Lifestyles, risk factor management and self-care of individuals with coronary heart disease (The KRANS-study)
Coronary heart disease (CHD) remains the leading cause of death and disability in Europe and is strongly related to lifestyle factors. However, previous European studies show that a large proportion of individuals with CHD do not achieve the recommended lifestyles, risk factor management and therapeutic levels, which can slow or reverse the disease process. It is not known to what extent Icelandic patients achieve standards for secondary prevention. A comprehensive profile of this population, including both clinical data and patient reported outcome measures has not been studied before in Iceland, but is needed to determine where interventions should be targeted.
In this project we aim to describe lifestyle and risk factor management of patients with coronary heart disease (CHD) in Iceland. Patients will be recruited to the study during hospital admission. Data is collected, during hospital admission and six months later on patients' lifestyle, quality of life, disease-related knowledge, self-care, symptoms of anxiety and depression, risk-factors, health literacy and treatment such as medical treatment, rehabilitation and patient education.
The project will add to the available evidence on which the European Guidelines on Cardiovascular Disease Prevention in Clinical Practice are based on. The project holds the promise to generate results that will benefit individual patients, the healthcare system, academia and society through suggestions on how to improve individual patient care with education and support, and reconsider the organization and delivery of cardiac care within the healthcare system. Last, but not least, the results will guide the development of new educational interventions to support risk management in rural areas.
Patient recruitment and data collection started in October 2017 and is ongoing. The study has been approved by The Icelandic Ethics committee for medical research ethics (VSNb2017070007/03.01).
Dr. Margrét Hrönn Svavarsdóttir, RN PhD, Associated professor, School of Health Science, University of Akureyri, Iceland
Dr. Brynja Ingadóttir, RN PhD, Clinical Nurse Specialist, The National University Hospital of Iceland, Assistant professor, Faculty of Nursing, University of Iceland
Dr. Catriona Jennings BA, Faculty of Medicine, NHLI Imperial College London, United Kingdom
Auður Ketilsdóttir, RN, MSc, Clinical Nurse Specialist, The National University Hospital of Iceland
Inga Valborg Ólafsdóttir, RN, MSc., Clinical Nurse Specialist, The National University Hospital of Iceland and Reykjalundur rehabilitation center
Kolbrún Sigurlásdóttir, RN, MSc., Clinical Nurse Specialist, Akureyri Hospital, Akureyri, Iceland
Dr. Gunnar Þór Gunnarsson, MD., Head of Cardiology, Akureyri Hospital, Akureyri, Iceland
Kristín Guðný Sæmundsdóttir, RN BSc, Master student at School of Health Science, University of Akureyri, Iceland