The effect of behavioral management program on blood cholesterol in patients with coronary revascularization

Abstract

The purposes of this study were to compare total cholesterol, LDL-cholesterol, HDL-cholesterol, and triglyceride in patients with coronary revascularization who participated in the behavioral management program before and after the intervention, to compare total cholesterol, LDL-cholesterol, and triglyceride before and after the intervention in order to show that the net change from the experimental group are lower than that of the control group, and to compare HDL-cholesterol before and after the intervention in order to show that the net change from the experimental group is higher than that of the control group. This program was created by following guidelines of the cholesterol lowering therapy by The National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) (2001) and basing on self-efficacy theory (Bandura, 1997). The quasi-experimental study design was presented in this study. The purposive sampling was used to select the sample size which was totally 57 subjects. The intervention group received the behavioral management program and usual care while the control group received only the usual care. Blood cholesterol was evaluated two times: first time when the program started and the second time when the program was completed (three months later). The result of the study revealed that 1) The patients with coronary revascularization who participated in the behavioral management nursing program had a significant difference in mean scores for Total cholesterol, LDL-cholesterol, and HDL-cholesterol (p<.05) but Triglyceride slightly increased in post-test and not significant (p= .06), 2). The patients with coronary revascularization who participated in the behavioral management program had different Total cholesterol, LDL-cholesterol and Triglyceride before and after the intervention. Net change of Total cholesterol, and LDL-cholesterol (p<.05) was lower than that of the control group, but Triglyceride was not significantly different (p= .51), and 3). The patients with coronary revascularization who participated in the behavioral management program had different HDL-cholesterol before and after the intervention. Net change of HDL-cholesterol (p<.05) was higher than that of the control group.