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Background: People with hypertension experience significant damage to major organs due to insufficient management of cardiovascular risk factors. Aims: To assess the impact of nurse-led educational interventions on the total cardiovascular risk among people with hypertension. Method: the study was an interventional randomised study. The sample (n=92) was randomly assigned to the either the control or intervention group. The HeartScore tool was used to assess patients' total cardiovascular risk between December 2017 and March 2018. Findings: 56.6% of the control group and 55.4% of the intervention group were women, with a mean age of 64.4 years and 66.2 years respectively (P>0.05). Total cholesterol reduced in both groups; however, improvement was greater in the intervention group (P<0.05). Total cardiovascular risk fell in the intervention group from 4.75 to 4.33 (P>0.05), while the control group saw an increase in risk from 10.03 to 12.65 (P=0.035). Conclusion: Nurse-led educational interventions should be incorporated in the usual care of patients with hypertension, in order to achieve the best management of the condition.
Background: People with hypertension experience significant damage to major organs due to insufficient management of cardiovascular risk factors. Aims: To assess the impact of nurse-led educational interventions on the total cardiovascular risk among people with hypertension. Method: the study was an interventional randomised study. The sample (n=92) was randomly assigned to the either the control or intervention group. The HeartScore tool was used to assess patients' total cardiovascular risk between December 2017 and March 2018. Findings: 56.6% of the control group and 55.4% of the intervention group were women, with a mean age of 64.4 years and 66.2 years respectively (P>0.05). Total cholesterol reduced in both groups; however, improvement was greater in the intervention group (P<0.05). Total cardiovascular risk fell in the intervention group from 4.75 to 4.33 (P>0.05), while the control group saw an increase in risk from 10.03 to 12.65 (P=0.035). Conclusion: Nurse-led educational interventions should be incorporated in the usual care of patients with hypertension, in order to achieve the best management of the condition.
Aim. To study the distribution of mean values of absolute risk (AR) of osteoporotic fractures (OPF) and cumulative cardiovascular risk (CVR) depending on age, gender, climatic and geographical conditions, economic characteristics of the regions and assess their associations. Material and methods. A representative sample of the urban population of the Russian Federation from 7 regions was analyzed. We included participants from following cities: Vologda, Ivanovo, Volgograd, Tyumen, Vladivostok, Vladikavkaz, Kemerovo and Krasnoyarsk. In total, 9143 well-being. A significant positive correlation between the risk of OPF and CVR was demonstrated. Conclusion. The risk of fracture, determined using the FRAX ® algorithm, is positively associated with cumulative CVR (SCORE) in both men and women. The contribution of the socioeconomic factors of the region and the level of population well-being to the formation of both bone and cardiovascular risk is shown, while climatic and geographical features played a role only in increasing the CVR. The results suggest that improving of personal medical care will reduce the risk of complications of osteoporosis and atherosclerosis, regardless of the geography and climate of the region.
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