title: Differences between men and women in compliance with risk factor reduction: before and after coronary artery bypass surgery.
abstract: The purpose of this study was to determine whether a difference exists between genders in compliance to a heart-healthy lifestyle and whether the stress of coronary artery bypass graft (CABG) surgery caused one of the genders to become more compliant. A convenience sample of 30 men and 30 women who had CABG surgery at least 1 year earlier and were enrolled in a follow-up program through a cardiovascular surgeon's office were interviewed to assess coronary artery disease risk. The instrument used was the RISKO Heart Hazard Appraisal Tool. Preoperative records were also reviewed with the same tool to assess a person's preoperative risk. The research design used was 2 x 2 repeated measures. Data were analyzed with 2 x 2 repeated measures analysis of variance (ANOVA). Two findings were discovered. First, a statistically significant difference exists between men and women (F = 5.82 P =.019), with men scoring lower RISKO scores than women, indicating lower cardiovascular risk and better compliance to a healthy lifestyle, both before and after surgery. Second, a significant difference exists between preoperative and postoperative RISKO scores in the total population (F = 8.77 P =.004). Postoperative RISKO scores were lower, indicating an improvement in cardiovascular risk. The risk factors assessed are applicable to both heart disease and peripheral vascular disease.
authors.affiliation: Indiana University-Purdue University, Ft Wayne 46805, USA.
authors.forename: B
authors.initials: B
authors.lastname: Salmon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001294:Attitude to Health; D001026:Coronary Artery Bypass / Q000523:psychology*; D003327:Coronary Disease / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology* / Q000601:surgery; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008297:Male; D008571:Men / Q000523:psychology*; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*