Schimmer C, Krannich J-H, Brauchle-Hopp U, Elert O
Universitätsklinikum Würzburg, Zentrum Operative Medizin, ZOM, Klinik und Poliklinik für Herz- und Thoraxchirurgie.
Rehabilitation (Stuttg). 2006 Apr;45(2):95-101. doi: 10.1055/s-2005-915281.
The purpose of this study was to evaluate the influence of an in-hospital (stage I of rehabilitation) individualized motivation programme for life-style change on the cardiovascular risk factors of patients after coronary artery bypass grafting (CABG).
142 consecutive patients undergoing CABG because of coronary heart disease were divided into two groups. Group I received the usual care; Group II received the intervention (individual motivation programme). Medical variables concerning all cardiovascular risk factors and the current medication plan were evaluated on admission and one year after surgery.
After 12 months significant reductions in systolic blood pressure (p = 0.002), LDL-cholesterol (p = 0.023) and triglyceride (p = 0.046) were found in the intervention group on comparison of the two groups. The HDL cholesterol improved in the intervention group and decreased slightly in the control group. Both groups showed an improvement in diastolic blood pressure, Body Mass Index, blood cholesterol and blood glucose values. The intervention did not show a significant influence on smoking and medication habits.
An individualized motivation programme starting in the acute hospital may positively influence cardiovascular risk factors with ongoing success.
本研究旨在评估医院内（康复第一阶段）针对生活方式改变的个体化激励计划对冠状动脉旁路移植术（CABG）后患者心血管危险因素的影响。
142例因冠心病接受CABG的连续患者被分为两组。第一组接受常规护理；第二组接受干预（个体化激励计划）。在入院时和术后一年评估所有心血管危险因素和当前用药计划的医学变量。
两组比较，干预组在12个月后收缩压（p = 0.002）、低密度脂蛋白胆固醇（p = 0.023）和甘油三酯（p = 0.046）显著降低。干预组高密度脂蛋白胆固醇有所改善，而对照组略有下降。两组的舒张压、体重指数、血胆固醇和血糖值均有所改善。干预对吸烟和用药习惯未显示出显著影响。
在急性医院开始的个体化激励计划可能对心血管危险因素产生积极影响，并持续取得成效。
