Nurses only and multidisciplinary teams were the most frequent professionals to provide education , and most educational interventions were delivered postdischarge .
Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS .
Culturally appropriate health education , self-management educational interventions , group medical visits and psychoeducational interventions were generally effective for patients with T2DM .
Results indicate that there is a body of current evidence about the efficacy of health education , its content and delivery methods for patients with ACS or T2DM .
OBJECTIVES This umbrella review aim ed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome ( ACS ) or type two diabetes mellitus ( T2DM ) ; identify the educational content , delivery methods , intensity , duration and setting required .
The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM .
Diabetes as a coronary artery disease risk equivalent: before a change of paradigm?
Background Current guidelines consider diabetes per se as a coronary artery disease ( CAD ) risk equivalent . We aim ed at investigating the contribution of baseline coronary atherosclerosis to the risk of diabetic patients for future vascular events . Design Prospect i ve cohort study . Methods Vascular events were recorded over 4 years in 750 consecutive patients undergoing coronary angiography for the evaluation of stable CAD . Results From our patients , 244 had neither type 2 diabetes ( T2DM ) nor significant CAD ( i.e. coronary stenoses ≥ 50 % ) at the baseline angiography , 50 had T2DM but not significant CAD , 342 did not have T2DM but had significant CAD , and 114 had both T2DM and significant CAD . Nondiabetic patients without significant CAD had an event rate of 9.0 % . The event rate was similar in T2DM patients without significant CAD ( 8.0 % , P = 0.951 ) , but higher in nondiabetic patients with significant CAD ( 24.9 % , P < 0.001 ) . Patients with T2DM and significant CAD had the highest event rate ( 43.0 % ) . Importantly , T2DM patients without significant CAD had a significantly lower event rate than nondiabetic patients with significant CAD ( P = 0.008 ) . Conclusion T2DM per se is not a CAD risk equivalent . Moderate-risk diabetic patients without significant CAD and very high-risk diabetic patients with significant CAD add up to a gr and total of high-risk diabetic patients , this is why diabetes seems to be a CAD risk equivalent in many epidemiological studies
Nurses only and multidisciplinary teams were the most frequent professionals to provide education , and most educational interventions were delivered postdischarge .
Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS .
Culturally appropriate health education , self-management educational interventions , group medical visits and psychoeducational interventions were generally effective for patients with T2DM .
Results indicate that there is a body of current evidence about the efficacy of health education , its content and delivery methods for patients with ACS or T2DM .
OBJECTIVES This umbrella review aim ed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome ( ACS ) or type two diabetes mellitus ( T2DM ) ; identify the educational content , delivery methods , intensity , duration and setting required .
The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM .