Effectiveness of a Tailored Lifestyle Management Program for Middle-Aged Women With Coronary Artery Disease: A Preliminary Study

Ching Ching Tsai, Ai Hsien Li, Chung Ming Tu, Kai Lin Hwang, Chii Jeng

Research output: Contribution to journalArticle

Abstract

Background: Coronary artery disease (CAD) is a leading cause of death in women. Many of the risk factors for CAD relate to lifestyle and thus may be influenced by lifestyle modification. However, middle-aged women often find it difficult to adjust their lifestyle behaviors. Thus, providing individualized treatment is crucial to reducing the risk and incidence of CAD in this population. Purpose: The aim of this study was to explore the effectiveness of a tailored lifestyle management program (TLMP) for middle-aged women with CAD. Methods: An experimental design was employed. Thirty-five middle-aged women with CAD (with stenosis [> 50%] of at least one main artery as determined by cardiac catheterization examination results) were recruited. The 35 women were randomlyassigned to the experimental group (n = 17) or the control group (n = 18). Both groups received regular health education during their hospitalization. After discharge, the experimental group received the 12-week, home-based TLMP. A generalized estimating equation was used to examine the effects of the TLMP on metabolic and biomarker indicators for CAD. Results: The average age of participants was 56.1 ± 5.6 years. No significant demographic differences were identified between the two groups. Compared with the control group, the experimental group had a significantly higher high-density lipoprotein level (B = 7.83, p <.001), a lower level of total cholesterol (B = -49.21, p =.04), and a lower waist circumference (B = -6.42, p <.001). Conclusions/Implications for Practice: This study suggests that using tailored interventions is an effective approach to improving high-density lipoprotein, total cholesterol, and waist circumference in middle-aged women with CAD. This result is expected to have important implications for women's healthcare, particularly in terms of preventing the incidence of CAD.

Original languageEnglish
Article numbere5
Pages (from-to)1-10
Number of pages10
JournalJournal of Nursing Research
Volume27
Issue number1
DOIs
Publication statusPublished - Feb 1 2019

Fingerprint

Life Style
Coronary Artery Disease
Waist Circumference
Control Groups
Incidence
HDL Lipoproteins
Cardiac Catheterization
Health Education
HDL Cholesterol
Cause of Death
Pathologic Constriction
Hospitalization
Research Design
Arteries
Biomarkers
Cholesterol
Demography
Delivery of Health Care
Population

Keywords

  • coronary artery disease
  • lifestyle management
  • middle-aged women

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Effectiveness of a Tailored Lifestyle Management Program for Middle-Aged Women With Coronary Artery Disease : A Preliminary Study. / Tsai, Ching Ching; Li, Ai Hsien; Tu, Chung Ming; Hwang, Kai Lin; Jeng, Chii.

In: Journal of Nursing Research, Vol. 27, No. 1, e5, 01.02.2019, p. 1-10.

Research output: Contribution to journalArticle

@article{4bee558699d44c609e752f875a7fe4e0,
title = "Effectiveness of a Tailored Lifestyle Management Program for Middle-Aged Women With Coronary Artery Disease: A Preliminary Study",
abstract = "Background: Coronary artery disease (CAD) is a leading cause of death in women. Many of the risk factors for CAD relate to lifestyle and thus may be influenced by lifestyle modification. However, middle-aged women often find it difficult to adjust their lifestyle behaviors. Thus, providing individualized treatment is crucial to reducing the risk and incidence of CAD in this population. Purpose: The aim of this study was to explore the effectiveness of a tailored lifestyle management program (TLMP) for middle-aged women with CAD. Methods: An experimental design was employed. Thirty-five middle-aged women with CAD (with stenosis [> 50{\%}] of at least one main artery as determined by cardiac catheterization examination results) were recruited. The 35 women were randomlyassigned to the experimental group (n = 17) or the control group (n = 18). Both groups received regular health education during their hospitalization. After discharge, the experimental group received the 12-week, home-based TLMP. A generalized estimating equation was used to examine the effects of the TLMP on metabolic and biomarker indicators for CAD. Results: The average age of participants was 56.1 ± 5.6 years. No significant demographic differences were identified between the two groups. Compared with the control group, the experimental group had a significantly higher high-density lipoprotein level (B = 7.83, p <.001), a lower level of total cholesterol (B = -49.21, p =.04), and a lower waist circumference (B = -6.42, p <.001). Conclusions/Implications for Practice: This study suggests that using tailored interventions is an effective approach to improving high-density lipoprotein, total cholesterol, and waist circumference in middle-aged women with CAD. This result is expected to have important implications for women's healthcare, particularly in terms of preventing the incidence of CAD.",
keywords = "coronary artery disease, lifestyle management, middle-aged women",
author = "Tsai, {Ching Ching} and Li, {Ai Hsien} and Tu, {Chung Ming} and Hwang, {Kai Lin} and Chii Jeng",
year = "2019",
month = "2",
day = "1",
doi = "10.1097/jnr.0000000000000271",
language = "English",
volume = "27",
pages = "1--10",
journal = "The journal of nursing research : JNR",
issn = "1682-3141",
publisher = "台灣護理學會",
number = "1",

