The effect of personal health education in general practice on the quality of life of patients with angina was assessed by means of a randomised controlled trial carried out from 1990 to 1993. Subjects (688) were randomly allocated either to a control group, which received only their usual medical care, or to an intervention group, which received additional personal health education every four months for two years. The interven tion group showed a signficantly better outcome with regard to their quality of life as assessed on a simple analogue scale and on the physical mobility aspect of the Nottingham Health Profile. These findings indicate that patients with angina benefit from personal health education.
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References
1.
Isaac P.Cardiovascular problems. In: Hasler J, Schofield T (Eds), Continuing Care: the Managenmnt of Chronic Disease. Oxford : Oxford Medical Publications, 1990 , pp191-3.
2.
Shaper AG, Cook DG, Walker M., Macfarlane PWPrevalence of ischaemic heart disease in middle aged British men. Britisli Heart Journal1984: 51: 595-605.
3.
Rose G., Hamilton Pjs, Keen H., Reid DD, McCartney P., Jarret RJMyocardial ischaemia risk factors and death from coronary heart disease . The Lancet1977: Jan 15: 105-9.
4.
Daly LE, Hickey N., Mulcahy R.Course of angina pectoris after an acute coronary event. British Medical Journal1986: 293: 653-6.
5.
Neill WA, Branch LG, De Jong G. et al. Cardiac disability: the impact of coronary heart disease on patients' daily activities. Archives of Internal Medicine1985: 145: 1642-7.
6.
Beaglehole R.Medical management and the decline in mortality from coronary heart disease. British Medical Journal1986: 292: 33-5.
7.
Neutze JM, White D.What contribution has cardiac surgery made to the decline in mortality from coronary heart disease? British Medical Journal1987: 294: 405-9.
8.
Underwood MJ , More RSThe aspirin papers. British Medical Journal1994: 308: 71-2.
9.
Davies RF, Linden W., Habibi H. et al. Relative importance of psychologic traits and severity of ischaemia in causing angina during treadmill exercise. J Am College of Cardiol. 1993: 21(2): 331-6.
10.
Cupples ME, McKnight A. A randomised controlled trial of health promotion in general practice for patients at high cardiovascular risk. British Medical Journal1994: 309: 993-6.
11.
Hunt SM, McKenna SP, McEwcn J.The Nottingham Health Profile User's Manual. Galen Research , 1993.
12.
Wilkin D., Hallam L., Doggett M-A.Nottingham Health Profile. In: Measures of Need and Outcome for Primary Health Care. Oxford: Oxford University Press, 1992, pp 142-6.
13.
Rose G., Hamilton Pjs, Keen H., Reid DD, McCartney P., Jarrett RJMyocardial ischacmia, risk factors and death from coronary heart disease . The Lancet1977: 8003: 105-9.
14.
Bucquet D., Curtis S.Socio-demographic variation in perceived illness and the use of primary care: the value of community survey data for primary care service planning . Social Science and Medicine1986: 23(7): 737-44.
15.
Vetter NJ, Ford D.Angina among elderly people and its relationship with disability. Age and Ageing1990: 19: 159-63.
16.
Wallace PG, Brennan PJ, Haines A.Are general practitioners doing enough to promote healthy lifestyle? Findings of the Medical Research Council's general practice research framework study on lifestyle and health. British Medical Journal1987: 294: 940-42.
17.
Thompson SC , Schwankovsky L., Pitts J.Counselling patients to make lifestyle changes: the role of physician self-efficacy, training and beliefs about causes. Family Practice1993 : 10(1): 70-75.
18.
Berlin JA, Colditz A.A meta-analysis of physical activity in the prevention of coronary heart disease . American Journal of Epidemiology1990: 132: 612-27.
19.
Effect of exercise training on the total ischaemic burden: an assessment by 24 hour ambulatory electrocardiographic monitoring. British Heart Journal1992: 68: 560-66.
20.
Rowland L., Dickinson EJ, Newman P., Ford D., Ebrahim S.Look After Your Heart programme: impact on health status, exercise knowledge, attitudes, and behaviour of retired women in England. Journal of Epidemiology & Community Health1994: 48: 123-8.
