Pearson Tamera Lea
Graduate Programs, College of Nursing, East Tennessee State University, Johnson City, Tennessee 37614, USA.
J Am Acad Nurse Pract. 2010 Apr;22(4):210-6. doi: 10.1111/j.1745-7599.2010.00495.x.
The purposes of this study were to translate current knowledge regarding cardiovascular risk factors, screening, and prevention to a disparate population of women and to ascertain the cardiovascular health status and risk factors in a sample of minority and underserved Appalachian women.
Demographic data were collected from a voluntary sample of women from a disparate population living in Appalachian Tennessee. A coronary risk profile recorded family health history, personal health history, and lifestyle habits affecting risk for cardiovascular disease. Physiologic measurements included body mass index, blood pressure, fasting glucose, cholesterol levels, ankle brachial index, and carotid artery stenosis.
Women in Appalachia Tennessee from a disparate population have high risks for heart disease and stroke. This is a critical time to address any modifiable risk factors and aggressively treat underlying cardiovascular diseases such as hypertension and hypercholesterolemia.
Nurse practitioners (NPs) often provide primary care to women who may not be aware of their cardiovascular risks or actual disease. NPs can ensure that their practice incorporates primary and secondary cardiovascular prevention through screening, individual health education, and aggressive evidence-based treatment plans for women.
本研究的目的是将有关心血管危险因素、筛查和预防的现有知识转化给不同人群的女性，并确定少数族裔和服务不足的阿巴拉契亚女性样本的心血管健康状况和危险因素。
人口统计学数据来自田纳西州阿巴拉契亚地区不同人群中自愿参与的女性样本。冠心病风险概况记录了家族健康史、个人健康史以及影响心血管疾病风险的生活方式习惯。生理测量包括体重指数、血压、空腹血糖、胆固醇水平、踝臂指数和颈动脉狭窄情况。
田纳西州阿巴拉契亚地区不同人群中的女性患心脏病和中风的风险很高。这是解决任何可改变的危险因素并积极治疗潜在心血管疾病（如高血压和高胆固醇血症）的关键时期。
执业护士（NPs）经常为那些可能未意识到自己心血管风险或实际疾病的女性提供初级保健服务。执业护士可以通过筛查、个体健康教育以及为女性制定积极的循证治疗计划，确保其实践纳入心血管疾病的一级和二级预防。
