Western Journal of Nursing Research
2015, Vol. 37(1) 85–102
© The Author(s) 2014
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DOI: 10.1177/0193945914551390
wjn.sagepub.com
MNRS Sage Best Paper Award Article
Reducing Cardiovascular
Risk in Spouses of
Cardiac Patients: A
Randomized Controlled
Trial
Bernice C. Yates
1
, Sheri Rowland
1
,
Kerry Mancuso
2
, Kevin A. Kupzyk
1
,
Joseph F. Norman
1
, Scott Shurmur
3
,
and Karen Tesina
4
Abstract
Few studies have examined risk-reducing interventions in spouses of coronary
artery bypass patients. This study examined the effects of the Partners
Together in Health (PaTH) intervention versus usual care on cardiovascular
risk factors. Spouses in the experimental group (n = 17/group) attended
cardiac rehabilitation with patients and made the same physical activity and
healthy eating changes as patients. Spouses in the usual care group attended
educational classes with patients. Spouses’ 30-year cardiovascular risk was
calculated using the Lifetime Risk Scale before and after cardiac rehabilitation
(3 months), and at 6 months. Spouses in both groups significantly reduced
30-year risk scores at 3 and 6 months. Exercise was the key ingredient in
lowering risk. There was a trend toward reduction in systolic blood pressure
and an increase in high-density lipoprotein cholesterol in both groups.
1
University of Nebraska Medical Center, Omaha, USA
2
The Nebraska Medical Center, Omaha, USA
3
Texas Tech Health Sciences Center, Lubbock, USA
4
Nebraska Methodist Hospital, Omaha, USA
Corresponding Author:
Bernice C. Yates, College of Nursing, University of Nebraska Medical Center, 985330
Nebraska Medical Center, Omaha, NE 68198-5330, USA.
Email: bcyates@unmc.edu
551390WJN XX X 10.1177/0193945914551390
research-article 2014