A Randomized Clinical Trial of the Effect of an Angina Self-Management Intervention on Health Outcomes of Patients With Coronary Heart Disease.

PURPOSE: The aim of this study was to test the effect of a psychoeducational intervention to enhance angina pectoris (AP) symptom self-management.

DESIGN

A two-group, single-blind, randomized controlled trial.

METHODS

Following institutional review board approval, a convenience sample of cardiac inpatients was recruited. Within 2 weeks following discharge, the Angina Self-Management (ASM) intervention group (n = 39) received a nurse-delivered, telephone intervention focused on AP symptom monitoring and management. The control group (n = 41) received an attention-control telephone call. Physical function, anxiety, and angina frequency were assessed between 3 and 6 months postintervention.

FINDINGS: Men in the ASM group (n = 24) reported better physical function and lower anxiety than men in the control group (n = 26). Women in the ASM group (n = 15) reported worse physical function and higher anxiety than women (n = 15) in the control group.

CONCLUSIONS

Angina symptom monitoring may be more difficult for women. Rehabilitation nurses should be proactive in addressing issues associated with women's AP symptom management.