}

TY - JOUR

T1 - Effectiveness of a Tailored Lifestyle Management Program for Middle-Aged Women With Coronary Artery Disease

T2 - A Preliminary Study

AU - Tsai, Ching Ching

AU - Li, Ai Hsien

AU - Tu, Chung Ming

AU - Hwang, Kai Lin

AU - Jeng, Chii

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Background: Coronary artery disease (CAD) is a leading cause of death in women. Many of the risk factors for CAD relate to lifestyle and thus may be influenced by lifestyle modification. However, middle-aged women often find it difficult to adjust their lifestyle behaviors. Thus, providing individualized treatment is crucial to reducing the risk and incidence of CAD in this population. Purpose: The aim of this study was to explore the effectiveness of a tailored lifestyle management program (TLMP) for middle-aged women with CAD. Methods: An experimental design was employed. Thirty-five middle-aged women with CAD (with stenosis [> 50%] of at least one main artery as determined by cardiac catheterization examination results) were recruited. The 35 women were randomlyassigned to the experimental group (n = 17) or the control group (n = 18). Both groups received regular health education during their hospitalization. After discharge, the experimental group received the 12-week, home-based TLMP. A generalized estimating equation was used to examine the effects of the TLMP on metabolic and biomarker indicators for CAD. Results: The average age of participants was 56.1 ± 5.6 years. No significant demographic differences were identified between the two groups. Compared with the control group, the experimental group had a significantly higher high-density lipoprotein level (B = 7.83, p <.001), a lower level of total cholesterol (B = -49.21, p =.04), and a lower waist circumference (B = -6.42, p <.001). Conclusions/Implications for Practice: This study suggests that using tailored interventions is an effective approach to improving high-density lipoprotein, total cholesterol, and waist circumference in middle-aged women with CAD. This result is expected to have important implications for women's healthcare, particularly in terms of preventing the incidence of CAD.

AB - Background: Coronary artery disease (CAD) is a leading cause of death in women. Many of the risk factors for CAD relate to lifestyle and thus may be influenced by lifestyle modification. However, middle-aged women often find it difficult to adjust their lifestyle behaviors. Thus, providing individualized treatment is crucial to reducing the risk and incidence of CAD in this population. Purpose: The aim of this study was to explore the effectiveness of a tailored lifestyle management program (TLMP) for middle-aged women with CAD. Methods: An experimental design was employed. Thirty-five middle-aged women with CAD (with stenosis [> 50%] of at least one main artery as determined by cardiac catheterization examination results) were recruited. The 35 women were randomlyassigned to the experimental group (n = 17) or the control group (n = 18). Both groups received regular health education during their hospitalization. After discharge, the experimental group received the 12-week, home-based TLMP. A generalized estimating equation was used to examine the effects of the TLMP on metabolic and biomarker indicators for CAD. Results: The average age of participants was 56.1 ± 5.6 years. No significant demographic differences were identified between the two groups. Compared with the control group, the experimental group had a significantly higher high-density lipoprotein level (B = 7.83, p <.001), a lower level of total cholesterol (B = -49.21, p =.04), and a lower waist circumference (B = -6.42, p <.001). Conclusions/Implications for Practice: This study suggests that using tailored interventions is an effective approach to improving high-density lipoprotein, total cholesterol, and waist circumference in middle-aged women with CAD. This result is expected to have important implications for women's healthcare, particularly in terms of preventing the incidence of CAD.

KW - coronary artery disease

KW - lifestyle management

KW - middle-aged women

UR - http://www.scopus.com/inward/record.url?scp=85061129238&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061129238&partnerID=8YFLogxK

U2 - 10.1097/jnr.0000000000000271

DO - 10.1097/jnr.0000000000000271

M3 - Article

C2 - 29985820

AN - SCOPUS:85061129238

VL - 27

SP - 1

EP - 10

JO - The journal of nursing research : JNR

JF - The journal of nursing research : JNR

SN - 1682-3141

IS - 1

M1 - e5

ER -