Effects of secondary prevention clinics on health status in patients with coronary heart disease: 4 year follow-up of a randomized trial in primary care

Murchie, Peter; Campbell, Neil; Deans, Heather; Thain, J

doi:10.1093/fampra/cmh514

Cited by 26 publications

(18 citation statements)

References 20 publications

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“…The overall scores of the questionnaires were analyzed. For two studies [40, 64] the overall scores in the experimental groups were higher rather than the control groups, but this result was only significant for the study of Murchie et al [40] (Table 3). Educational interventions were based on face-to-face visits [40, 63] or telephone health mentoring [64] led by RNs [40, 64] or APNs [63].…”

Section: Resultsmentioning

confidence: 94%

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Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis

et al. 2017

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The expansion of primary care and community-based service delivery systems is intended to meet emerging needs, reduce the costs of hospital-based ambulatory care and prevent avoidable hospital use by the provision of more appropriate care. Great emphasis has been placed on the role of self-management in the complex process of care of patient with long-term conditions. Several studies have determined that nurses, among the health professionals, are more recommended to promote health and deliver preventive programs within the primary care context. The aim of this systematic review and meta-analysis is to assess the efficacy of the nurse-led self-management support versus usual care evaluating patient outcomes in chronic care community programs. Systematic review was carried out in MEDLINE, CINAHL, Scopus and Web of Science including RCTs of nurse-led self-management support interventions performed to improve observer reported outcomes (OROs) and patients reported outcomes (PROs), with any method of communication exchange or education in a community setting on patients >18 years of age with a diagnosis of chronic diseases or multi-morbidity. Of the 7,279 papers initially retrieved, 29 met the inclusion criteria. Meta-analyses on systolic (SBP) and diastolic (DBP) blood pressure reduction (10 studies—3,881 patients) and HbA1c reduction (7 studies—2,669 patients) were carried-out. The pooled MD were: SBP -3.04 (95% CI -5.01—-1.06), DBP -1.42 (95% CI -1.42—-0.49) and HbA1c -0.15 (95% CI -0.32–0.01) in favor of the experimental groups. Meta-analyses of subgroups showed, among others, a statistically significant effect if the interventions were delivered to patients with diabetes (SBP) or CVD (DBP), if the nurses were specifically trained, if the studies had a sample size higher than 200 patients and if the allocation concealment was not clearly defined. Effects on other OROs and PROs as well as quality of life remain inconclusive.

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Section: Resultsmentioning

confidence: 94%

“…Three studies [40, 63, 64] included changes in quality of life–evaluated with SF-36 [40, 64] or other questionnaires related to the specific disease aim of the study [63, 64]–as a primary outcome, but there was insufficient evidence of a significant effect. The overall scores of the questionnaires were analyzed.…”

Section: Resultsmentioning

confidence: 99%

Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis

et al. 2017

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“…Undoubtedly, the physical limitations and reductions in quality of life (QoL) associated with CHD offer a clear and simple causal pathway to depression which is supported by many research observations [10][11][12][13][14][15]. Following a cardiac event, in particular, acute myocardial infarction (AMI), symptoms of depression increase significantly [16,17].…”

Section: Depression As a Consequence Of Chdmentioning

confidence: 97%

Depression in Coronary Heart Disease Patients: Etiological and Screening Issues

Martin¹,

Thompson

2006

CPSR

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Coronary heart disease (CHD) is associated with significant psychiatric comorbidity, in particular, depression. Recent evidence suggests that depression following a coronary event or diagnosis is a significant risk factor for both mortality and morbidity. Further, there is compelling evidence that depression is a significant predictor in the development of CHD. Surprisingly, given the relationship of depression to patient outcome, screening for depressive disorder in this patient group is generally not routine and clinically significant psychiatric disorder often remains undetected. This mini review summarises the contemporary evidence of the mechanisms underpinning the CHD-depression relationship and explores the main issues that need to be considered by clinicians in providing effective screening for this clinical group. Examples of best screening practice will be highlighted and the efficacy of interventions targeting depression in this group discussed.

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“…informal caregivers of relatives with dementia (12) or adolescent cancer survivors (13), have been educated to reduce behaviors that increase the risk of ill-health. Preventive and health promotion studies focusing on illnesses such as coronary heart disease (14) and diabetes (15) aim at avoiding a deterioration in the condition, while other studies demonstrate how men with depression use different coping strategies in order to reassess their lives (16).…”

Section: Introductionmentioning

confidence: 99%

To Be Content with One's Present Situation: Young Women's Perceptions of Everyday Life

Elgán¹,

Fridlund²

2009

Nordic Journal of Nursing Research

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The aim of this study was to describe young women's perceptions of lifestyle and how it was experienced in their daily lives. Traditionally, the outlook on illness and health is pathogenic, i.e. preventing illness and disease in order to achieve health, by focusing lifestyle behaviors such as physical activity and smoking. Lifestyle based on a salutary perspective cannot be measured or observed from the outside but must be described by the individual since lifestyle is an aspect of one's life situation. Little is known about how lifestyle is perceived and what it means in ordinary people's lives. Data were collected through interviews with 25 women selected by strategic sampling and analyzed using a phenomenographic approach. Three structural aspects emerged: enjoying life, living life, and balancing everyday life. Women described how they used lifestyle as a tool for achieving a sense of satisfaction, relaxation and happiness in everyday life. Lifestyle was also perceived as a never-ending balancing act between different personal needs and the expectations of others and society. It involved how the women used their time or lack of time as effectively as possible in order to organize their day. Lifestyle seems to be a tool in which intrinsic behaviors may be central to enhance quality of life and health. Intrinsic behaviors should be encouraged in salutary health promotion work.

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Effects of secondary prevention clinics on health status in patients with coronary heart disease: 4 year follow-up of a randomized trial in primary care

Cited by 26 publications

References 20 publications

Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis

Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis

Depression in Coronary Heart Disease Patients: Etiological and Screening Issues

To Be Content with One's Present Situation: Young Women's Perceptions of Everyday Life

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