Factors associated with behavior modification for cardiovascular risk factors in patients with coronary artery disease in northern Taiwan.

Ai Fu Chiou, Huey Ling Wang, Paul Chan, Yu An Ding, Kwan Lih Hsu, Hsien Li Kao

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

BACKGROUND: Studies have demonstrated that improvement in cardiovascular risk factors may contribute to reduced coronary artery disease (CAD) morbidity and mortality, improved patient outcomes, and lower medical costs associated with treating heart disease. PURPOSE: The purpose of this study was to understand the coronary risk factor profile, to have the knowledge of risk factors, to understand the modifying behaviors, and to understand the factors associated with modifying behaviors of cardiovascular risk factors among patients with CAD in northern Taiwan. METHODS: A cross-sectional design was used in this study. Using nonprobability sampling, 156 patients diagnosed with CAD were interviewed and asked to complete a structural questionnaire in cardiovascular clinics at three medical centers in northern Taiwan. Data were analyzed by descriptive analysis, Pearson's correlation, chi-square tests, and stepwise multiple regression. RESULTS: A total of 38% of variance of modifying behaviors was explained by self-efficacy, actual risk factors, work status, and health beliefs. Self-efficacy was the strongest predictor of behavior to modify cardiovascular risk factors. Age and type "A" personality were the two leading cardiovascular risk factors for the participants. Most participants could perform modifying behaviors such as taking medications, eating an appropriate diet, and following specific lifestyle recommendations. However, participants had relatively lower adherence to monitoring blood pressure, exercising regularly, and controlling weight. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Nurses should assess patient cardiovascular risk factors, health beliefs, and self-efficacy and then provide comprehensive and adequate instruction to each based on his or her specific risk factors.

Original languageEnglish
Pages (from-to)221-230
Number of pages10
JournalThe journal of nursing research : JNR
Volume17
Issue number3
Publication statusPublished - Sep 2009
Externally publishedYes

Fingerprint

Behavior Therapy
Taiwan
Coronary Artery Disease
Self Efficacy
Type A Personality
Chi-Square Distribution
Health Status
Life Style
Heart Diseases
Eating
Nurses
Diet
Blood Pressure
Morbidity
Weights and Measures
Costs and Cost Analysis
Mortality
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Factors associated with behavior modification for cardiovascular risk factors in patients with coronary artery disease in northern Taiwan. / Chiou, Ai Fu; Wang, Huey Ling; Chan, Paul; Ding, Yu An; Hsu, Kwan Lih; Kao, Hsien Li.

In: The journal of nursing research : JNR, Vol. 17, No. 3, 09.2009, p. 221-230.

Research output: Contribution to journalArticle

@article{f41069cd3e374242b451e54ec8c14845,
title = "Factors associated with behavior modification for cardiovascular risk factors in patients with coronary artery disease in northern Taiwan.",
abstract = "BACKGROUND: Studies have demonstrated that improvement in cardiovascular risk factors may contribute to reduced coronary artery disease (CAD) morbidity and mortality, improved patient outcomes, and lower medical costs associated with treating heart disease. PURPOSE: The purpose of this study was to understand the coronary risk factor profile, to have the knowledge of risk factors, to understand the modifying behaviors, and to understand the factors associated with modifying behaviors of cardiovascular risk factors among patients with CAD in northern Taiwan. METHODS: A cross-sectional design was used in this study. Using nonprobability sampling, 156 patients diagnosed with CAD were interviewed and asked to complete a structural questionnaire in cardiovascular clinics at three medical centers in northern Taiwan. Data were analyzed by descriptive analysis, Pearson's correlation, chi-square tests, and stepwise multiple regression. RESULTS: A total of 38{\%} of variance of modifying behaviors was explained by self-efficacy, actual risk factors, work status, and health beliefs. Self-efficacy was the strongest predictor of behavior to modify cardiovascular risk factors. Age and type {"}A{"} personality were the two leading cardiovascular risk factors for the participants. Most participants could perform modifying behaviors such as taking medications, eating an appropriate diet, and following specific lifestyle recommendations. However, participants had relatively lower adherence to monitoring blood pressure, exercising regularly, and controlling weight. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Nurses should assess patient cardiovascular risk factors, health beliefs, and self-efficacy and then provide comprehensive and adequate instruction to each based on his or her specific risk factors.",
author = "Chiou, {Ai Fu} and Wang, {Huey Ling} and Paul Chan and Ding, {Yu An} and Hsu, {Kwan Lih} and Kao, {Hsien Li}",
year = "2009",
month = "9",
language = "English",
volume = "17",
pages = "221--230",
journal = "The journal of nursing research : JNR",
issn = "1682-3141",
publisher = "台灣護理學會",
number = "3",

