155Effects of two different preventive counselling programs on selected psychosocial risk factors and quality of life in coronary patients with abdominal obesity

Abstract

Background: Patients (pts) education has a potential to improve psychological status and quality of life (QoL) in coronary heart disease (CHD). Purpose: To assess the impact of 2 preventive counselling programs on psychosocial risk factors (RFs) and QoL in CHD pts with abdominal obesity after hospitalization. Methods: A prospective randomized parallel‐group study in hospitalized nonsurgical pts with confirmed stable CHD. Most hospitalizations were due to elective percutaneous coronary intervention. Pts were randomized (1:1:1) into 3 groups. Before discharge, Groups 1 and 2 received comprehensive counselling with focus on diet followed by remote counselling by phone (Group 1) or via text messages (Group 2). Remote counselling was delivered weekly (Months 1‐3) and then monthly (Months 4‐6). Group 3 received standard advice only. The Hospital anxiety and depression scale (HADS), a 10‐point visual analogue scale (VAS) for stress and HeartQol for QoL were used. Results: A total of 75 pts (mean age±SD, 57.79±6.26 years, men, 82.6%) were enrolled. The Table presents the psychosocial RFs and Qol at baseline and at 12 months. At 1 year, significant improvements of stress level and QoL vs control were seen in both intervention groups. There was also a significant reduction of anxiety in Group 1 (phone). In Group 2 (e‐mail or sms) the proportion of anxious pts didn't increase vs control (p<0.05). Conclusion: Pre‐discharge preventive counselling with subsequent remote support resulted in significant positive changes of selected psychosocial RFs and QoL which were more pronounced in the phone support group. (Table Presented) .