El Nurse-led en la Atención Primaria de Salud: una oportuna y prometedora innovación organizativa

Torres-Ricarte, Marc; Crusat-Abelló, Ernest; Peñuelas-Rodríguez, Silvia; Zabaleta‐del‐Olmo, Edurne

doi:10.1016/j.enfcli.2014.12.010

Cited by 7 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reviewed studies agree that cardiovascular diseases are strongly related to physical inactivity, overweight/obesity, smoking, high cholesterol levels, hypertension, and diabetes( 5 ), making it clear that the risk factors are characteristics or behaviors of individuals who increase the likelihood of cardiovascular disease( 3 ). The results underscore the hypothesis that interventions, programs, and health services managed and performed by nurses are effective in primary health care because they offer an appropriate response to the needs of the population; thus, it is necessary to perform more research aimed at impacting the health-disease process in the individual user and the influence on their quality of life( 22 ). Furthermore, the principles of the theory of Human Becoming were contemplated for the development of this intervention ( 23 ).…”

Section: Interventionmentioning

confidence: 88%

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

Barboza

Klijn

Molina

et al. 2016

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

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.

show abstract

Section: Interventionmentioning

confidence: 88%

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

Barboza

Klijn

Molina

et al. 2016

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

“…For the nursing professional of the primary health level, it is important to identify these study variables because it will favor establishing better educational strategies and preventive-promotional activities. This work was carried out in a coordinated manner and was based on the identification of factors linked to physical and mental health that could lead to the reduction of noncommunicable diseases, with the university students themselves assuming different lifestyles and adequate ways of coping with the mental health demands [5]. Achieving the well-being of university students requires care, especially considering that they have greater access to information; their lifestyles must contribute to the construction of ways of taking care of their integral balance, which stimulate health responsibility and culture, generating health-promoting behaviors among students, families, and the university community [6].…”

Section: Introductionmentioning

confidence: 99%

Lifestyles, Depression, Anxiety, and Stress as Risk Factors in Nursing Apprentices: A Logistic Regression Analysis of 1193 Students in Lima, Peru

Diaz-Godiño

Fernández-Henriquez

Peña-Pastor

et al. 2019

Journal of Environmental and Public Health

View full text Add to dashboard Cite

Currently, it is considered that mental disorders are related to different types of chronic pathologies; for this reason, efforts to improve general health should also focus on preserving mental health. Therefore, the objective of this study was to determine through logistic regression if the independent variables (risk factors) such as (X1) age, (X2) sex, (X3) marital status, (X4) number of children, and (X5) occupation have influence on the dependent variables such as lifestyles, depression, anxiety, and stress in Peruvian nursing students. The research study was descriptive, transversal, and prospective; 1193 nursing students from Chorrillos, Ica, and Chincha were evaluated, which constituted the total population for the 2018 semester. The Health Promoting Life Profile-II (HPLP-II) and the Depression and Anxiety Stress Scale-21 (DASS-21) were used as instruments. 53.9% of nursing students had unhealthy lifestyles; however, they presented moderate (19.7%), slight (14.2%), severe (2.5%), and extremely severe (2.4%) anxiety. With respect to depression, it was found that 61.2% and 59.9% of affected students were stressed. A significant association was found only between depression and age (p=0.040) and OR = 2.0 (95% CI 1.3–3.1), anxiety and marital status (p=0.043) and OR = 1.7 (95% CI 1.0–2.6), and lifestyles and sex of the students (p=0.003) and OR = 1.1 (95% CI 1.1–2.3). Finally, it is concluded that Peruvian nursing students showed levels of anxiety ranging from moderate to extremely severe, while most of them had “normal” states of depression and stress and also showed unhealthy lifestyles.

show abstract

“…Promoting the enhancement of protective factors (disease surveillance and support through social health programs) and the adoption of healthy behaviors are important strategies to reduce the burden of noncommunicable diseases [6]. It encourages various countries to improve their primary health care (PHC) to increase its effectiveness and reduce health inequities [7]. However, despite significant improvements, there is still a large gap between patients' needs and the quality and effectiveness of health care [8].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, all current activities aim to introduce models that focus on the patient with chronic diseases [6,9], with particular attention to the home environment [10]. Adequate home care organized within the health care system can meet the needs of today's patients and their caregivers [7,11,12] and contribute to a decrease in the number of people suffering from chronic diseases [11,13,14]. Home care has been shown to have high clinical effectiveness [15], reduce the risk of hospitalization, increase satisfaction, and reduce costs compared with hospital care [10,16], and reduce the burden on caregivers and improve their quality of life [17].…”

Section: Introductionmentioning

confidence: 99%

Variables Determining Higher Home Care Effectiveness in Patients with Chronic Cardiovascular Disease

Szlenk-Czyczerska

Guzek²,

Bielska

et al. 2022

IJERPH

View full text Add to dashboard Cite

The aim of this cross-sectional study was to analyze the variables that influence the effectiveness of home care in patients with chronic cardiovascular disease and their informal caregivers. The study was conducted in 193 patients and their 161 informal caregivers. The study used the WHOQOL-BREF Quality of Life Questionnaire, the health behavior inventory questionnaire (HBI), the Camberwell assessment of need short appraisal schedule (CANSAS) and the hospital anxiety and depression scale–modified (HADS–M) version. Spearman’s rank correlation coefficient test and logistic regression were used for analyses. Analysis of patients revealed an association between home care effectiveness and the following variables (OR per unit): age (OR = 0.98, 95% CI: 0.95–0.99), educational level (OR = 1.45, 95% CI: 1.05–2.02), financial status (OR = 0.43, 95% CI: 0.21–0.83), medication irregularity (OR = 0.25, 95% CI: 0.07–0.72), presence of comorbidities (OR = 6.18, 95% CI: 1.83–23.78), health care services provided by a nurse (OR = 1.25, 95% CI: 1.03–1.64), and number of visits to a cardiology clinic (OR = 1.25, 95% CI: 1.02–1.59). There was no association between care effectiveness and sex (p = 0.28), place of residence (p = 0.757), duration of cardiovascular disease (p = 0.718), number of home visits (p = 0.154), nursing interventions (p = 0.16), and adherence to lifestyle change recommendations (p = 0.539) or proper dietary habits (p = 0.355). A greater chance of improved health care effectiveness was found in patients whose caregivers reported higher social (OR = 1.24, 95% CI: 1.09–1.44), psychological (OR = 1.68, 95% CI: 1.25–2.37), and physical (OR = 1.24, 95% CI: 1.05–1.49) quality of life. Patients with cardiovascular disease who were characterized by lower educational attainment, poorer financial status, fewer visits to cardiology clinics, lower utilization of medical services, poorer self-perception of mental and physical well-being, recent onset of disease symptoms, and irregular use of medications, were much more likely to have poorer health care effectiveness. Patients with cardiovascular disease and their caregivers can be well supported at home as long as the care model is tailored to the specific needs. This includes family care coordination in the health care team, home care, and general practice support.

show abstract

El Nurse-led en la Atención Primaria de Salud: una oportuna y prometedora innovación organizativa

Cited by 7 publications

References 15 publications

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

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

Lifestyles, Depression, Anxiety, and Stress as Risk Factors in Nursing Apprentices: A Logistic Regression Analysis of 1193 Students in Lima, Peru

Variables Determining Higher Home Care Effectiveness in Patients with Chronic Cardiovascular Disease

Contact Info

Product

Resources

About