Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients
A patient's compliance to a physician's lifestyle information is essential in chronic coronary syndrome (CCS) patients. We assessed potential characteristics associated with a patient's recollection of physician information and lifestyle changes. This study recruited and interviewed p...
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Veröffentlicht in: | International journal of environmental research and public health 2022-05, Vol.19 (11), p.6416 |
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creator | Sinnadurai, Siamala Sowa, Pawel Jankowski, Piotr Gasior, Zbigniew Kosior, Dariusz A Haberka, Maciej Czarnecka, Danuta Pajak, Andrzej Setny, Malgorzata Jamiolkowski, Jacek Sawicka-Śmiarowska, Emilia Kaminski, Karol |
description | A patient's compliance to a physician's lifestyle information is essential in chronic coronary syndrome (CCS) patients. We assessed potential characteristics associated with a patient's recollection of physician information and lifestyle changes. This study recruited and interviewed patients (aged ≤ 80 years) 6-18 months after hospitalization due to acute coronary syndrome or elective myocardial revascularization. A physician's information on risk factors was recognized if patients recollected the assessment of their diet, weight management, blood pressure control, cholesterol level, diabetes, and other lifestyle factors by the doctor. Of a total of 946 chronic coronary syndrome patients, 52.9% (501) of them declared the recollection of providing information on more than 80% of the risk factors. A good recollection of risk factor information was associated with the following: a patient's age (OR per year: 0.97; 95% CI: 0.95 to 0.99), obesity (OR: 4.41; 95% CI: 3.09-6.30), diabetes (OR: 4.16; 95% CI: 2.96-5.84), diuretic therapy (OR: 1.41; 95% CI: 1.03-1.91), calcium channel blockers (OR: 1.47; 95% CI: 1.04-2.09), and ACEI/sartan (OR: 0.65; 95% CI: 0.45-0.94) at hospitalization discharge. In terms of goal attainment, better adherence to antihypertensive drugs (OR: 1.80; 95% CI: 1.07-3.03) was observed in the patients with a good compared to a poor recollection of risk factor information. The recollection of physician risk factor information was significantly associated with more comorbidities. Strategies to tailor the conveying of information to a patient's perception are needed for optimal patient-doctor communication. |
doi_str_mv | 10.3390/ijerph19116416 |
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We assessed potential characteristics associated with a patient's recollection of physician information and lifestyle changes. This study recruited and interviewed patients (aged ≤ 80 years) 6-18 months after hospitalization due to acute coronary syndrome or elective myocardial revascularization. A physician's information on risk factors was recognized if patients recollected the assessment of their diet, weight management, blood pressure control, cholesterol level, diabetes, and other lifestyle factors by the doctor. Of a total of 946 chronic coronary syndrome patients, 52.9% (501) of them declared the recollection of providing information on more than 80% of the risk factors. A good recollection of risk factor information was associated with the following: a patient's age (OR per year: 0.97; 95% CI: 0.95 to 0.99), obesity (OR: 4.41; 95% CI: 3.09-6.30), diabetes (OR: 4.16; 95% CI: 2.96-5.84), diuretic therapy (OR: 1.41; 95% CI: 1.03-1.91), calcium channel blockers (OR: 1.47; 95% CI: 1.04-2.09), and ACEI/sartan (OR: 0.65; 95% CI: 0.45-0.94) at hospitalization discharge. In terms of goal attainment, better adherence to antihypertensive drugs (OR: 1.80; 95% CI: 1.07-3.03) was observed in the patients with a good compared to a poor recollection of risk factor information. The recollection of physician risk factor information was significantly associated with more comorbidities. Strategies to tailor the conveying of information to a patient's perception are needed for optimal patient-doctor communication.