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

Vivian Vílchez Barboza, Tatiana Paravic Klijn, Alide Salazar Molina, Katia Lorena Sáez Carrillo, Vivian Vílchez Barboza, Tatiana Paravic Klijn, Alide Salazar Molina, Katia Lorena Sáez Carrillo

Abstract

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.

Figures

Figure 1. Flowchart of the research
Figure 1. Flowchart of the research
Figure 2. Sessions performed in the Innovative…
Figure 2. Sessions performed in the Innovative Intervention

References

    1. Castellano JM, Narula J, Castillo J, Fuster V. Promoción de la salud cardiovascular global: estrategias, retos y oportunidades. Rev Esp Cardiol. 2014;67(9):724–730.
    1. Navarrete C, Cartes-Velásquez R. Prevalencia de factores de riesgo cardiovascular en comunidades pehuenches, Chile. [2015 ];Rev Med Electrón. 2014 36(1):34–48. Disponible en: .
    1. Garrido J, Chacón J, Sandoval D, Muñoz R, López N, Oyarzún E, et al. Control del Hipertenso, un desafío no resuelto: Avances logrados en Chile mediante el Programa de Salud Cardiovascular. Rev Chil Cardiol. 2013;32(2):85–96.
    1. Lira MT. Impacto de la Hipertensión arterial como factor de riesgo cardiovascular. Rev Med Clin. CONDES. 2015;26(2):156–163.
    1. Blokstra A, van Dis I, Verschuren M. Efficacy of multifactorial lifestyle interventions in patients with established cardiovascular diseases and high risk groups. Eur J Cardiovasc Nurs. 2010;11(1):1–8.
    1. Stolic S, Mitchell M, Wollin J. Nurse-led telephone interventions for people with cardiac disease: A review of the research literature. Eur J Cardiovasc Nurs. 2010;9(4):203–217.
    1. Rigo F, Frontera G, Sempere I, Tur S, Guillaumet J. Prevención secundaria en enfermedad cardiovascular. FMC. 2010;17(5):5–41.
    1. Weber S, Wilbur J, Miskovich L, Gerard P. An Office-Based Health Promotion Intervention for Overweight and Obese Uninsured Adults. J Cardiovasc Nurs. 2012;27(1):68–75.
    1. Jarl J, Toentino J, James K, Clark M, Ryan M. Supporting cardiovascular risk reduction in overweight and obese hypertensive patients through DASH diet and lifestyle education by primary care nurse practitioners. J Am Assoc Nurse Pract. 2014;26(9):498–503.
    1. Best Practice Information Intervenciones dirigidas por enfermeras para disminuir los factores de riesgo cardíaco. Enferm Clin. 2010;20(5):317–319.
    1. Lange I, Campos S, Urrutia M, Bustamante C, Alcayaga C, Tellez A, et al. Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile. Rev Med Chile. 2010;138(6):729–737.
    1. McHorney C, Ware J, Raczek A. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and Clinical Tests of Validity in Measuring Physical and Mental Health. Med Care. 1993;31(3):247–263.
    1. Olivares-Tirado P. Estado de Salud de Beneficiarios del Sistema de Salud de Chile: 2004 -2005. Chile: Departamento de Estudios y Desarrollo, Gobierno de Chile Superintendencia de Isapres; 2006. 40
    1. Bäßler J, Schwarzer R, Jerusalem M. Spanish Adaptation of the General Self-Efficacy Scale. Auto-Eficacia Generalizada. Berlín (AL): Freie Universität Berlin, Departamento de Psicología de la Salud; 1993. [2012]. Disponible en: .
    1. Cid P, Orellana A, Barriga O. Validación de la escala de autoeficacia general en Chile. Rev Med Chile. 2010;138:551–557.
    1. Zimet G, Dahlem N, Zimet S, Farley G. The Multidimensional Scale of Perceived Social Support. J Pers Assess. 1988;52(1):30–41.
    1. Ortiz M, Baeza MJ. Propiedades psicométricas de una escala para medir apoyo social percibido en pacientes chilenos con diabetes tipo 2. Univ Psychol. 2011;10(1):189–196.
    1. Yu Y, Wang L, Liu H, Zhang S, Walker S, Bartell T, et al. Body Mass Index and Waist Circumference Rather Than Body Adiposity Index Are Better Surrogates for Body Adiposity in a Chinese Population. Nutr Clin Pract. 2015;30(2):274–282.
    1. Valero R, García A. Normas, consejos y clasificaciones sobre hipertensión arterial. [2015 ];Enferm Glob. 2009 (15) Disponible en: .
    1. Kunstmann S, Mt Lira, Icaza G, Núñez L, De Grazia R. Estratificación de Riesgo Cardiovascular en la Población Chilena. Rev Med Clin CONDES. 2012;23(6):657–665.
    1. Rodríguez Y, Rubio MA. Bases conceptuales de la consejería en Enfermería. In Crescendo. 2010;1(2):319–323.
    1. Torres-Ricarte M, Crusat-Abello E, Peñuelas-Rodríguez S, Zabaleta-del-Olmo E. El Nurse-Led en la Atención Primaria de la Salud: una oportuna y prometedora innovación organizativa. Enferm Clin. 2015;25(12):87–91.
    1. Vílchez-Barboza V, Paravic T, Salazar A. La Escuela de Pensamiento Humanbecoming: Una Alternativa para la Práctica de la Enfermería. Cienc Enferm. 2013;19(2):23–34.
    1. Vílchez-Barboza V, Paravic T, Salazar A, Sáez K. Efecto de Intervención Innovadora: Consejería de Enfermería en Salud Cardiovascular en Atención Primaria. Rev Chil Cardiol. 2015;(34):36–44.
    1. López-González A, Bennasar-Veny M, Tauler P, Aguilo A, Tomás-Salvá M, Yáñez A. Desigualdades socioeconómicas y diferencias según sexo y edad en los factores de riesgo cardiovascular. Gac Sanit. 2015;29(1):27–36.
    1. Gijón-Conde T, Banegas JR. Enfermedad cardiovascular en pacientes con hipertensión arterial: diferencias por género a partir de 100.000 historias clínicas. Rev Clin Esp. 2012;212(2):55–62.
    1. Norris C, Murray J, Triplett L, Hegadoren K. Gender Roles in Persistent Sex Differences in Health-Related Quality-of-Life Outcomes of Patients With Coronary Artery Disease. Gender Med. 2010;7(4):330–339.
    1. Harris T, Kerry SM, Victor CR, Shah SM, Iliffe S, Ussher M, et al. PACE-UP (Pedometer and consultation evaluation -UP) - a pedometer-based walking intervention with and without practice nurse support in primary care patients aged 45-75 years: study protocol for a randomised controlled trial. Trials. 2013;14(1):418–436.
    1. Cicolini G, Simonetti V, Comparcini D, Celiberti I, Di Nicola M, Capasso LM, et al. Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patients: A randomized controlled trial. Int J Nurs Stud. 2014;51(6):833–843.
    1. Lumertz MA, Polanczyk CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial. Eur J Cardiovasc Nurs. 2014;13(5):436–443.
    1. Sol B, van der Graaf Y, Brouwer B, Hickox S, Visseren F. The Effect of a Self-Management Intervention to Reduce Vascular Risk Factors in Patients with Manifestations of Vascular Diseases. Eur J Cardiovasc Nurs. 2010;9(2):132–139.
    1. Berra K, Fletcher B, Hayman LL, Miller NH. Global Cardiovascular Disease Prevention A Call to Action for Nursing Executive Summary. J Cardiovasc Nurs. 2013;28(6):505–513.

Source: PubMed

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