Fernández-Ruiz V E, Paniagua-Urbano J A, Solé-Agustí M, Ruiz-Sánchez A, Gómez-Marín J, Armero-Barranco D
1 Basildon University Hospital, Basildon, UK.
2 Murcia Healthcare Service, Murcia, Spain.
J Int Med Res. 2018 Jun;46(6):2202-2218. doi: 10.1177/0300060518757604. Epub 2018 Mar 27.
Objective To evaluate the effectiveness of an interdisciplinary programme led by nurses in relation to metabolic syndrome (MS) and cardiovascular risk (CVR). Methods This randomized, controlled, clinical trial included 74 patients diagnosed with MS (experimental group [EG], n = 37; control group [CG], n = 37). The intervention consisted of a 12-month interdisciplinary programme (pre-test, 6 months of intervention, 12 months of intervention, and 1-year follow-up post-intervention) coordinated by nursing. Results We found a progressive and significant reduction for all clinical, biochemical, and anthropometric parameters analysed at different time points. In the EG, remission of MS by 48.1% in the short term was observed (83.8% in the medium term) and maintained at 1 year post-intervention. In the CG, the prevalence of MS increased by 2.7% from the initial evaluation to study completion. A similar trend was observed for CVR. In the EG, 100% of subjects had a moderate-low risk of CVR at 1 year post-intervention, whereas the CG had CVR in all categories. Conclusion An interdisciplinary, nurse-led programme improves participants' metabolic and cardiovascular health, while maintaining long-term effects. Our findings suggest an important role of the professional nurse as a nexus between the patient, different professionals, and the community.
目的 评估由护士主导的跨学科项目对代谢综合征（MS）和心血管风险（CVR）的有效性。方法 这项随机对照临床试验纳入了74例被诊断为MS的患者（实验组[EG]，n = 37；对照组[CG]，n = 37）。干预措施包括由护理协调的为期12个月的跨学科项目（预测试、6个月干预、12个月干预以及干预后1年随访）。结果 我们发现，在不同时间点分析的所有临床、生化和人体测量参数均有逐步且显著的降低。在EG组，短期内MS缓解率为48.1%（中期为83.8%），并在干预后1年保持这一水平。在CG组，从初始评估到研究结束，MS患病率增加了2.7%。CVR也观察到类似趋势。在EG组，干预后1年100%的受试者CVR风险为中低水平，而CG组各类别均存在CVR。结论 由护士主导的跨学科项目可改善参与者的代谢和心血管健康，并维持长期效果。我们的研究结果表明专业护士在患者、不同专业人员和社区之间起到了重要的纽带作用。
