The Effect of a Self-Management Intervention to Reduce Vascular Risk Factors in Patients with Manifestations of Vascular Diseases

Sol, Berna G.M.; Graaf, Yolanda van der; Brouwer, B.G.; Hickox, Sophie; Visseren, Frank L.J.

doi:10.1016/j.ejcnurse.2009.11.011

Cited by 8 publications

(8 citation statements)

References 44 publications

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“…The results indicated that empowerment training has a significant positive effect on the self-efficacy of IHD patients. This is consistent with the findings of previous studies proposing that empowerment education significantly enhances the self-efficacy of patients with heart diseases, respiration problems, diabetes, and cancer (9,14,20,(22)(23)(24). Meanwhile, in contrast to the present survey, another study observed that training for self-management of chronic diseases did not significantly influence patients undergoing coronary artery bypass graft surgery (25).…”

Section: Discussionsupporting

confidence: 92%

“…In his social cognitive approach, Bandura (1987) defines 'self' as a set of cognitive processes and behavioral structures that pass judgment on one's skills and abilities in relation to performing various tasks (12,13). Self-efficacy is an invaluable tool for nurses in healthcare centers, and evaluating patients' self-efficacy and its promotion can increase patients' motivation to care for themselves (14). Some studies have assessed self-efficacy as an effective factor in improving selfcare and moderating risk factors for coronary artery disease.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Empowerment on Self-Efficacy of Patients with Ischemic Heart Disease (A Clinical Trial Study)

2019

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Background: Improving the self-efficacy of cardiac patients is one of the pressing necessities that must be considered in the healthcare system. Meeting this urgent need requires comprehensive educational programs. Objectives: Therefore, the present study aimed at exploring the impact of empowerment on the self-efficacy of patients with ischemic heart disease who had been hospitalized in Imam Khomeini Hospital affiliated to Lorestan University of Medical Sciences. Methods: This clinical trial was carried out in 2018 on patients with ischemic heart disease who had referred to Imam Khomeini Hospital in Pole Dokhtar, Lorestan province, Iran. A total of 56 patients were randomly chosen and assigned to the control and experimental groups. The standard chronic disease self-efficacy scale (CDSES) was used for data collection. The empowerment program was presented in three 45-minute sessions, and the data were analyzed by SPSS version 23 using covariance, independent t test, and descriptive statistical tests. Results: The results of the independent t test revealed no significant difference in the mean scores of self-efficacy between the two groups before the intervention. However, after the intervention and at the first and second phases of control, the mean score of selfefficacy was higher in the experimental group than in the control group. Moreover, the results of covariance analysis established that while self-efficacy promoted in the experimental group, it did not change in the control group. Conclusions: Empowerment training can promote self-efficacy in patients with ischemic heart disease, which, in turn, can facilitate their treatment process and ultimately enhance the health system efficacy.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Effect of Empowerment on Self-Efficacy of Patients with Ischemic Heart Disease (A Clinical Trial Study)

2019

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“…The results obtained in this study showed that implementing personalized and telephone nursing counseling for cardiovascular health can be the basis for preventive interventions for cardiovascular disease and the promotion of health. Despite the positive effects produced by this nursing intervention, we recommend allowing more than seven months to develop this modality of intervention and to establish this type of differentiated nursing care by gender as a continuous process over time because one year is a short time in which to achieve long-term changes and evaluate the results( 31 ). However, significant changes were achieved in both men and women with the continued development of this intervention that augur greater effects.…”

Section: Discussionmentioning

confidence: 99%

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

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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.

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“…The delivery method of interventions included telephonic [22, 24, 25, 39], multimedia/computer [31, 36, 42, 44], group based [10], and in-person (one-on-one) [31, 35–38, 40, 45, 51]. …”

Section: Resultsmentioning

confidence: 99%

“…Five studies were guided by nursing theories: (1) Rogers' science of unitary human being [42], (2) Orem's self-care deficit theory [19, 22], and (3) Riegel's self-care of heart failure conceptual model [32, 39]. However, the most commonly used conceptual framework used was Bandura's cognitive social theory and theory of self-efficacy [10, 25, 26, 44, 45]. Other behavioral theories used were the health belief model [41], transtheoretical model of stages of change [37], health promotion model [51], and theory of self-regulation [27].…”

Section: Resultsmentioning

confidence: 99%

Cardiovascular Disease Self-Care Interventions

Dickson

Nocella

Yoon

et al. 2013

Nursing Research and Practice

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Background. Cardiovascular disease (CVD) is a major cause of increased morbidity and mortality globally. Clinical practice guidelines recommend that individuals with CVD are routinely instructed to engage in self-care including diet restrictions, medication adherence, and symptom monitoring. Objectives. To describe the nature of nurse-led CVD self-care interventions, identify limitations in current nurse-led CVD self-care interventions, and make recommendations for addressing them in future research. Design. Integrative review of nurse-led CVD self-care intervention studies from PubMed, MEDLINE, ISI Web of Science, and CINAHL. Primary studies (n = 34) that met the inclusion criteria of nurse-led RCT or quasiexperimental CVD self-care intervention studies (years 2000 to 2012) were retained and appraised. Quality of the review was assured by having at least two reviewers screen and extract all data. Results. A variety of self-care intervention strategies were studied among the male (57%) and Caucasian (67%) dominated samples. Combined interventions were common, and quality of life was the most frequent outcome evaluated. Effectiveness of interventions was inconclusive, and in general results were not sustained over time. Conclusions. Research is needed to develop and test tailored and inclusive CVD self-care interventions. Attention to rigorous study designs and methods including consistent outcomes and measurement is essential.

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The Effect of a Self-Management Intervention to Reduce Vascular Risk Factors in Patients with Manifestations of Vascular Diseases

Abstract: This self-management intervention used in a hospital population may be applicable in different care settings.

Cited by 8 publications

References 44 publications

Effect of Empowerment on Self-Efficacy of Patients with Ischemic Heart Disease (A Clinical Trial Study)

Effect of Empowerment on Self-Efficacy of Patients with Ischemic Heart Disease (A Clinical Trial Study)

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

Cardiovascular Disease Self-Care Interventions

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