Improving Cardiovascular Health Index: The Effect of Education Intervention Program in Coronary Artery Disease Patients
DOI:
https://doi.org/10.31674/mjn.2025.v17i02.007Abstract
Background: A crucial indicator of heart health is the Cardiovascular Health Index (CVHI). Improving CVHI requires modifying modifiable risk factors, a process significantly enhanced by educational interventions. Objectives: To identify the impact of educational intervention programmes on the cardiovascular health index of coronary artery disease patients. Methods: This quasi-experimental study assessed the impact of a four-week educational intervention on the CVHI of 80 Indonesian coronary artery disease patients (40 intervention, 40 control) at Jambi Hospital. The intervention consisted of a structured educational programme regarding coronary artery disease, lifestyle modification, stress management techniques, and weekly follow-up calls. Data collected via demographic surveys and pre- and post-intervention CVHI measurements. Data were analysed with descriptive and inferential statistics. Results: There were significant improvements in systolic blood pressure, psychological distress (p<0.001), and physical activity (p<0.005), with moderate effect sizes (0.42-0.67). The intervention group demonstrated a positive mean change of 0.175 ± 0.54, while the control group experienced a negative mean change of –0.10 ± 0.44. The difference in mean change between the two groups was statistically significant (p = 0.0163). Conclusion: Implementing an educational intervention programme resulted in significant improvements in various aspects of the cardiovascular health index among patients with Coronary Artery Disease (CAD). Nurses should provide comprehensive CAD patient education covering blood pressure management, healthy eating, physical activity, and stress management. Post-hospitalisation support, such as telephone follow-ups, is crucial for long-term effectiveness. Future studies are encouraged to implement longer follow-up periods of 3 to 6 months to evaluate sustained intervention effects and to involve a larger population.
Keywords:
Cardiovascular Health Index, Coronary Artery Disease, Patient EducationDownloads
References
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