Coronary Heart Disease Knowledge Research Articles

Heart Disease Knowledge and Awareness in African American and Hispanic Women.

Coronary heart disease (CHD) is the leading cause of morbidity and mortality among US women. Minority women have higher rates of CHD and are more likely to experience adverse outcomes. Because of racial disparities in CHD outcomes, the purpose of this study was to assess CHD knowledge and awareness in African American and Hispanic women. Using a survey research design, a convenience sample of African American and Hispanic women was surveyed in their local communities. CHD knowledge, awareness, and demographic data were collected using an online survey. The survey was administered in English and Spanish using an iPad. CHD knowledge was assessed using a 7-item survey based on the American Heart Association's Life's Simple 7 brochure. CHD awareness was assessed using a 7-item survey adapted from the American Heart Association's Survey of Women's Cardiovascular Disease Awareness. CHD knowledge was scored on a scale of 0 to 7, and awareness was assessed based on responses to each question. The data analysis consisted of cross-tabulations and multivariable repeated measures analysis. We assessed differences in CHD knowledge and awareness based on race/ethnicity. We hypothesized that there would be statistically significant differences in CHD knowledge and awareness based on specific demographic factors (eg, age, income, education, health literacy). A total of 100 African American (n=50) and Hispanic (n = 50) women participated in the study. Results revealed that CHD knowledge and awareness were limited for both groups. Seventy-three percent of participants (African American 66%; Hispanic 80%) did not know that CHD is the leading cause of death in women and 75% (African American 60%; Hispanic 90%) were moderately or not at all informed about CHD. These findings support the need for more research on innovative strategies to improve CHD knowledge and awareness, particularly in African American and Hispanic women who are at highest risk, thereby addressing racial/ethnic and gender disparities in CHD morbidity and mortality.

Perceived Cardiovascular Disease Risk Following Preeclampsia: A Cross-Sectional Study.

Preeclampsia has been linked to an increased risk of cardiovascular disease (CVD), and the preeclamptic women were unaware of this link. Therefore, this study aims to assess women's knowledge and perception of future CVD after preeclampsia. This study used a cross-sectional descriptive design. Two hundred and forty-six women with a preeclampsia history were recruited from the Al Salam MCH Center and Suez Canal University Hospital. Data were collected during March 2022 using a socio-demographic questionnaire, an Adapted Coronary Heart disease knowledge tool for preeclamptic women, and The Perception of Risk of Heart Disease Scale (PRHDS). Most women (96%) were unaware of the relationship between CVD and preeclampsia. The women had a low CVD knowledge level (10.26 ± 6.08) as well as a low perception of cardiovascular disease risk (37.15 ± 7.22). There was a significant positive correlation between CVD knowledge and CVD risk perception (r = 0.434, p = 0.000). This study found that preeclampsia survivors underestimated their CVD risk. Based on these findings, preeclamptic women should receive health education sessions on CVD risk and prevention from their nurses and obstetricians. The hospital pre-discharge plan must contain these sessions in written and electronic formats to help women remember and follow CVD risk reduction measures.

Effect of an avatar-based discharge education application on knowledge and behaviour in people after acute coronary syndrome: protocol for a pragmatic prospective randomised controlled trial

IntroductionMany hospital presentations for acute coronary syndrome (ACS) occur in people previously hospitalised with coronary heart disease (CHD), leading to increased costs and health burden. Secondary prevention education including a...

Effects of empowerment education on patients after percutaneous coronary intervention: A meta-analysis and systematic review.

Empowerment education is a new nursing education model with great significance in the process of chronic disease rehabilitation, and a number of studies have found that it has good benefits for patients after percutaneous coronary intervention (PCI). But there is no meta-analysis on how empowerment education influence the life of patients after PCI. Our study intends to evaluate the impact of empowerment education on the quality of life, cognitive level, anxiety and depression level of patients after PCI. Systematic review and meta-analysis, following PRISMA guidelines. RevMan5.4 software and R software were used for statistical analysis. Mean difference or standard mean difference was used as effect analysis statistic for continuous variables with 95% confidence intervals. Six studies met the inclusion criteria, including 641 patients. The Exercise of Self-Care Agency Scale score of the experimental group was higher than that of the control group, with statistically significant difference. Empowerment education could increase the knowledge of coronary heart disease in patients after PCI, but the difference was not statistically significant. Significant effects of empowerment have been found in improving patients' quality of life and self-care ability. Empowerment education could be a safe exercise option in PCI rehabilitation. However, the effect of empowerment on cognitive level for coronary heart disease and the depression needs to carry out more large-sample, multi-center clinical trials. A data-analysis researcher and 3 clinicians are responsible for the writing, and no patients participated in the writing of this paper.

