Effect of Nurse Follow-Up Dietary Intervention (NFDI) on dietary behaviour and disease related knowledge among post myocardial infarction patients in Hong Kong : a randomized controlled trial

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Effect of Nurse Follow-Up Dietary Intervention (NFDI) on dietary behaviour and disease related knowledge among post myocardial infarction patients in Hong Kong : a randomized controlled trial

 

Author: Mok, Ki-fung Vincent
Title: Effect of Nurse Follow-Up Dietary Intervention (NFDI) on dietary behaviour and disease related knowledge among post myocardial infarction patients in Hong Kong : a randomized controlled trial
Degree: M.Sc.
Year: 2010
Subject: Hong Kong Polytechnic University -- Dissertations
Myocardial infarction -- Diet therapy -- China -- Hong Kong
Myocardial infarction -- Nutritional aspects
Myocardial infarction -- China -- Hong Kong
Department: School of Nursing
Pages: 118 leaves : ill. ; 30 cm.
InnoPac Record: http://library.polyu.edu.hk/record=b2352668
URI: http://theses.lib.polyu.edu.hk/handle/200/5627
Abstract: Aim: The aim of this study was to examine the effects of a nurse led follow-up dietary intervention programme on dietary modification behaviour, knowledge level of myocardial infarction and coronary artery disease, and physiological risk parameters in patients with coronary artery disease in Hong Kong. Design Methods: A randomized controlled trial was conducted. Coronary artery disease patients with diagnosed myocardial infarction (n=82) who met the sampling criteria in a regional hospital, were randomly assigned to either an intervention group (the Nurse Follow-Up Dietary Intervention - (NFDI) + conventional treatment or control group (the conventional treatment). The knowledge of coronary artery disease risk factors identification, dietary modification behaviour and blood lipid profile were assessed to evaluate the programme effect. Data collection was conducted at the baseline (T₁), 1 week post intervention (T₂), and 3 months post intervention (T₃). Results: Patients in the intervention group demonstrated a significantly a better dietary modification behaviour in a reduction in high fat and high salt intake and increased consumption of Mediterranean type diet. The majority of these impacts were maintained at 3 months after the intervention. The effects of the programme on the knowledge level of myocardial infarction and lipid profile were not confirmed. Conclusion: A nurse led follow-up dietary intervention programme does have a positive impact on patients with coronary artery disease. Through participating in the NFDI rehabilitation programme, coronary artery disease patients after myocardial infarction demonstrated significantly better dietary behaviour and sustained 3 months after the intervention. Although the majority of the lipid profile did not show significant difference between control and intervention group, the increase in cardiac-protective factors-High Density Lipoproteins is an encouraging sign for further studies. Relevance to clinical practice: This study raises the attention of the importance of nurse roles in cardiac rehabilitation. This study might generate momentum and right direction for the development of evidence-based cardiac rehabilitation nursing in Hong Kong.

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