Compliance to non-drug therapy in patients with coronary artery disease underwent coronary artery bypass grafting
Abstract
To assess the perioperative dynamics of compliance to the recommendations for the non-drug therapy for patients underwent coronary artery bypass grafting (CABG). 320 patients with stable coronary artery disease (CAD), who had undergone CABG, were enrolled in the study. The questionnaires were used to assess patients’ sociodemographic data, present CAD risk factors, dietary habits, physical activity level, therapy prior to CABG and 1year after. The clinical state of patients was evaluated using medical and outpatient medical record data. The compliance was assessed by the Davydov’s method. During the assessment of modifiable cardiovascular risk factors about half of the patients were suggested to smoke prior to CABG, and only a few of them gave up the habit after surgery. Patients with abdominal obesity increased by 8 % after surgery. The number of patients, who had changed diet and engagement in physical training, did not differ. Patients did not achieve an adequate level of cholesterol, glucose and blood pressure in 1 year after revascularization. The level of compliance, assessed by Davydov’s questionnaire, did not change after 1 year. Inadequate compliance of the recommendations by patients, who had undergone CABG, was reported.
About the Authors
S. A. Pomeshkina
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
I. V. Borovik
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
E. V. Krupyanko
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
I. N. Zavyrylina
Russian Ministry of Health
Russian Federation
Russian Federation
State educational institution of higher professional education "Kemerovo State Medical Academy"
650056
st. Voroshilov, 22A
Kemerovo
O. L. Barbarash
RAMS
Russian Federation
Russian Federation
SB RAMS
Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"
650002
Pine Boulevard, 6
Kemerovo
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Review
For citations:
Pomeshkina S.A., Borovik I.V., Krupyanko E.V., Zavyrylina I.N., Barbarash O.L. Compliance to non-drug therapy in patients with coronary artery disease underwent coronary artery bypass grafting. Ateroscleroz. 2013;9(1):29-35. (In Russ.)
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