Effectiveness of personalized face-to-face and telephone nursing counseling interventions for cardiovascular risk factors: a controlled clinical trial

Abstract

Objective: to evaluate the effect and gender differences of an innovative intervention involving in-person and telephone nursing counseling to control cardiovascular risk factors (arterial hypertension, dyslipidemia, and overweight), improve health-related quality of life and strengthen self-efficacy and social support in persons using the municipal health centers' cardiovascular health program.Method: a randomized controlled clinical trial involving participants randomized into the intervention group who received traditional consultation plus personalized and telephone nursing counseling for 7 months (n = 53) and the control group (n = 56). The study followed the Consolidated Standards of Reporting Trials Statement.Results: women in the intervention group presented a significant increase in the physical and mental health components compared to the control group, with decreases in weight, abdominal circumference, total cholesterol, low-density lipoprotein cholesterol, and the atherogenic index. The effects attributable to the intervention in the men in the intervention group were increased physical and emotional roles and decreased systolic and diastolic pressure, waist circumference, total cholesterol, low-density lipoprotein cholesterol, atherogenic index, cardiovascular risk factor, and 10-year coronary risk.Conclusion: this intervention is an effective strategy for the control of three cardiovascular risk factors and the improvement of health-related quality of life.

Nursing case management for people with hypertension in primary health care: A randomized controlled trial

“…Regarding quality of life, our results indicated no significant differences for quality of life over time were observed in the groups. Corroborating this study's findings, Vílchez Barboza, Klijn, Salazar Molina and Sáez Carrillo () demonstrated that although the participants in the intervention group received personalized telephone counseling for 7 months, there were no significant changes in quality of life when compared to the usual care group. However, Tao, Chow, and Wong () and Chow and Wong () found positive effects on quality of life based on case management led by nurses for people on hemodialysis and with one or more chronic diseases.…”

Intervenção telefônica na prática de autocuidado com os pés em diabéticos: ensaio clínico randomizado

“…A maioria dos estudos que fizeram uso de intervenção telefônica com usuários diabéticos obtiveram resultados satisfatórios, em que os participantes que receberam as intervenções apresentaram melhores resultados na adesão à alimentação saudável (25) , na promoção do autocuidado relacionado à atividade física e ao seguimento de um plano alimentar (16) , na redução dos fatores de risco cardiovascular e a melhoria da qualidade de vida relacionada à saúde (26) . Por meio das ligações, é possível fazer recomendações sobre alimentação, atividade física, uso correto de medicamentos, cuidados com os pés e até mesmo ensinar a identificar sintomas de hiperglicemia e hipoglicemia (27) .…”

Assessment of Cardiovascular Risk Factors in Young Adults through the Nursing Diagnosis: A Cross-Sectional Study among International University Students

“…It is worth highlighting that, in CVD healthcare, the biological peculiarities of each sex should be identified regarding the existing differences in terms of cardiovascular risk factors. Thus, research on this fact should consider the prevalence of these biological peculiarities and how they are presented by different pathophysiological mechanisms among men and women, which affect their perception of health-related quality of life [ 33 ]. According to the results, Brazilian students showed a significant higher prevalence of the nursing diagnosis than the international students.…”