Research on Coronary Heart Disease Knowledge Organization Based on Follow-up Data

Coronary heart disease was the main reason behind the millions of deaths caused by heart attacks in patients over the last decades. This study is a knowledge organization study of coronary heart disease based on follow-up data. Firstly, we refer to some medical ontologies on the Bioportal webpage and extract some entities and define them based on the BFO top-level ontology, then summarize their attributes and construct semantic model to form semantic relationships, and finally use Protégé to form a coronary heart disease ontology based on follow-up data, and store and visualize it with the help of GraphDB. The visualization graph finally formed in this study enables the data of each follow-up visit to be reflected on a visualization interface in a centralized and systematic way at the same time, thus helping physicians to browse patient information comprehensively, intuitively and quickly in order to find the key factors affecting the treatment outcome.

Awareness and Knowledge of Coronary Heart Disease among the General Population: A Systematic Review

Introduction: Coronary heart disease (CHD) is one of the cardiovascular diseases that become the leading cause of death (LCOD) in the United States. Knowledge gaps in CHD and its risk factors are significant obstacles to effective prevention and treatment. People's awareness of CHD and their knowledge of its risk factors could provide crucial information for behavior change in the prevention of CHD. Therefore, the purpose of this review was to examine some of the literature on the knowledge and awareness of CHD in the general population.
 Study Design: Systematic Review.
 Methodology: Two databases were searched for publications between 2011 and 2021. All studies that were published in English and had components of awareness and knowledge related to CHD were included. A total of 1082 titles and abstracts were screened, 55 full-text articles were assessed and 15 were included for review.
 Results: This review used data from a total of 4907 respondents and the results were varied. Studies that were conducted in the same countries might have different results. Men and participants with a college education have better knowledge than their counterparts. Meanwhile, another study shows that the elderly have poor knowledge about CHD. Several studies conducted among university employees showed that the majority of participants had poor knowledge of risk factors, while another study showed good knowledge.
 Conclusion: Our review study showed that most of the study participants had low awareness of CHD and knowledge of its risk factors. Family history of CHD, risk factor profile, and some sociodemographic factors have been reported to be associated with the awareness and knowledge of CHD. Providing health information by healthcare professionals can be the right way to increase people’s awareness and knowledge in order to prevent CHD in the future.

Exercise Intervention Changes the Perceptions and Knowledge of Non-Communicable Disease Risk Factors among Women from a Low-Resourced Setting.

We employed the Health Belief Model (HBM) as a theoretical lens to explore the influence of an exercise intervention on the perceptions and knowledge of modifiable risk factors for non-communicable diseases (NCDs) among women from a low-resource setting in South Africa. We used a mixed-methods design, gathering qualitative and quantitative data at baseline (n = 95) and again after 12 weeks (n = 55) and 24 weeks (n = 44) of an exercise intervention. Qualitative data consisted of focus group discussions exploring the knowledge and perceptions of modifiable risk factors for NCDs at the three time points. We collected quantitative measurements of modifiable risk factors for NCDs (waist-to-hip ratio, body mass index, blood pressure, peripheral blood glucose, and cholesterol) as well as objective physical activity (PA) data over seven consecutive days. Surveys on coronary heart disease and PA knowledge were conducted at all three time points. Qualitative findings indicated that health exposures and cultural traditions influenced the participant’s perceptions about PA and NCDs. Waist circumference significantly decreased at 12 weeks compared to baseline MD = 4.16, p < 0.001. There was significant improvement at 12 weeks, compared to baseline, MD = 0.59, p = 0.009 for PA knowledge, and MD = 0.68, p = 0.003 for heart disease knowledge. There were reductions from baseline to 24 weeks in diastolic blood pressure (MD = 4.97, p = 0.045), waist circumference (MD = 2.85, p = 0.023) and BMI (MD = 0.82, p = 0.004). Significant heart disease knowledge improvements were found at 24 weeks compared to baseline (MD = 0.75, p < 0.001). Supervised exercise positively influenced Black African females′ health behaviours by understanding cultural perceptions of modifiable risk factors for NCDs.

