Journal
NURSING & HEALTH SCIENCES
Volume 23, Issue 3, Pages 678-687Publisher
WILEY
DOI: 10.1111/nhs.12852
Keywords
coronary artery disease; counseling; follow-up studies; nursing; risk factors
Categories
Funding
- Central Finland Health Care District
- Central Finland Health Care District project fund
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Nurse-led counseling and systematic follow-up are effective in reducing cardiovascular risk factor levels, with significant improvements in cholesterol levels and waist circumference observed among coronary artery disease patients. Patients evaluated nurse-led counseling positively, but further research is needed to enhance self-management and counseling strategies for this population.
Nurse-led counseling and systematic follow-up have been shown to reduce cardiovascular risk factor levels. The study aims were to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse-led intervention and to report patients' evaluations of nurse-led counseling. The study design was a real-life longitudinal follow-up counseling intervention. Data were collected from November 2017 to May 2020. The nurse-led intervention and patients' follow-up time was 1 year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low-density lipoprotein cholesterol, and triglycerides at every follow-up visit compared to their baseline levels and that waist circumference decreased during the 1-year follow-up. Patients assessed the quality of nurse-led counseling to be very good, though it decreased slightly during follow-up. The results suggest the integrated care path and specialized and primary care for coronary artery disease patients need further development. More research is needed on how to strengthen patients' self-management and what kind of counseling would best promote it.
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