Effects of Educational Intervention on Lifestyle Among Iranian Patients After Coronary Angioplasty: A Randomized Controlled Trial

Document Type : Original Article


1 Department of Community health nursing t, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.

2 Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.

3 Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Science, Tehran, IR Iran.


Background: Cardiovascular disease risk factors are associated with lifestyle, and patients undergoing coronary angioplasty require a great deal of training on modifying their lifestyle. The aim of this study was to survey the effects of educational intervention on lifestyle among Iranian patients after coronary angioplasty in Tehran in 2017.
Methods: This research was a randomized clinical trial with 2 groups of control (n = 29) and intervention (n = 28). The patients’ lifestyle was evaluated by using a healthy lifestyle questionnaire at baseline and then at 1 month and 3 months after an educational intervention. The data were analyzed using SPSS, version 20.
Results: The mean age of the intervention and control groups was 62.54 ± 4.23 and 60.52 ± 5.37 years old, respectively. The Mann–Whitney U and Friedman tests showed that the scores of healthy lifestyle, healthy nutrition, and exercise and physical activity significantly improved in the intervention group in comparison with the control group at 1 month and 3 months after the educational program (P < 0.001). The Friedman test showed a significant increase in the score of avoiding tobacco and alcoholic beverages, health responsibility, health-based purchase, and healthy lifestyle in both groups at 1 month and 3 months after the educational program (P < 0.05). The results revealed that the score of stress management in both groups did not increase significantly during the survey.
Conclusions: In the present study, our educational program had a considerable effect on modifying lifestyle among the Iranian patients after coronary angioplasty. Psychological support programs for managing the stress of these patients are suggested. 


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