}

TY - JOUR

T1 - Factors associated with behavior modification for cardiovascular risk factors in patients with coronary artery disease in northern Taiwan.

AU - Chiou, Ai Fu

AU - Wang, Huey Ling

AU - Chan, Paul

AU - Ding, Yu An

AU - Hsu, Kwan Lih

AU - Kao, Hsien Li

PY - 2009/9

Y1 - 2009/9

N2 - BACKGROUND: Studies have demonstrated that improvement in cardiovascular risk factors may contribute to reduced coronary artery disease (CAD) morbidity and mortality, improved patient outcomes, and lower medical costs associated with treating heart disease. PURPOSE: The purpose of this study was to understand the coronary risk factor profile, to have the knowledge of risk factors, to understand the modifying behaviors, and to understand the factors associated with modifying behaviors of cardiovascular risk factors among patients with CAD in northern Taiwan. METHODS: A cross-sectional design was used in this study. Using nonprobability sampling, 156 patients diagnosed with CAD were interviewed and asked to complete a structural questionnaire in cardiovascular clinics at three medical centers in northern Taiwan. Data were analyzed by descriptive analysis, Pearson's correlation, chi-square tests, and stepwise multiple regression. RESULTS: A total of 38% of variance of modifying behaviors was explained by self-efficacy, actual risk factors, work status, and health beliefs. Self-efficacy was the strongest predictor of behavior to modify cardiovascular risk factors. Age and type "A" personality were the two leading cardiovascular risk factors for the participants. Most participants could perform modifying behaviors such as taking medications, eating an appropriate diet, and following specific lifestyle recommendations. However, participants had relatively lower adherence to monitoring blood pressure, exercising regularly, and controlling weight. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Nurses should assess patient cardiovascular risk factors, health beliefs, and self-efficacy and then provide comprehensive and adequate instruction to each based on his or her specific risk factors.

AB - BACKGROUND: Studies have demonstrated that improvement in cardiovascular risk factors may contribute to reduced coronary artery disease (CAD) morbidity and mortality, improved patient outcomes, and lower medical costs associated with treating heart disease. PURPOSE: The purpose of this study was to understand the coronary risk factor profile, to have the knowledge of risk factors, to understand the modifying behaviors, and to understand the factors associated with modifying behaviors of cardiovascular risk factors among patients with CAD in northern Taiwan. METHODS: A cross-sectional design was used in this study. Using nonprobability sampling, 156 patients diagnosed with CAD were interviewed and asked to complete a structural questionnaire in cardiovascular clinics at three medical centers in northern Taiwan. Data were analyzed by descriptive analysis, Pearson's correlation, chi-square tests, and stepwise multiple regression. RESULTS: A total of 38% of variance of modifying behaviors was explained by self-efficacy, actual risk factors, work status, and health beliefs. Self-efficacy was the strongest predictor of behavior to modify cardiovascular risk factors. Age and type "A" personality were the two leading cardiovascular risk factors for the participants. Most participants could perform modifying behaviors such as taking medications, eating an appropriate diet, and following specific lifestyle recommendations. However, participants had relatively lower adherence to monitoring blood pressure, exercising regularly, and controlling weight. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Nurses should assess patient cardiovascular risk factors, health beliefs, and self-efficacy and then provide comprehensive and adequate instruction to each based on his or her specific risk factors.

UR - http://www.scopus.com/inward/record.url?scp=73449109932&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=73449109932&partnerID=8YFLogxK

M3 - Article

C2 - 19738450

AN - SCOPUS:73449109932

VL - 17

SP - 221

EP - 230

JO - The journal of nursing research : JNR

JF - The journal of nursing research : JNR

SN - 1682-3141

IS - 3

ER -