Examination of a Nurse-led Community-based Education and Coaching Intervention for Coronary Heart Disease High-risk Individuals in China
| Autor: | Monica Parry, Guo-Ping He, Yan-Jin Huang, Ying Zeng, Yan Luo, Yang Jing |
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| Rok vydání: | 2017 |
| Předmět: |
Male
China medicine.medical_specialty Population Coronary Disease Physical examination 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial Quality of life Risk Factors law Internal medicine medicine Humans Community Health Services 030212 general & internal medicine education General Nursing Depression (differential diagnoses) Aged lcsh:RT1-120 education.field_of_study Framingham Risk Score lcsh:Nursing medicine.diagnostic_test business.industry General Medicine Middle Aged Community health Physical therapy Female Nurse-Patient Relations business Body mass index |
| Zdroj: | Asian Nursing Research, Vol 11, Iss 3, Pp 187-193 (2017) |
| ISSN: | 1976-1317 |
| Popis: | Purpose: Early detection and management of coronary heart disease (CHD) are embedded into many community health service and primary care practices in western countries. The Framingham CHD risk score has been used to predict CHD and mortality for nearly 20 years, and it has predicted CHD event risk accurately in multiethnic populations. The aim of this study was to access the effect of a 6-month community-based intervention on CHD risk in individuals at high risk. Methods: A randomized controlled trial of individuals with a high 10-year CHD risk were recruited from two communities in China. Individuals in the intervention group (n = 53) received a 3-month group education and a 3-month coaching session. Physical examination and self-report questionnaires were used to collect both pre- and postintervention data on blood pressure, glucose, cholesterol, body mass index, smoking, depression, and health-related quality of life (HRQoL). Results: A total of 102 participants (85.0%) completed the 6-month study. Compared with the usual care group, the intervention group had a 5 mmHg greater reduction in systolic blood pressure (t = 2.01, p = .047), larger declines in glucose (t = −2.49, p = .015), cholesterol (t = −2.44, p = .017), body mass index (t = −2.58, p = .011), and depression (t = −2.05, p = .043), and better reports of HRQoL (t = 3.36, p = .001). No significant group differences in smoking behaviors were reported. Conclusion: A 6-month community-based intervention in a CHD high-risk population improved disease-related risk factors, depression, and HRQoL. Results provide preliminary evidence for primary prevention of cardiovascular disease risk in a community high-risk population. Keywords: coronary heart disease, intervention study, primary prevention |
| Databáze: | OpenAIRE |
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