Chinese Immigrants’ Coronary Heart Disease Knowledge Levels: Total and Domain

Immigrants are reported to have difficulty with coronary heart disease (CHD) self-care, likely arising from low knowledge of their disease and the secondary prevention required and difficulties with English language. This study assesses CHD knowledge and associated factors in Chinese immigrants in Australia understand the

Research Progress on the Influence of Movement Instruction on Community Life in Patients with Coronary Heart Disease

The incidence of coronary heart disease increases year by year with the material level of our country. It has a harmful effect on the patient’s life health and quality of life. Movement Instruction is an important aspect of the secondary prevention project of cardiac rehabilitation in patients with coronary heart disease. Although it has a history of decades at inland and abroad, the present situation in China is not optimistic. Some studies have shown that the popularization and participation of cardiac rehabilitation is true and lacking. This paper sums up the relevant knowledge of coronary heart disease, coronary heart disease movement instruction and its impact on community life of patients at home and abroad, and reviews the research results of movement instruction on community rehabilitation of coronary heart disease in recent years, which provides a theoretical reference and prospect for the future research of community exercise rehabilitation of coronary heart disease.

Knowledge of Coronary Heart Disease and Risk Factors Among Type 2 Diabetes Mellitus at Outpatient Department of Kasr Alainy Hospital

Background: The leading cause of morbidity and mortality among diabetic patients is cardiovascular disease (CVD). It is highly preventable with sustainable knowledge-based practice. Objectives: The aim of the current work was to assessCVD knowledge and associated factors among type 2 diabetic patients. Patients and Methods: Cross-sectional study design conducted at the outpatient department at Kasr–Alainy Hospital. Systematic random sampling method included 200 type 2 diabetic patients interviewed using questionnaire consisting of demographic characteristics, behavioral variables, and 28 items assessing key aspects of CVD knowledge. Results: seventy three percent of the patients had poor knowledge. Mean knowledge score was significantly higher among females, high educational level, non-smokers, active practicing exercise once or twice weekly and consuming fruits three or more times weekly (p < 0.01). Conclusions: Patients had insufficient CVD knowledge which can lead to unfavorable health consequences. The study highlights the urgent need of effective efforts and strategies for patients' counseling and health education. This can lead to sustainable adoption of preventive behavior.

Analysis on the influencing factors of knowledge acquisition in patients with coronary heart disease after receiving iPad video health education

Objective To explore the influence of relevant factors of patients on the degree of disease knowledge after using mobile iPad for health education of coronary heart disease inpatients, so as to provide more effective health education for coronary heart disease inpatients with different population characteristics. Methods A total of 97 adult CHD patients were randomly admitted to the first ward (control group) and the second ward (observation group) of the department of cardiology.The routine health education methods and contents of the two groups of patients were the same. The control group was given paper health education materials, and the observation group made the health education contents into iPad video playlists for the patients to choose and learn by themselves.When the patients were discharged from the hospital, the coronary heart disease knowledge questionnaire (PKS-CHD) was used to evaluate the patients' cognition level of the disease, and the knowledge mastery degree of the patients in the two groups was compared and analyzed to explore the self-related factors influencing the knowledge mastery degree of the patients in the observation group. Results The knowledge score of CHD in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). In the observation group, the degree of education and the classification of cardiac function were the main factors influencing the degree of knowledge mastery of patients. The higher the degree of education, the higher the degree of knowledge mastery of patients with higher cardiac function classification. Conclusions Compared with paper health education materials, iPad health education is more helpful to improve the mastery of disease knowledge of patients with coronary heart disease. Patients with higher education level and higher heart function classification have better acceptance of iPad health education. Key words: Coronary heart disease; Health education

Knowledge, awareness, and perception of coronary heart disease (CHD) among residents in Kuantan, Pahang, Malaysia

This study aimed to determine the level of knowledge, awareness, and perception about CHD symptoms and risk factors among residents in Kuantan, Pahang. A cross-sectional study was conducted in 400 participants who presented at four shopping malls in Kuantan city. A convenient sampling method was used to recruit participants. A self-administered questionnaire was used in collecting data. Data were analyzed by using SPSS version 22.0. Majority of the participants were Malays with mean age among 18-39 years old. Of the 400 participants, the majority had high knowledge of CHD poor awareness and poor perception of CHD. There was an association between socio-demographics and knowledge, awareness, and perception level towards CHD with p-value <0.05. These study findings indicated that public health promotion and intervention are needed in Kuantan, Pahang regards to knowledge and awareness of CHD symptoms and risk factors.

Effect of a mHealth programme on coronary heart disease prevention among working population in Singapore: A single group pretest-post-test design.

