Development of an exercise-based health-instruction program and evaluation of its usefulness with ischemic heart disease

我们开发了一个健康指导计划，旨在改善缺血性心脏病（IHD）患者在维持期（从缺血性心脏病发作后第6个月开始）的体育锻炼或生活方式。根据该方案，我们指导患者一年。本研究在实施前及实施后一年，分别评估其身体活动、生活型态或健康指标（实验室资料）。患者在饮食和运动习惯等生活方式方面有所改善.与实施前相比，学生的身体活动量显著增加.随着生活方式的改善，血清总胆固醇显著降低，高密度脂蛋白胆固醇显著升高.运动量的改善与年龄、自我效能感、生活方式有关，提示健康指导对改善维持期IHD患者的运动量或生活方式有一定的作用。由于此类患者的体力活动与年龄、自我效能及生活方式有关，因此在制定健康指导计划时有必要考虑这些因素。

We developed a health-instruction program aiming improvement of physical exercise or life-style in patients with ischemic heart disease (IHD) at maintenance phase ((from the sixth month of the onset of the once of an ischemic heart didease on ). According to the program we directed the patients for one year. We evaluated their physical activity, life-style or health indices (laboratory data) before and one year after the introduction of the program.Results are as follows:1. The patients showed improvements in life-style such as eating and exercise habits.2. Their physical activity incresed significantly compared with that before the program.3. According to the improvements of their life-style, serum total cholesterol decreased and HDL-cholesterol increased significantly.4. The improvement of the physical activity was significantly related to age, self-efficacy, and life-style.These results indicate that the health-instruction program is useful to improve the physical activity or life-style in the patients with IHD at maintenamce phase. As the physical activity in such patients is related to age, self-sfficacy, and life-style, it is necessary to consider these factors in developing a health-instruction program.