The degree of nutritional knowledge, attitude and performance of patients with acute coronary syndrome on arrival, discharge day and 3 month after discharge: A longitudinal study

Article type: Research Article

Authors: Moaddab, Fatemeh^a | Salari, Arsalan^{a; *} | Kazemnezhad Leili, Ehsan^b | Zaersabet, Fatemeh^a | Rouhi balasi, Leila^a | Mahdavi-Roshan, Marjan^a | Soodmand, Mostafa^c

Affiliations: [a] Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran | [b] Department of Biostatistics, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran | [c] Department of Medical-Surgical Nursing, Student Research Committee, School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran

Correspondence: [*] Corresponding author: Arsalan Salari, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran. Tel.: +98 013 33618177; Fax: +98 013 33618177; E-mail: [email protected]. ORCID ID: Fatemeh Moaddab: http://orcid.org/0000-0003-0811-8671; Arsalan Salari: http://orcid.org/0000-0002-5821-6176; Ehsan Kazemnezhad Leili: http://orcid.org/0000-0003-1736-6546; Fatemeh Zaersabet: http://orcid.org/0000-0003-0569-7848; Leila Rouhi balasi: http://orcid.org/0000-0002-5088-9157; Marjan Mahdavi-Roshan: http://orcid.org/0000-0002-2645-6714; Mostafa Soodmand: https://orcid.org/0000-0002-3405-9858.

Abstract: BACKGROUND:Acute coronary syndrome is one of the most common chronic, progressive, and life-threatening diseases in most countries in the world. One of the effective factors in re-hospitalization of these patients is the lack of knowledge about the correct diet therapy. OBJECTIVE:This study aimed to compare the degree of nutritional knowledge, attitude, and performance of patients with acute coronary syndrome on arrival, discharge day, and 3 months after discharge in 2017-2018. METHODS:This longitudinal study was conducted on 125 patients with acute coronary syndrome who were referred to Dr. Heshmat hospital in Rasht as the exclusive heart center in Guilan province (Northern Iran). Convenience sampling was done using a valid two-part questionnaire including demographic information and nutritional KAP. Data were analyzed by descriptive statistics and analytical statistics in SPSS. RESULTS:The nutritional knowledge and attitude score of the majority of the samples decreased over the time interval (from time of arrival until the referral to the clinic), but the nutritional performance of patients increased in the period; the mean score on arrival was less than the score at the discharge time. CONCLUSION:The results of this study emphasize the importance of nutrition education in people with the acute coronary syndrome.

Keywords: Acute coronary syndrome, nutrition, knowledge, attitude, performance

DOI: 10.3233/MNM-200491

Journal: Mediterranean Journal of Nutrition and Metabolism, vol. 14, no. 2, pp. 137-146, 2021