Document Type : Original Article


1 Department of Medical‑Surgical Nursing, Nephrology and Urology Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 Department of Medical‑Surgical Nursing, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Department of Medical‑Surgical Nursing, Atherosclerosis Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran,iran


BACKGROUND: Coronary artery bypass graft (CABG) plays an important role in reducing coronary 
heart disease mortality, but patients are still at risk after surgery. Consequences can be avoided if 
threatening behaviors are soon detected and lifestyles are promoted. Therefore, the present study 
aimed to evaluate, follow‑up, and promote a healthy lifestyle in the patients.
MATERIALS AND METHODS: The present research was a quasi‑experimental pre‑ and 
postintervention single‑group study on 35 patients under the CABG at two hospitals affiliated to the 
Baqiyatallah University of Medical Sciences in Tehran from August 2020 to April 2021. The samples 
were selected using the purposive sampling method and the educational content was determined 
by creating an expert panel. We utilized the Health‑promoting Lifestyle Profile II to collect data, and 
SPSS 22 to analyze them.
RESULTS: There was a significant difference between mean total scores of health‑promoting lifestyle 
before and after the intervention and they reached from 138.7 ± 20 to 157.2 ± 18 (P < 0.0001). There 
was also a statistically significant difference between mean scores of nutrition (P < 0.003), physical 
activity (P < 0.0001), health responsibility (P < 0.0001), and stress management (P < 0.0001) before 
and after the intervention, but there was no statistically significant difference between mean scores 
of interpersonal relationships, and spiritual growth before and after the intervention.
CONCLUSIONS: The program had a positive effect on the health‑promoting lifestyle scores of 
patients after CABG. It is possible to increase scores of healthy lifestyles in the patients by combining 
face‑to‑face and virtual training methods as well as involving family members and relatives of patients 
in training and follow‑up programs.


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