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

我们制定了一项健康指导计划，旨在改善缺血性心脏病（IHD）患者在维持期（从缺血性心脏病发病的第6个月开始）的体育锻炼或生活方式。根据我们指导病人一年的计划。我们评估了他们的身体活动、生活方式或健康指数（实验室数据）在引入该计划之前和一年后。实验结果如下：1。患者在饮食和运动习惯等生活方式上均有改善。他们的身体活动量比计划实施前明显增加了。根据生活方式的改善，血清总胆固醇明显降低，高密度脂蛋白胆固醇明显升高。体力活动的改善与年龄、自我效能和生活方式有显著相关。这些结果表明，健康指导方案有助于改善IHD患者维持期的身体活动或生活方式。由于这些患者的身体活动与年龄、自我效能和生活方式有关，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.