The efficacy of an integrated care training program for primary care nurses for the secondary prevention of cardiovascular risk.

Autor: Lizcano Álvarez Á; Universidad Rey Juan Carlos, Madrid, España. Electronic address: angel.lizcano@urjc.es., Villar Espejo T; Servicio Madrileño de Salud (SERMAS), Madrid, España., López Köllmer L; Servicio Madrileño de Salud (SERMAS), Madrid, España., Gómez Menor C; Servicio Madrileño de Salud (SERMAS), Madrid, España., Ledesma Rodríguez R; Departamento Médico, Merck Sharp and Dohme de España (MSD), Madrid, España., Fernández Zarataín G; Departamento Médico, Merck Sharp and Dohme de España (MSD), Madrid, España.
Jazyk: English; Spanish; Castilian
Zdroj: Enfermeria clinica (English Edition) [Enferm Clin (Engl Ed)] 2020 Dec 05. Date of Electronic Publication: 2020 Dec 05.
DOI: 10.1016/j.enfcli.2020.10.031
Abstrakt: Objective: To assess the effect of the "Program of Training in Integral Care for Secondary Cardiovascular Prevention in Primary Care Nursing" on the level of knowledge, the degree of application of comprehensive cardiovascular care, and on the continuity of care between the cardiac rehabilitation and primary care units, in relation to post-infarction patients.
Methods: Quasi-experimental before-after study without control group. Comprised an ad-hoc survey prior to training via the Internet and a post-training survey; both the pre- and post-course surveys were anonymous. The program consisted of secondary cardiovascular prevention training, chronicity in the cardiovascular patient and adherence to the therapeutic plan, and follow-up protocol.
Results: Over one third of the respondents did not know the control objectives of the different cardiovascular risk factors, more marked regarding lipid control. The program significantly improved the knowledge of the objectives of blood pressure, total cholesterol and LDL cholesterol, and the self-perception of better monitoring of lipid parameters and waist circumference. In centers with a cardiac rehabilitation unit, 73% of respondents indicated that there was "no" communication with the unit before the course, reducing to 55% in the post-course survey.
Conclusion: There are clear training needs of nurses for their involvement in these secondary prevention programs. A specific continuous training in secondary cardiovascular prevention for nurses in the field of primary care, improves and facilitates the acquisition of knowledge at this level, can improve the approach of patients with cardiovascular events during the first months of said event and communication with the reference cardiac rehabilitation units.
(Copyright © 2020 Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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