TITLE

Manejo cardiovascular por parte de Enfermeria

AUTHOR(S)
Tiessen, AH; Smit, AJ; Broer, J; Groenier, KH; van der Meer, K.
PUB. DATE
June 2013
SOURCE
Agora de Enfermeria;jun2013, Vol. 17 Issue 2, p82
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Treatment goals for cardiovascular risk management are generally not achieved. Specialized practice nurses are increasingly facilitating the work of general practitioners and self-monitoring devices have been developed as counseling aid. The aim of this study was to compare standard treatment supported by self-monitoring with standard treatment without self-monitoring, both conducted by practice nurses, on cardiovascular risk and separate risk factors.Methods: Men aged 50-75 years and women aged 55-75 years without a history of cardiovascular disease or diabetes,but with a SCORE 10-year risk of cardiovascular mortality ≥5% and at least one treatable risk factor(smoking, hypertension, lack of physical activity or overweight), were randomized into two groups. The control group received standard treatment according to guidelines, the intervention group additionally received pro-active counseling and self-monitoring (pedometer, weighing scale and/ or blood pressure device). After one year treatment effect on179 participants was analyzed.Results: SCORE risk assessment decreased 1.6% (95% CI 1.0-2.2) for the control group and 1.8% (1.2-2.4) for the intervention group, difference between groups was .2% (-.6-1.1). Most risk factors tended to improve in both groups. The number of visits was higher and visits took more time in the intervention group (4.9 (SD2.2) vs. 2.6(SD1.5) visits p < .001 and 27 (P25-P75:20-33) vs. 23 (P25-P75:19-30) minutes/visit p = .048).Conclusions: In both groups cardiovascular risk decreased significantly after one year of treatment by practice nurses.No additional effect of basing the pro-active counseling on self-monitoring was found, despite the extra time investment.Trial registration: trial register.nl NTR2188
ACCESSION #
88087927

 

Related Articles

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics