Abstract
ABSTRACTBackground: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.
Highlights
Coronary artery disease (CAD) is the leading cause of death in women worldwide (World Health Organization, 2016)
No significant demographic differences were identified between the two groups
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
Summary
Coronary artery disease (CAD) is the leading cause of death in women worldwide (World Health Organization, 2016). In Taiwan, heart disease is the second leading cause of death in women aged 45Y64 years (Ministry of Health and Welfare, Taiwan, ROC, 2017). Even with drug and/or invasive treatments, patients with CAD may still experience coronary occlusion or other cardiovascular diseases. In a previous study (in which 62% of the interviewees were adult women, of whom 72% were aged 45Y59 years), three fourths of the adult interviewees were unaware that most risk factors for CAD were preventable. Preventing CAD is extremely crucial for middle-aged women in Taiwan. Coronary artery disease (CAD) is a leading cause of death in women. Purpose: The aim of this study was to explore the effectiveness of a tailored lifestyle management program (TLMP) for middleaged women with CAD
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