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针对心血管危险因素的个性化面对面及电话护理咨询干预措施的有效性:一项对照临床试验。

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

作者信息

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

机构信息

PhD, Professor, Escuela de Enfermería, Universidad de Costa Rica, Montes de Oca, San José.

PhD, Full Professor, Facultad de Enfermería, Universidad de Concepción, Concepción, Chile.

出版信息

Rev Lat Am Enfermagem. 2016 Aug 8;24:e2747. doi: 10.1590/1518-8345.0626.2747.

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.

摘要

目的

评估一项创新干预措施的效果及性别差异,该措施包括面对面和电话护理咨询,以控制心血管危险因素(动脉高血压、血脂异常和超重),改善健康相关生活质量,并增强使用市政卫生中心心血管健康项目人群的自我效能感和社会支持。

方法

一项随机对照临床试验,将参与者随机分为干预组(n = 53)和对照组(n = 56)。干预组接受传统咨询加上个性化和电话护理咨询,为期7个月。该研究遵循了《报告试验的统一标准声明》。

结果

与对照组相比,干预组女性的身心健康成分显著增加,体重、腹围、总胆固醇、低密度脂蛋白胆固醇和动脉粥样硬化指数降低。干预组男性因干预而产生的效果包括身体和情感角色增强,收缩压和舒张压、腰围、总胆固醇、低密度脂蛋白胆固醇、动脉粥样硬化指数、心血管危险因素和10年冠心病风险降低。

结论

该干预措施是控制三种心血管危险因素和改善健康相关生活质量的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d82/4990044/a90f7e9c844f/0104-1169-rlae-24-02747-gf1.jpg

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