The aim of this study was to develop and examine the effectiveness of a 4-week Mobile Health (mHealth) programme using the smartphone app Care4Heart on awareness, knowledge, perceived stress, and a heart-related lifestyle among working population in Singapore. A quasi-experimental single group pretest and repeated post-test design. A total of 160 nonhealth-related working adults were recruited from February 2016-April 2016. The Care4Heart app was installed on the participants' phones. Outcome measures, including the Heart Disease Fact Questionnaire-2, the Behavioral Risk Factor Surveillance System, and the Perceived Stress Scale were collected online at baseline, 4th week, and 6th month from baseline. Compared with the baseline, the participants had significantly higher total mean scores for awareness and knowledge of coronary heart disease (CHD) after study intervention at 4weeks and 6months from baseline. However, there were no significant differences in perceived stress levels and heart-related lifestyle behaviours before and after the intervention. The study contributed some evidence that the mHealth app helped to improve awareness and knowledge of CHD. Coronary heart disease remains one of the major causes of death and disability. It imposes a heavy financial burden on working adults. However, working adults were less able to identify the risk factors and adopt healthy lifestyles due to gaps in knowledge and awareness. This study demonstrated some effects of a mHealth programme in improving awareness and knowledge of CHD among the working population. mHealth provides a potential avenue for primary prevention of CHD.

SMARTphone and Social Media-Based Cardiac Rehabilitation and Secondary Prevention in China (SMART-CR/SP): A Randomised Controlled Trial

Background: Coronary heart disease (CHD) is rapidly increasing in developing countries, but access to cardiac rehabilitation and secondary prevention (CR/SP) remains low. We assessed the effectiveness of SMARTphone and WeChat-based CR/SP (SMART-CR/SP) in the first randomised controlled trial (RCT) of a dedicated social media-based CR/SP program for patients with CHD. Methods: In this parallel-group, single-blind, RCT, CHD patients from a large tertiary hospital in Shanghai, China were randomised (1:1) to an eight-week 'intensive', followed by a 16-week 'step down' program of SMART-CR/SP, or usual care. Assessments were conducted at baseline, eight and 24 weeks. The primary outcome was functional capacity measured by six-minute walk test distance (6MWTD). Secondary outcomes included CHD knowledge, and risk factor control. Analysis was by intention-to-treat. Findings: Between November 17, 2016 and March 18, 2017, 312 patients (mean age, 60.5 [SD 9.2] years, 81.4% male) were randomised to SMART-CR/SP (n=156) or usual care (n=156). The mean increase in 6MWTD was greater at both eight (46.5 vs. 20.9 m; 95% CI 9.6 to 41.5; p=0.002) and 24 weeks (54.2 vs. 26.2 m; 95% CI 10.9 to 44.9; p=0.001) in the SMART-CR/SP group versus controls. The SMART-CR/SP group had a better knowledge of CHD score at eight (17.9 vs. 13.8; 95% CI 2.84 to 5.44; p<0.001) and 24 weeks (17.9 vs. 13.7; 95% CI 2.91 to 5.51; p<0.001), and adherence to core cardioprotective medications at eight (OR 1.95, 95% CI 1.23 to 3.07; p=0.004) and 24 weeks (OR 1.82, 95% CI 1.11 to 2.97; p=0.017). Systolic blood pressure (123.2 vs. 131.8 mm Hg; 95% CI -16.4 to -0.9; p=0.029) and resting heart rate (69.3 vs. 75.4 bpm; 95% CI -11.9 to 0.3; p=0.039) were improved following 24 weeks of SMART-CR/SP, but not control. Interpretation: SMART-CR/SP provided an effective CR/SP service model that was low cost and easy to access. These results justify implementation of similar models of care on a broader scale. Trial Registration: Trial registration was with http://www.chictr.org.cn (ChiCTR-INR-16009598). Funding Statement: PhD scholarship from Curtin University (TD). Other expenses were met by research funds held by AM/BKT at Curtin University. Blood pressure monitors were donated by Sky Innovation Technology Ltd. Declaration of Interests: The blood pressure monitors used in the study were donated by Sky Innovation Technology Ltd. TD received a PhD research scholarship from Curtin University. All other authors declare no competing interests. Ethics Approval Statement: The Human Research Ethics Committee of Fudan University Zhongshan Hospital granted the primary ethics approval for the trial (B2016-058) with reciprocal approval provided by the Curtin University Human Research Ethics Office (HRE2016-0120).

SMARTphone and social media-based Cardiac Rehabilitation and Secondary Prevention (SMART-CR/SP) for patients with coronary heart disease in China: a randomised controlled trial protocol

IntroductionThe burden of cardiovascular disease (CVD) is rapidly increasing in developing countries, however access to cardiac rehabilitation and secondary prevention (CR/SP) in these countries is limited. Alternative delivery models that...

