Primary care nursing of coronary patients and reduction of re-infarction risk: a nested case–control study
| Autor: | M.J. Urbina Goñi, J de Irala-Estévez, E. Madoz-Zubillaga, B. SanJulián-Aranguren, I. Ezpeleta-Iturralde, M. Serrano-Martı́nez |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Health Behavior Population Myocardial Infarction Coronary Disease Lower risk Cohort Studies Nursing care Recurrence Internal medicine Humans Medicine Primary Nursing Myocardial infarction education Primary nursing Aged education.field_of_study Hospitals Public business.industry Public Health Environmental and Occupational Health General Medicine Odds ratio medicine.disease Spain Case-Control Studies Nested case-control study Cohort Physical therapy Patient Compliance Female business Risk Reduction Behavior |
| Zdroj: | Public Health. 119:112-117 |
| ISSN: | 0033-3506 |
| DOI: | 10.1016/j.puhe.2004.03.010 |
| Popis: | Objectives . To estimate the risk reduction for re-infarction achieved in primary health care centres. Study design . This was a case–control study nested in a cohort of coronary patients. Population . Nine hundred and eighty-five coronary patients, aged less than 76 years who had survived for more than 6 months after their first acute myocardial infarction (AMI), were recruited from two public hospitals in Navarre, Spain. Cases (repeated myocardial infarction, n =137) and controls (patients with one AMI who had not had a second infarction, n =137) who had not been treated with invasive procedures were extracted from this cohort and matched by gender, age, hospital and the secondary prevention time frame. Outcomes measured . Re-infarction. Results . In total, 31.4% of cases and 51.8% of controls attended the primary care nurse clinic regularly. This difference accounted for a significant reduction of the risk of re-infarction, even after adjustment for regular visits to the family physician, life styles (smoking, walking habit and dietary changes) and drug treatments (odds ratio: 0.48; 95% confidence interval: 0.26–0.89). A regular schedule of visits to the family physician showed no association with further coronary risk reduction. Conclusions . Regular attendance of coronary patients at a primary care nurse clinic is associated with a lower risk for re-infarction. Psychological rehabilitation could be the main reason for this benefit, since protection persists after adjustments for other known risk factors. |
| Databáze: | OpenAIRE |
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