Journal of Korean Academy of Nursing

Review Paper

Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis: Jo, Sojeong , Lee, Haejung , Park, Gaeun; J Korean Acad Nurs 2024;54(3):311-328. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24019

Abstract PDF: Purpose
In this study a systematic review and meta-analysis investigated the impact of non-pharmacological interventions on major adverse cardiac events (MACE) in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI).
Methods
A literature search was performed using PubMed, Cochrane Library, EMBASE, and Cumulative Index to Nursing & Allied Health Literature databases up to November 2023. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Effect sizes and 95% confidence intervals were calculated using R software (version 4.3.2).
Results
Eighteen randomized studies, involving 2,898 participants, were included. Of these, 16 studies with 2,697 participants provided quantitative data. Non-pharmacological interventions (education, exercise, and comprehensive) significantly reduced the risk of angina, heart failure, myocardial infarction, restenosis, cardiovascular-related readmission, and cardiovascular-related death. The subgroup meta-analysis showed that combined interventions were effective in reducing the occurrence of myocardial infarction (MI), and individual and group-based interventions had significant effects on reducing the occurrence of MACE. In interventions lasting seven months or longer, occurrence of decreased by 0.16 times, and mortality related to cardiovascular disease decreased by 0.44 times, showing that interventions lasting seven months or more were more effective in reducing MI and cardiovascular disease-related mortality.
Conclusion
Further investigations are required to assess the cost-effectiveness of these interventions in patients undergoing PCI and validate their short- and long-term effects. This systematic review underscores the potential of non-pharmacological interventions in decreasing the incidence of MACE and highlights the importance of continued research in this area (PROSPERO registration number: CRD42023462690).

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Original Articles

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases: Hyun Sun Kim, Hyun-Jin Kim, Eunyoung E. Suh; J Korean Acad Nurs 2016;46(3):463-474. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.463

Abstract PDF

Purpose

For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases.

Methods

Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1.

Results

The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p=.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA.

Conclusion

This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

Citations

Citations to this article as recorded by

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Myra H. Wyckoff, Robert Greif, Peter T. Morley, Kee-Chong Ng, Theresa M. Olasveengen, Eunice M. Singletary, Jasmeet Soar, Adam Cheng, Ian R. Drennan, Helen G. Liley, Barnaby R. Scholefield, Michael A. Smyth, Michelle Welsford, David A. Zideman, Jason Acwo
Pediatrics.2023;[Epub] CrossRef
Expert opinion on evidence after the 2020 Korean Cardiopulmonary Resuscitation Guidelines: a secondary publication
Sung Phil Chung, Youdong Sohn, Jisook Lee, Youngsuk Cho, Kyoung-Chul Cha, Ju Sun Heo, Ai-Rhan Ellen Kim, Jae Guk Kim, Han-Suk Kim, Hyungoo Shin, Chiwon Ahn, Ho Geol Woo, Byung Kook Lee, Yong Soo Jang, Yu Hyeon Choi, Sung Oh Hwang
Clinical and Experimental Emergency Medicine.2023; 10(4): 382. CrossRef
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Yu-Fei Qian, Yu-Qin Ren, Li Wang, Rong-Qian Sun, Dan-Feng Li, Samar Tharwat
International Journal of Clinical Practice.2022; 2022: 1. CrossRef
2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams
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Circulation.2022;[Epub] CrossRef
2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, I
Myra H. Wyckoff, Robert Greif, Peter T. Morley, Kee-Chong Ng, Theresa M. Olasveengen, Eunice M. Singletary, Jasmeet Soar, Adam Cheng, Ian R. Drennan, Helen G. Liley, Barnaby R. Scholefield, Michael A. Smyth, Michelle Welsford, David A. Zideman, Jason Acwo
Resuscitation.2022; 181: 208. CrossRef
2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, I
Myra H. Wyckoff, Robert Greif, Peter T. Morley, Kee-Chong Ng, Theresa M. Olasveengen, Eunice M. Singletary, Jasmeet Soar, Adam Cheng, Ian R. Drennan, Helen G. Liley, Barnaby R. Scholefield, Michael A. Smyth, Michelle Welsford, David A. Zideman, Jason Acwo
Circulation.2022;[Epub] CrossRef
Clinicians for CARE: A Systematic Review and Meta‐Analysis of Interventions to Support Caregivers of Patients With Heart Disease
Kellen A. Knowles, Helen Xun, Sunyoung Jang, Sharon Pang, Charles Ng, Apurva Sharma, Erin M. Spaulding, Rohanit Singh, Alaa Diab, Ngozi Osuji, Joshua Materi, Danielle Amundsen, Shannon Wongvibulsin, Daniel Weng, Pauline Huynh, Julie Nanavati, Jennifer Wol
Journal of the American Heart Association.2021;[Epub] CrossRef
Effectiveness of the Family and Friends CPR course in learning cardiopulmonary resuscitation in relatives of patients with high cardiovascular risk or who have suffered a cardiovascular event
Bruno Enzo Vargas-Sánchez, Miluska Madeleine Salazar-Arteaga, Aida Del Carmen Rotta-Rotta, Roy Germán Dueñas-Carbajal
Iberoamerican Journal of Medicine.2021; 3(4): 307. CrossRef
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The impact of bystander cardiopulmonary resuscitation on patients with out-of-hospital cardiac arrests
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Revista Española de Cardiología (English Edition).2020; 73(1): 53. CrossRef
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European Journal of Preventive Cardiology.2019; 26(8): 795. CrossRef

