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Evid Based Nurs 1:14 doi:10.1136/ebn.1.1.14
  • Treatment

Coronary care programme improved food habits but not physical activity or smoking status after acute myocardial infarction

Objective

To determine whether a secondary prevention programme run by a nurse rehabilitator improves the lifestyle (food habits, smoking status, and physical activity) of adults during the year after an acute myocardial infarction.

Design

Randomised controlled trial with 1 year follow up.

Setting

A university hospital in Sweden.

Patients

168 adults (mean age 62 y, 75% men) who were ≥ 50 years old and admitted to hospital with a confirmed acute myocardial infarction (World Health Organisation definition). Exclusion criteria were unstable angina, predefined ST segment changes during exercise testing, or evidence of congestive heart failure.

Intervention

During the 3 weeks after hospital discharge, patients visited a nurse and cardiologist and received exercise training and information on risk factors and lifestyle changes. 4 weeks after discharge, patients were allocated to an intervention programme (n=87) or usual care involving 2 general practitioner visits (n=81). The intervention programme consisted of visits with a …

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