERVENTION: Intervention group received the micro-lecture education, while the control group received the traditional cardiac rehabilitation education. MAIN MEASURES: Primary outcome of the ability of coronary self-management was assessed by the Coronary self-management scaleat baseline, 12-week after discharge. Secondary outcomes of smoking status, exercise status, and six-minute walk distance were evaluated at the baseline, week4 and week 12 after discharge. The chi-square test,Fisher's exact test, group t-test and the repeated measure variance were used for the data analysis. RESULTS: Eighty-nine of 100 eligible participants responded, and mean age was 60.2 ± 11.3 years.After the intervention, the mean score of the coronary self-management scale (3.84 ± 0.36) was higher than that in the control group (2.78 ± 0.57).At week 12, the rate of re-smoked in the intervention group (6%) was significantly lower than that in the control group (43%),the frequency of the exercise (85%), and the 6MWD (495.55 ± 85.94) in the intervention group were better than the control group. CONCLUSION: Micro-lecture education program presented a positive effect on promoting the ability of self-management, and apotential effect on the therapeutic lifestyle changes for the coronary artery disease patients.
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Li et al. (2022) conducted an RCT in coronary artery disease (n=89). micro-lecture education vs. traditional cardiac rehabilitation education was evaluated on ability of coronary self-management assessed by the Coronary self-management scale. Micro-lecture education improved the mean coronary self-management scale score compared to traditional education (3.84 vs 2.78) at 12 weeks in patients with coronary artery disease.
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