Effectiveness of education in the prevention of cardiovascular diseases in patients of cardiological departments and primary health care in Małopolskie voivodship
knowledge ; prevention of cardiovascular diseases ; education ; telephone intervention ; prevention goals
The main aim of the study was to evaluate the effectiveness of two intervention models in improving the knowledge and management of cardiovascular disease (CVD) risk factors as well as the respond to the symptoms of myocardial infarction and stroke in patients with coronary artery disease (CAD) hospitalized in cardiological departments and primary care patients without diagnosed CVD in Małopolskie voivodship. The study included 1586 patients with CAD and 1213 patients without CVD recruited from participants of Małopolska Cardiovascular Preventive Intervention Study (M-CAPRI) in 2012-2016. Patients were assigned to 3 groups: INT-1 (single training), INT-2 (single training and repeated telephone intervention) and UC (usual care). The control assessment was conducted after 12 months. Knowledge about CVD risk factors in patients without CVD improved in the INT-1 and INT-2 groups while in CAD patients only in the INT-2 group. A single training compared to UC increased the recognising of the symptoms of myocardial infarction and stroke only in CAD patients. In CAD patients, the number of non-smokers and subjects achieving recommended physical activity increased after a single training whereas in the INT-2 group additional improvement in implementation recommendation regarding physical activity and nutrition were noted. In patients without CVD, a single training increased only recomme ; nded oily fish consumption while telephone intervention improved achieving primary prevention goals for physical activity and limiting salt consumption.