{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:17:39Z","timestamp":1781651859365,"version":"3.54.5"},"reference-count":59,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2015,2,24]],"date-time":"2015-02-24T00:00:00Z","timestamp":1424736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To evaluate the one\u2010year prognosis of a lifestyle counselling intervention (diet, smoking cessation and exercise) among patients who had open heart surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiovascular disease is the leading cause of morbidity worldwide in both developing and developed countries. Lifestyle modification plays an important role for patients who are at a high risk of developing cardiovascular disease and for those with an established cardiovascular disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomised, nonblind and lifestyle counselling intervention study with a one\u2010year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomised, nonblind intervention study was performed on 500 patients who had open heart surgery. After hospital discharge, 250 patients (intervention group) were randomly allocated lifestyle counselling according to the recent guidelines provided by the European Society of Cardiology (<jats:italic>European Journal Preventive Cardiology<\/jats:italic>,<jats:bold> 19<\/jats:bold>, 2012, 585). The remaining 250 patients (control group) received the regular instructions. Primary end\u2010point was the development of a cardiovascular disease (nonfatal event) during the first year; secondary end\u2010points included fatal events, smoking abstinence, dietary habits and a physical activity evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>According to the primary end\u2010point, the odds of having a nonfatal cardiovascular disease event are 0\u00b756\u2010times (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0\u00b728, 0\u00b796, <jats:italic>p<\/jats:italic>\u00a0=\u00a00\u00b703) lower for the intervention group compared to the control group. One\u2010year after surgery, it was found that participants in the intervention group were 1\u00b796\u2010times (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b731, 2\u00b793, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00\u00b7001) more likely to achieve dietary recommendations, 3\u00b732\u2010times (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2\u00b724, 4\u00b791, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00\u00b7001) more likely to achieve physical activity recommendations and 1\u00b734\u2010times (95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b715, 1\u00b756, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00\u00b7001) more likely to return to work.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lifestyle counselling intervention following open heart surgery can improve health outcomes and reduce the risk of a new cardiac event. Health care services must recommend and organise well\u2010structured cardiac rehabilitation programmes adjusted to the patient's needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>A well\u2010structured cardiac rehabilitation programme adjusted to the patient's profile is a safe and cost\u2010effective way to improve patients' outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12762","type":"journal-article","created":{"date-parts":[[2015,2,24]],"date-time":"2015-02-24T10:34:03Z","timestamp":1424774043000},"page":"1611-1621","source":"Crossref","is-referenced-by-count":18,"title":["Lifestyle intervention and one\u2010year prognosis of patients following open heart surgery: a randomised clinical trial"],"prefix":"10.1111","volume":"24","author":[{"given":"Olga","family":"Kadda","sequence":"first","affiliation":[{"name":"Department of Critical Care School of Medicine University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Kotanidou","sequence":"additional","affiliation":[{"name":"Department of Critical Care School of Medicine University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Manginas","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mediterraneo Hospital Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Stavridis","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Onassis Cardiac Surgery Center Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serafim","family":"Nanas","sequence":"additional","affiliation":[{"name":"Department of Critical Care School of Medicine University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demosthenes B","family":"Panagiotakos","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics School of Health Science and Education Harokopio University Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445504267797"},{"key":"e_1_2_11_3_1","first-page":"19","volume-title":"Guidelines for Exercise Testing and Prescription","author":"American College of Sports Medicine","year":"2014"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980011002515"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181cec7e4"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2014.03.033"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2143\/AC.55.6.2005765"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005082-200611001-00004"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1446.2000.00460.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/140174398427956-1"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2165\/00129784-200606020-00003"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e318213efcf"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/RNJ.00042"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00810-X"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.04.007"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-7-200604040-00007"},{"key":"e_1_2_11_17_1","first-page":"585","article-title":"European Guidelines on cardiovascular disease prevention in clinical practice (version 2012): the Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts)","volume":"19","author":"Fifth Joint Task Force of the European Society of Cardiology; 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