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19116416</identifier><identifier>PMID: 35682001</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Acute Coronary Syndrome - drug therapy ; Acute Coronary Syndrome - epidemiology ; Acute coronary syndromes ; Antihypertensive Agents - therapeutic use ; Antihypertensives ; Behavior ; Blood pressure ; Body mass index ; Calcium channel blockers ; Calcium channels ; Cardiovascular disease ; Cholesterol ; Clinical medicine ; Communication ; Diabetes mellitus ; Disease prevention ; Diuretics ; Glucose ; Heart ; High density lipoprotein ; Hospitalization ; Humans ; Hypertension ; Intervention ; Life Style ; Lifestyles ; Patients ; Physicians ; Quality of life ; Questionnaires ; Risk analysis ; Risk Factors ; Triglycerides</subject><ispartof>International journal of environmental research and public health, 2022-05, Vol.19 (11), p.6416</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-247486a559df0b117b0e85ed9d56ef17c3e1518a53d0343304bdf3c455dc8803</citedby><cites>FETCH-LOGICAL-c418t-247486a559df0b117b0e85ed9d56ef17c3e1518a53d0343304bdf3c455dc8803</cites><orcidid>0000-0002-8357-5816 ; 0000-0002-8306-1882 ; 0000-0001-6223-8821 ; 0000-0002-8796-6208 ; 0000-0002-9465-2581 ; 0000-0002-9235-5604</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180913/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180913/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35682001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sinnadurai, Siamala</creatorcontrib><creatorcontrib>Sowa, Pawel</creatorcontrib><creatorcontrib>Jankowski, Piotr</creatorcontrib><creatorcontrib>Gasior, Zbigniew</creatorcontrib><creatorcontrib>Kosior, Dariusz A</creatorcontrib><creatorcontrib>Haberka, Maciej</creatorcontrib><creatorcontrib>Czarnecka, Danuta</creatorcontrib><creatorcontrib>Pajak, Andrzej</creatorcontrib><creatorcontrib>Setny, Malgorzata</creatorcontrib><creatorcontrib>Jamiolkowski, Jacek</creatorcontrib><creatorcontrib>Sawicka-Śmiarowska, Emilia</creatorcontrib><creatorcontrib>Kaminski, Karol</creatorcontrib><title>Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>A patient's compliance to a physician's lifestyle information is essential in chronic coronary syndrome (CCS) patients. We assessed potential characteristics associated with a patient's recollection of physician information and lifestyle changes. This study recruited and interviewed patients (aged ≤ 80 years) 6-18 months after hospitalization due to acute coronary syndrome or elective myocardial revascularization. A physician's information on risk factors was recognized if patients recollected the assessment of their diet, weight management, blood pressure control, cholesterol level, diabetes, and other lifestyle factors by the doctor. Of a total of 946 chronic coronary syndrome patients, 52.9% (501) of them declared the recollection of providing information on more than 80% of the risk factors. A good recollection of risk factor information was associated with the following: a patient's age (OR per year: 0.97; 95% CI: 0.95 to 0.99), obesity (OR: 4.41; 95% CI: 3.09-6.30), diabetes (OR: 4.16; 95% CI: 2.96-5.84), diuretic therapy (OR: 1.41; 95% CI: 1.03-1.91), calcium channel blockers (OR: 1.47; 95% CI: 1.04-2.09), and ACEI/sartan (OR: 0.65; 95% CI: 0.45-0.94) at hospitalization discharge. In terms of goal attainment, better adherence to antihypertensive drugs (OR: 1.80; 95% CI: 1.07-3.03) was observed in the patients with a good compared to a poor recollection of risk factor information. The recollection of physician risk factor information was significantly associated with more comorbidities. Strategies to tailor the conveying of information to a patient's perception are needed for optimal patient-doctor communication.</description><subject>Acute Coronary Syndrome - drug therapy</subject><subject>Acute Coronary Syndrome - epidemiology</subject><subject>Acute coronary syndromes</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Antihypertensives</subject><subject>Behavior</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Calcium channel blockers</subject><subject>Calcium channels</subject><subject>Cardiovascular disease</subject><subject>Cholesterol</subject><subject>Clinical medicine</subject><subject>Communication</subject><subject>Diabetes mellitus</subject><subject>Disease prevention</subject><subject>Diuretics</subject><subject>Glucose</subject><subject>Heart</subject><subject>High density