Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review

Abstract

BACKGROUND: Coronary Heart Diseases (CHD) is one of the leading causes of death worldwide. Proper management for CHD patients is needed to reduce mortality. Nurses have a very important role in making CHD patients can carry out optimal health behaviors. AIM: This review study aims to identify the effect of the nurse-led program on CHD patients. METHODS: This systematic review was based on four electronic databases (Scopus, Science Direct, ProQuest, SAGE Journals) and published between 2011 and 2020. This review used the Joanna Briggs Institute and Prisma guidelines. The study’s eligibility was assessed from the title, abstract, research methodology, and full text. The review results were presented in tabulated data and narrative form. RESULTS: Nine articles showed that the nurse-led program significantly improved health behavior, health-related quality of life, clinical outcome, and illness perception in CHD patients. CONCLUSIONS: It is expected that the improvement of management in CHD patients will improve patients’ quality of life. Hence, it could reduce the number of morbidities and mortality.

Theory‐based nursing interventions in adults with coronary heart disease: A systematic review and meta‐analysis of randomized controlled trials

“…Our meta‐analysis by pooling three RCTs supported this finding. A current systematic review is in line with our findings in which the nurse‐led interventions improved FBG and BMI in patients with CHD (Afik et al, 2022). Mikhael et al (2020) also ascertained the benefits of nurse‐led self‐management education programs in weight control in their systematic review.…”

“…Chiang et al (2018) supported our findings that both theory‐based and other nurse‐led interventions provide a promising impact on several domains of QoL including physical functioning and emotional status of patients with CHD. Afik et al (2022) also confirmed that nurse‐led interventions may increase both physical and mental aspects of QoL in CHD. On the other hand, a meta‐analysis has reported that case management nursing interventions provided improvements in the mental health aspect of QoL in patients with varying chronic conditions (Amo‐Setién et al, 2019).…”

“…Previous systematic reports examining nurse‐led interventions in adults with diabetes mellitus, hypertension, and dyslipidemia suggested a significant change in LDL, HDL, TG, and total CHOL levels (Caro‐Bautista et al, 2020; Mikhael et al, 2020). Additionally, a current systematic review that examined both interventions which are not based on a nursing theory and those are based on a specific nursing theory reported promising results for blood lipid profiles in the CHD population (Afik et al, 2022). Contracting the above‐mentioned reports, our meta‐analysis yielded that theory‐based nursing interventions did not have a significant impact on LDL, HDL, and total CHOL levels.…”

“…Contrary to our findings, Chiang et al (2018) reported in their systematic review that patient‐centered care improved smoking habits and physical activity levels but did not show a significant effect on weight control and dietary changes. Afik et al (2022) have also highlighted that Pender's HPM, and varying nurse‐led interventions may have beneficial effects on smoking and alcohol consumption, regular physical activity, healthy diet, and stress management in their systematic report. Concerning the contradictory findings on healthy lifestyle behaviors, it may be associated with the limited number of RCTs and evidence.…”

“…Afik et al (2022) have also highlighted that Pender's HPM, and varying nurse-led interventions may have beneficial effects on smoking and alcohol consumption, regular physical activity, healthy diet, and stress management in their systematic report. Concerning the contradictory findings on healthy lifestyle behaviors, it may be associated with the limited number of RCTs and evidence.…”