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关于心血管健康相关行为的研究与临床实践的概念框架。

Conceptual framework for research and clinical practice concerning cardiovascular health-related behaviors.

作者信息

Gallani Maria Cecília Bueno Jayme, Cornélio Marilia Estevam, Agondi Rúbia de Freitas, Rodrigues Roberta Cunha Matheus

机构信息

Faculdade de Enfermagem, Universidade Estadual de Campinas, Brazil.

出版信息

Rev Lat Am Enfermagem. 2013 Jan-Feb;21 Spec No:207-15. doi: 10.1590/s0104-11692013000700026.

Abstract

OBJECTIVE

To present a conceptual framework based on the PRECEDE model conceived to guide research and the clinical practice of nurses in the clinical follow-up of patients with cardiovascular diseases.

METHOD

The conceptual bases as well as the study designs used in the framework are discussed. The contextualization of the proposed structure is presented in the clinical follow-up of hypertensive patients. Examples of the intervention planning steps according to the intervention mapping protocol are provided.

RESULTS

This conceptual framework coherently and rationally guided the diagnostic steps related to excessive salt intake among hypertensive individuals, as well as the development and assessment of specific interventions designed to change this eating behavior.

CONCLUSION

The use of this conceptual framework enables a greater understanding of health-related behaviors implied in the development and progression of cardiovascular risk factors and is useful in proposing nursing interventions with a greater chance of success. This model is a feasible strategy to improve the cardiovascular health of patients cared for by the Brazilian Unified Health System.

摘要

目的

提出一个基于PRECEDE模型的概念框架,旨在指导护士在心血管疾病患者临床随访中的研究及临床实践。

方法

讨论该框架中使用的概念基础以及研究设计。在高血压患者的临床随访中展示所提议结构的情境化。提供根据干预映射协议的干预规划步骤示例。

结果

这一概念框架连贯且合理地指导了与高血压个体过量盐摄入相关的诊断步骤,以及旨在改变这种饮食行为的特定干预措施的制定和评估。

结论

使用这一概念框架能够更深入地理解心血管危险因素发生和发展过程中所涉及的健康相关行为,有助于提出更具成功可能性的护理干预措施。该模型是改善巴西统一卫生系统所护理患者心血管健康的可行策略。

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