A Nurse-Led Multidisciplinary Intervention to Improve Cardiovascular Disease Profile of Patients

作者:van den Wijngaart L S; Sieben A; van der Vlugt M; de Leeuw F E; Bredie S J H*
来源:Western Journal of Nursing Research, 2015, 37(6): 705-723.
DOI:10.1177/0193945914533427

摘要

The aim of this study was to evaluate the impact of a structured screening and nurse-based intervention on cardiovascular risk factors. In patients with established cardiovascular disease, a cardiovascular risk profile was assessed, and lifestyle was evaluated by using an automated questionnaire. A multidisciplinary team proposed an integral individualized plan of care on the basis of these assessments. During follow-up, a nurse-led lifestyle intervention program and the best medical treatment were offered. A total of 328 outpatients were included. After screening, a follow-up term of at least 1 year was reached in 176 patients (59.9%). Low-density lipoprotein cholesterol and systolic blood pressure were significantly reduced. A reduction in the amount of smoking, alcohol consumption, and unhealthy eating habits was observed. However, the amount of physical activity was unaffected, and body mass was increased. A structural evaluation of cardiovascular risk factors and an integrated nurse-led approach can successfully reduce risk in cardiovascular patients.

  • 出版日期2015-6