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Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients

Author

Listed:
  • Siamala Sinnadurai

    (Department of Population Medicine and Lifestyle Diseases Prevention, Faculty of Medicine with the Division of Dentistry and Division of Medical Education in English, Medical University of Bialystok, 15-089 Bialystok, Poland)

  • Pawel Sowa

    (Department of Population Medicine and Lifestyle Diseases Prevention, Faculty of Medicine with the Division of Dentistry and Division of Medical Education in English, Medical University of Bialystok, 15-089 Bialystok, Poland)

  • Piotr Jankowski

    (Department of Internal Medicine and Geriatric Cardiology, Center of Postgraduate Medical Education, 00-416 Warszawa, Poland
    Department of Epidemiology and Health Promotion, School of Public Health, Center of Postgraduate Medical Education, 01-813 Warszawa, Poland)

  • Zbigniew Gasior

    (Department of Cardiology, School of Health Sciences, Medical University Silesia, 40-055 Katowice, Poland)

  • Dariusz A. Kosior

    (Department of Cardiology and Hypertension with Electrophysiology Lab, Central Research Hospital of the Ministry of the Interior and Administration, 02-507 Warsaw, Poland
    Mossakowski Medical Research Institute, Polish Academy of Sciences, 02-106 Warsaw, Poland)

  • Maciej Haberka

    (Department of Cardiology, School of Health Sciences, Medical University Silesia, 40-055 Katowice, Poland)

  • Danuta Czarnecka

    (Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, 31-008 Kracow, Poland)

  • Andrzej Pajak

    (Department of Epidemiology and Population Studies, Institute of Public Health Faculty of Health Sciences, Jagiellonian University Medical College, 31-066 Krakow, Poland)

  • Malgorzata Setny

    (Department of Cardiology and Hypertension with Electrophysiology Lab, Central Research Hospital of the Ministry of the Interior and Administration, 02-507 Warsaw, Poland)

  • Jacek Jamiolkowski

    (Department of Population Medicine and Lifestyle Diseases Prevention, Faculty of Medicine with the Division of Dentistry and Division of Medical Education in English, Medical University of Bialystok, 15-089 Bialystok, Poland)

  • Emilia Sawicka-Śmiarowska

    (Department of Population Medicine and Lifestyle Diseases Prevention, Faculty of Medicine with the Division of Dentistry and Division of Medical Education in English, Medical University of Bialystok, 15-089 Bialystok, Poland
    Department of Cardiology, Medical University of Bialystok, 15-276 Bialystok, Poland)

  • Karol Kaminski

    (Department of Population Medicine and Lifestyle Diseases Prevention, Faculty of Medicine with the Division of Dentistry and Division of Medical Education in English, Medical University of Bialystok, 15-089 Bialystok, Poland)

Abstract

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.

Suggested Citation

  • Siamala Sinnadurai & Pawel Sowa & Piotr Jankowski & Zbigniew Gasior & Dariusz A. Kosior & Maciej Haberka & Danuta Czarnecka & Andrzej Pajak & Malgorzata Setny & Jacek Jamiolkowski & Emilia Sawicka-Śmi, 2022. "Recollection of Physician Information about Risk Factor and Lifestyle Changes in Chronic Coronary Syndrome Patients," IJERPH, MDPI, vol. 19(11), pages 1-18, May.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6416-:d:823516
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