Risk Knowledge and Awareness of Coronary Heart Disease, and Health Promotion Behaviors Among Adults in Oman

Background and Purpose:The purpose of this study was to assess the relationships between an individual’s characteristics and experiences (age, gender, level of education, income, and employment), knowledge of coronary heart disease (CHD) risk factors, perception of health status, awareness of CHD, and health promotion behaviors among adult Omanis.Methods:Using Pender’s health promotion model, a cross-sectional and correlational survey design was employed. A self-administered questionnaire was distributed to 180 participants in Muscat, the capital of Oman. Descriptive and multivariate linear regression analyses were employed.Results:Increasing age was associated with high levels of awareness about CHD. Participants who were employed and knowledgeable about CHD risk factors were more likely to have lower perceptions of health. The regression model showed that knowledge of CHD risk factors and awareness of CHD had positive associations with health promotion behaviors. Meanwhile, employed participants had lower health promotion behaviors scores.Implications for Practice:Interventions to increase health promotion behaviors should include application of behavioral change strategies that are suitable for age and employment status. The strategies must focus on providing information to enhance knowledge and awareness about CHD.

Effects of self efficacy and coronary heart disease knowledge on health literacy of young and middle-aged patients with coronary heart disease

Objective To investigate the effect of self efficacy and coronary heart disease knowledge on health literacy of young and middle-aged patients with coronary heart disease. Methods Investigation was conducted among 500 patients using general questionnaire, chronic health literacy scale, self-efficacy scale and coronary heart disease knowledge questionnaire. Results The score of health literacy for young and middle-aged patients was (97.76±15.45), and 57% of the patients had good health literacy.Self-efficacy and coronary heart disease knowledge were positively correlated with health literacy(r=0.301, r=0.309; P<0.05). Multiple regression analysis showed that self-efficacy(β=0.210), coronary heart disease knowledge (β=0.226) were significant factors of health literacy(both P<0.01). Conclusion The self-efficacy and coronary heart disease knowledge have impact on the health literacy.The more self-efficacy and coronary heart disease knowledge, the higher health literacy. Key words: Coronary heart disease; Health literacy; Self-efficacy; Coronary heart disease knowledge

STEPS to a Healthier Heart: Improving Coronary Heart Disease (CHD) Knowledge Among African American Women

ABSTRACTBackground: African American women have the highest risk of death from heart disease among all racial, ethnic, and gender groups due to sedentary behaviors. Purpose: This article describes an intervention among 2 groups—a program group and an information group (intervention and comparison)—that assessed cardiovascular risk factor knowledge among African American women. Methods: The Coronary Heart Disease Knowledge Test was administered to participants prior to study participation. Participants (N = 345) aged 34–66 self-selected into either the intervention group (n = 166) or the comparison group (n = 179). Repeated-measures analyses of variance (ANOVAs) were performed to assess participant characteristics and determine whether changes occurred in participants’ knowledge. Results: Data analysis indicated no significant differences between the groups regarding knowledge; however, significant differences appeared between pre- and posttest scores over time. The 3-way repeated-measures ANOVA indicated differences based on education. Discussion: Results suggest that intervention duration should be longer to ensure that participants understand cardiovascular risk factors. Future research could assess African American women’s current cardiovascular preventative practices and add a qualitative component to provide context on knowledge and actions. Translation to Health Education Practice: Results confirm the need for culturally tailored, gender-specific programming to help close awareness and knowledge gaps.

Risk Knowledge and Awareness of Coronary Heart Disease, and Health Promotion Behaviors Among Adults in Oman.

The purpose of this study was to assess the relationships between an individual's characteristics and experiences (age, gender, level of education, income, and employment), knowledge of coronary heart disease (CHD) risk factors, perception of health status, awareness of CHD, and health promotion behaviors among adult Omanis. Using Pender's health promotion model, a cross-sectional and correlational survey design was employed. A self-administered questionnaire was distributed to 180 participants in Muscat, the capital of Oman. Descriptive and multivariate linear regression analyses were employed. Increasing age was associated with high levels of awareness about CHD. Participants who were employed and knowledgeable about CHD risk factors were more likely to have lower perceptions of health. The regression model showed that knowledge of CHD risk factors and awareness of CHD had positive associations with health promotion behaviors. Meanwhile, employed participants had lower health promotion behaviors scores. Interventions to increase health promotion behaviors should include application of behavioral change strategies that are suitable for age and employment status. The strategies must focus on providing information to enhance knowledge and awareness about CHD.

The Effect of Health Education Program on Knowledge of Coronary Heart Disease (CHD) Among Public in Puncak Alam, Selangor

The Effect of Health Education Program on Knowledge of Coronary Heart Disease (CHD) Among Public in Puncak Alam, Selangor