| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 106 === Coronary heart disease is always a major illness in the elderly, and atherosclerosis is the most important cause of coronary artery disease. It is associated with unhealthy lifestyles such as smoking, lack of physical activity, and unhealthy diet. Other risk factors included family history and comorbitdities: hypertension, diabetes, hypertension, obesity, hypercholesterolemia.
According to most of the studies, lifestyle modification can reduce the risk of heart disease, the incidence of myocardial infarction, mortality of patients with coronary heart disease, as well as medical cost. Life style modification is a crucial component of cardiovascular disease prevention, but often overlooked by the patients, and thus required frequent reminders from health professionals. Traditianl interventions, no matter at hospital or at home, were under face-to-face settings, which were time-consuming and high-cost. Therefore, there is a need to develop simple, low-cost, and easily accesible alternatives to assist people adopting healthy lifestyles. The goal is to achieve a better cotrol of risk factors of cardiovascular disease.
Objective: This study aims to investigate the effectiveness of mobile health care in improving the self-efficacy、healthy behavior、lifestyle and physiological index of patients with coronary artery disease.
Methods: This study is a randomized controlled trial. By convenience sampling, 129 patients with coronary heart disease were enrolled in this study. Patient were randomly assigned to the control group (N=64) or the intervention group (N=65). The intervention group received a 12-week health intervention, including telephone tracking 36 times, while the control group received routine treatment at outpatient department.
The extent of lifestyle change is measured by health behavior index. The components of physiological index were BMI, lipid profile and HbA1c.
Results:1. The patient in the experimental group had significantly improvement on self-efficacy when compared to the patient in control group. 2. The patient in the experimental group had significantly improvement on healthy behavior in lifestyle when compared to the patient in control group. 3. The patient in the experimental group had significantly improvement physical index when compared to the patient in control group.
Conclusions: Mobile Healthy can improve the lifestyle and physical index of the patients with coronary artery disease.
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