A nurse-led multidisciplinary intervention to improve cardiovascular disease profile of patients.
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.
Department of General Internal Medicine, Radboud University Nijmegen Medical Centre, The Netherlands.
L S
LS
van den Wijngaart
Department of Surgery, Radboud University Nijmegen Medical Centre, The Netherlands.
A
A
Sieben
Department of Cardiology, Radboud University Nijmegen Medical Centre, The Netherlands.
M
M
van der Vlugt
Department of Neurology, Radboud University Nijmegen Medical Centre, The Netherlands.
F E
FE
de Leeuw
Department of General Internal Medicine, Radboud University Nijmegen Medical Centre, The Netherlands bas.bredie@radboudumc.nl.
S J H
SJ
Bredie
D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000401:mortality* / Q000451:nursing* / Q000517:prevention & control; D015444:Exercise / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009738:Nursing Service, Hospital / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000523:psychology; D015397:Program Evaluation / Q000379:methods; D012307:Risk Factors; D040242:Risk Reduction Behavior; D015431:Weight Loss
D015415:Biomarkers
cardiovascular risk; lifestyle; long-term outcome; nurse-led intervention