Differences between men and women in compliance with risk factor reduction : pre and post coronary artery bypass surgery

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dc.contributor.advisor Dillard, Nancy L. en_US
dc.contributor.author Salmon, Becky A. en_US
dc.date.accessioned 2011-06-03T19:36:19Z
dc.date.available 2011-06-03T19:36:19Z
dc.date.created 1993 en_US
dc.date.issued 1993
dc.identifier LD2489.Z78 1993 .S25 en_US
dc.identifier.uri http://cardinalscholar.bsu.edu/handle/handle/184664
dc.description.abstract Coronary Artery Bypass Graft(CABG) Surgery increases blood flow to the endangered myocardium but does not slow the process of atherosclerosis. The only way to slow the process of coronary artery disease is to acknowledge the risk factors present and minimize or totally eliminate them from an individual's lifestyle. Men and women respond differently to stress and lifestyle modifications. The purpose of this study was to determine if there was a difference between genders in compliance to a heart healthy lifestyle pre and post CABG surgery.Thirty men and thirty women who had CABG surgery at least one year earlier were interviewed to assess coronary artery disease risk. The procedure for the protection of human subjects were followed. The instrument used was the RISKO Heart Hazard Appraisal Tool. This instrument was developed in 1985 by the American Heart Association and scored individuals on systolic blood pressure, weight, serum cholesterol level and cigarette smoking habits. Pre-operative records were also reviewed using the same tool to assess individuals preoperative risk. The research design used was 2 x 2 repeated measures. Data were analyzed using 2 x 2 repeated measures analysis of variance (ANOVA).Two findings were discovered. First there was a statistically significant difference between men and women (F=5.82 p=0.019) with men scoring lower RISKO scores than women, indicating lower risk and better compliance to a heart healthy lifestyle, both pre- and postoperatively. Second there was a significant difference between preand postoperative RISKO scores in the total population (F=8.77 p=0.004). Postoperative RISKO scores were lower indicating an improvement in heart healthy lifestyle. There was no statistically significant difference between genders in the difference of pre- and postoperative RISKO scores (F=2.56 p<.115). The significance of this study was that it looked specifically at gender differences and assessed disparities in cardiovascular risk factors and the impact of surgery on men and women.This study found that overall, men had lower RISKO scores than women. Both genders also had improved RISKO scores postoperatively from preoperatively. No statistically significant difference between genders of the RISKO scores from preoperatively to postoperatively was found. Education needs to continue to play a big part in the cardiac rehabilitation process for both genders and specifically women need to become the target of further research and education to improve compliance to a heart healthy lifestyle.
dc.description.sponsorship School of Nursing
dc.format.extent 61 leaves ; 28 cm. en_US
dc.source Virtual Press en_US
dc.subject.lcsh Patient compliance. en_US
dc.subject.lcsh Coronary heart disease -- Patients. en_US
dc.subject.lcsh Self-care, Health. en_US
dc.subject.lcsh Coronary artery bypass -- Risk factors. en_US
dc.subject.lcsh Patient education. en_US
dc.title Differences between men and women in compliance with risk factor reduction : pre and post coronary artery bypass surgery en_US
dc.description.degree Thesis (M.S.)
dc.identifier.cardcat-url http://liblink.bsu.edu/catkey/865938 en_US

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  • Master's Theses [5318]
    Master's theses submitted to the Graduate School by Ball State University master's degree candidates in partial fulfillment of degree requirements.

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