Jennings Catriona, Astin Felicity
1 National Heart and Lung Institute, Imperial College London, London, UK.
2 Centre for Applied Research in Health, School of Human and Health Sciences, University of Huddersfield and Calderdale & Huddersfield NHS Foundation Trust, Huddersfield, UK.
Eur J Prev Cardiol. 2017 Jun;24(3_suppl):77-87. doi: 10.1177/2047487317709118.
Cardiovascular disease accounts for 17,500 deaths globally, representing nearly half of all non-communicable disease deaths. The World Health Organization has set nine lifestyle, risk factor and medicines targets to achieve by 2025 with the aim of reducing premature mortality from non-communicable diseases by 25%. In order to succeed in this, we need to equip our global health professional workforce with the skills to support patients and their families with making lifestyle changes and being in concordance with cardioprotective medication regimes at every opportunity. Success depends on collegiate working through effective interdisciplinary team-based care characterised by shared goals, clear roles, mutual trust, effective communication and measurable processes and outcomes, with the patient and family at the centre of care. Nurses are the largest sector of the health professional workforce and their role in prevention should be optimised. Nurse coordinated care is proven to be effective, especially where they work in an interdisciplinary way with other health professionals such as doctors, pharmacists and psychologists, who provide equally important expertise for supporting holistic care. Successful care models are those that comprehensively target all adverse lifestyles and risk factors that are responsible for the development of cardiovascular disease. These characteristics should be reflected in the standards and core components of prevention and rehabilitation programmes.
心血管疾病在全球导致17500人死亡，占所有非传染性疾病死亡人数的近一半。世界卫生组织设定了到2025年要实现的九项生活方式、风险因素和药物目标，旨在将非传染性疾病导致的过早死亡率降低25%。为了实现这一目标，我们需要让全球卫生专业人员具备相关技能，以便随时支持患者及其家人改变生活方式，并遵循心脏保护药物治疗方案。成功取决于通过有效的跨学科团队护理进行协作，这种护理的特点是目标共享、角色明确、相互信任、沟通有效以及过程和结果可衡量，患者和家庭是护理的核心。护士是卫生专业人员队伍中最大的群体，应优化他们在预防方面的作用。事实证明，护士协调护理是有效的，尤其是当他们与医生、药剂师和心理学家等其他卫生专业人员以跨学科方式合作时，这些人员为支持整体护理提供同样重要的专业知识。成功的护理模式是那些全面针对导致心血管疾病发生的所有不良生活方式和风险因素的模式。这些特点应体现在预防和康复计划的标准及核心组成部分中。