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Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers: Eun Young Kim, Seon Young Hwang; J Korean Acad Nurs 2012;42(3):322-332. Published online June 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.322

Abstract PDF

Purpose

This study was conducted to examine effects of a small group-based cardiocerebrovascular disease (CVD) prevention education program on knowledge, stage of change and health behavior among male bus drivers with CVD risk factors.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 68 male bus drivers recruited from two urban bus companies. Participants from the two groups were selected by matching age, education and risk factors. Experimental group (n=34) received a small group-based CVD prevention education program 8 times over 6 weeks and 3 times through telephone interviews at 2-week intervals. Data were collected between December, 2010 and March, 2011, and were analyzed using chi-square test, t-test, and repeated measure analysis of variance with SPSS/Win18.0.

Results

Experimental group showed significantly higher scores in CVD prevention knowledge (p<.001) and health behavior (p<.001) at 6 and 12 weeks after intervention. Participants in pre-contemplation and contemplation stages made progress to contemplation and action. This was significantly better at 6 and 12 weeks after intervention (p<.001).

Conclusion

Results suggest that small group-based education programs for CVD prevention are effective in increasing knowledge, stage of change, and health behavior to prevent CVD among male bus drivers with CVD risk.

Citations

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Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial
Eun Jin Kim, Seon Young Hwang
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Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea
Kyong Sil Park, Seon Young Hwang, Bo Youl Choi, June Kim, Sang Il Kim, Woo-Joo Kim, Chun Kang
Epidemiology and Health.2020; 43: e2021002. CrossRef
Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors
So Hee Kang, Seon Young Hwang
Journal of Korean Academy of Nursing.2019; 49(6): 748. CrossRef
Risk Factor–tailored Small Group Education for Patients with First-time Acute Coronary Syndrome
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Journal of Korean Academy of Nursing.2015; 45(1): 25. CrossRef
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Korean Journal of Occupational Health Nursing.2015; 24(4): 281. CrossRef
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Won Ju Hwang, Yunhee Park
Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef
Knowledge on Cardiovascular Prevention and Nicotine Dependency among Smoking Male College Students
Seon Young Hwang, Kyongok Park
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 75. CrossRef
Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors
Mi-Kyoung Park, Jeong-Hee Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(2): 111. CrossRef
Development and Evaluation of Cardiocerebrovascular Disease Prevention Program for Taxi Drivers
Mi-Yang Jeon, Youngl-SU Song, Hyung-Tae Jung, Jung-Sok Park, Hye-Young Yoon, Eliza Lee
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(9): 4437. CrossRef

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Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income: Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee; J Korean Acad Nurs 2010;40(6):831-843. Published online December 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.6.831

Abstract PDF

Purpose

In this study cardiovascular health status and health behavior of Korean women based on their household income were explored.

Methods

For this cross-sectional study, 91 women residing in the community were recruited to complete survey questionnaires and biophysical tests including blood pressure (BP), body mass index (BMI), body fat rate, waist circumference (WC), and blood chemistry tests.

Results

Compared to non-low income women (NLIW), low income women (LIW) were more likely to be older, less educated, and jobless, and further more LIW were postmenopause and reported having been diagnosed with hypertension or hypercholesterolemia. Significant differences were found in systolic BP, triglyceride level, BMI, body fat rate, and WC between the groups. Two fifths of the LIW had indications for metabolic syndrome. Their 10-yr risk estimate of myocardioal infarction or coronary death demonstrated a higher probability than that of NLIW. Although these significant differences were due to age gap between the groups, advanced age is known to be one of the key characteristics of LIW as well as a non-modifiable risk factor.

Conclusion

Effective community programs for vulnerable women at risk of cardiovascular disease should be based on strategies targeting unhealthy behaviors and modifiable risk factors.

Citations

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Korean Journal of Adult Nursing.2024; 36(4): 320. CrossRef
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Journal of Preventive Medicine and Public Health.2019; 52(5): 281. CrossRef
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Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Younghee Park, Songi Jeon
Korean Journal of Adult Nursing.2016; 28(2): 237. CrossRef
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So Hyun Ahn, Sook Mee Son, Hye Kyeong Kim
Korean Journal of Community Nutrition.2012; 17(4): 463. CrossRef

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