Dietary Rehabilitation Effectiveness On Coronary Artery Diseases Patient's Outcomes

Abstract

Background: Heart disease (Coronary artery disease) is a major health problem and is behind so many other causes of death throughout the world. Cardiac rehabilitation is designed to optimize an early intervention for heart disease. It was reported that participation in cardiac rehabilitation is associated with about 20% lower cardiovascular mortality and morbidity. Aim of this study was to determine the impact of dietary modification teaching program on the compliance and recovery outcomes of patients with coronary artery diseases. Methods: The study was conducted at the cardiac care unit and the cardiac outpatients.Clinics at Menofia University and Shebien El- koom teaching hospitals. A deliberately chosen sample of 60 adult patients with coronary artery dysfunction was divided into two equal groups. All patients in both groups were assessed to collect the baseline data using the designed tools. Patients in the study group received a dietary modification teaching program including oral instructions supported with booklet and demonstration. Three sessions were given to each patient; each for at least 45 minutes. Patients in the control group follow the routine hospital care without any interference from researchers. Patients in both groups were reevaluated after two- and three-months post-discharge for nutritional status, cardiac manifestation, and compliance. Results: The consumption of total calories, fats, cholesterol and sodium were significantly lowered among study than the control group. The cardiac, respiratory, integument, gastrointestinal and neurological manifestations significantly improved in the study group more than in the control group. Conclusion: The recovery outcomes were improved among coronary artery disease's patients who received the dietary modification teaching program than those who exposed only to routine hospital care. Recommendation: Supervised dietary modification teaching program should be carried out for patient's in the outpatients clinics to improve their dietary compliance and recovery outcomes.