lipoprotein</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Intervention</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Patients</subject><subject>Physicians</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Triglycerides</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkctrGzEQxkVJaR7tNcciyKUXpyPrYe2lUEzSBAwNae5CK83GcnYlV9oN-L-v0jxIcpqB-c038_ERcszglPMGvocN5u2aNYwpwdQHcsCUgplQwPZe9fvksJQNANdCNZ_IPpdKzwHYASnX6FLfoxtDijR19Gq9K8EFG-ll7FIe7P-BbdM00utQ7ui5dWPK1EZPV6HDMu56pMu1jbdYaIi1zSkGR5epVpt39M8u-pwGpFdVC-NYPpOPne0LfnmqR-Tm_OxmeTFb_f51ufy5mjnB9Dibi4XQykrZ-A5axhYtoJboGy8VdmzhODLJtJXcAxecg2h9x52Q0jutgR-RH4-y26kd0Lt6OtvebHMY6lsm2WDeTmJYm9t0bxqmoWG8Cnx7Esjp71SdmiEUh31vI6apmLlaSAVayaaiJ-_QTZpyrO4eKMElCCEqdfpIuZxKydi9PMPAPMRp3sZZF76-tvCCP-fH_wH3gp3m</recordid><startdate>20220525</startdate><enddate>20220525</enddate><creator>Sinnadurai, Siamala</creator><creator>Sowa, Pawel</creator><creator>Jankowski, Piotr</creator><creator>Gasior, Zbigniew</creator><creator>Kosior, Dariusz A</creator><creator>Haberka, Maciej</creator><creator>Czarnecka, Danuta</creator><creator>Pajak, Andrzej</creator><creator>Setny, Malgorzata</creator><creator>Jamiolkowski, Jacek</creator><creator>Sawicka-Śmiarowska, Emilia</creator><creator>Kaminski, Karol</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8357-5816</orcidid><orcidid>https://orcid.org/0000-0002-8306-1882</orcidid><orcidid>https://orcid.org/0000-0001-6223-8821</orcidid><orcidid>https://orcid.org/0000-0002-8796-6208</orcidid><orcidid>https://orcid.org/0000-0002-9465-2581</orcidid><orcidid>https://orcid.org/0000-0002-9235-5604</orcidid></search><sort><creationdate>20220525</creationdate><title>Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients</title><author>Sinnadurai, Siamala ; Sowa, Pawel ; Jankowski, Piotr ; Gasior, Zbigniew ; Kosior, Dariusz A ; Haberka, Maciej ; Czarnecka, Danuta ; Pajak, Andrzej ; Setny, Malgorzata ; Jamiolkowski, Jacek ; Sawicka-Śmiarowska, Emilia ; Kaminski, Karol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-247486a559df0b117b0e85ed9d56ef17c3e1518a53d0343304bdf3c455dc8803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acute Coronary Syndrome - 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We assessed potential characteristics associated with a patient's recollection of physician information and lifestyle changes. This study recruited and interviewed patients (aged ≤ 80 years) 6-18 months after hospitalization due to acute coronary syndrome or elective myocardial revascularization. A physician's information on risk factors was recognized if patients recollected the assessment of their diet, weight management, blood pressure control, cholesterol level, diabetes, and other lifestyle factors by the doctor. Of a total of 946 chronic coronary syndrome patients, 52.9% (501) of them declared the recollection of providing information on more than 80% of the risk factors. A good recollection of risk factor information was associated with the following: a patient's age (OR per year: 0.97; 95% CI: 0.95 to 0.99), obesity (OR: 4.41; 95% CI: 3.09-6.30), diabetes (OR: 4.16; 95% CI: 2.96-5.84), diuretic therapy (OR: 1.41; 95% CI: 1.03-1.91), calcium channel blockers (OR: 1.47; 95% CI: 1.04-2.09), and ACEI/sartan (OR: 0.65; 95% CI: 0.45-0.94) at hospitalization discharge. In terms of goal attainment, better adherence to antihypertensive drugs (OR: 1.80; 95% CI: 1.07-3.03) was observed in the patients with a good compared to a poor recollection of risk factor information. The recollection of physician risk factor information was significantly associated with more comorbidities. 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subjects | Acute Coronary Syndrome - drug therapy Acute Coronary Syndrome - epidemiology Acute coronary syndromes Antihypertensive Agents - therapeutic use Antihypertensives Behavior Blood pressure Body mass index Calcium channel blockers Calcium channels Cardiovascular disease Cholesterol Clinical medicine Communication Diabetes mellitus Disease prevention Diuretics Glucose Heart High density lipoprotein Hospitalization Humans Hypertension Intervention Life Style Lifestyles Patients Physicians Quality of life Questionnaires Risk analysis Risk Factors Triglycerides |
title | Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients |
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