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护士主导的心血管疾病患者管理干预措施:简要文献综述

Nurse-led intervention in the management of patients with cardiovascular diseases: a brief literature review.

作者信息

Qiu Xiaoqin

机构信息

Department of Nursing, Guangxi Hospital Division of the First Affiliated Hospital, Sun Yat-Sen University, Qingxiu, Nanning, Guangxi, 530022, P.R. China.

出版信息

BMC Nurs. 2024 Jan 2;23(1):6. doi: 10.1186/s12912-023-01422-6.

Abstract

Coronary artery disease (CAD) is one among the major causes of mortality in patients all around the globe. It has been reported by the World Health Organization (WHO) that approximately 80% of cardiovascular diseases could be prevented through lifestyle modifications. Management of CAD involves the prevention and control of cardiovascular risk factors, invasive and non-invasive treatments including coronary revascularizations, adherence to proper medications and regular outpatient follow-ups. Nurse-led clinics were intended to mainly provide supportive, educational, preventive measures and psychological support to the patients, which were completely different from therapeutic clinics. Our review focuses on the involvement and implication of nurses in the primary and secondary prevention and management of cardiovascular diseases. Nurses have a vital role in Interventional cardiology. They also have major roles during the management of cardiac complications including congestive heart failure, atrial fibrillation and heart transplantation. Today, the implementation of a nurse-led tele-consultation strategy is also gaining positive views. Therefore, a nurse-led intervention for the management of patients with cardiovascular diseases should be implemented in clinical practice. Based on advances in therapy, more research should be carried out to further investigate the effect of nurse-led clinics during the long-term treatment and management of patients with cardiovascular diseases.

摘要

冠状动脉疾病(CAD)是全球患者死亡的主要原因之一。世界卫生组织(WHO)报告称,约80%的心血管疾病可通过改变生活方式来预防。CAD的管理包括预防和控制心血管危险因素、侵入性和非侵入性治疗(包括冠状动脉血运重建)、坚持正确用药以及定期门诊随访。护士主导的诊所主要旨在为患者提供支持、教育、预防措施和心理支持,这与治疗性诊所完全不同。我们的综述重点关注护士在心血管疾病一级和二级预防及管理中的参与情况和影响。护士在介入心脏病学中起着至关重要的作用。在包括充血性心力衰竭、心房颤动和心脏移植在内的心脏并发症管理过程中,他们也发挥着重要作用。如今,实施护士主导的远程会诊策略也获得了积极评价。因此,临床实践中应实施护士主导的心血管疾病患者管理干预措施。基于治疗进展,应开展更多研究以进一步探究护士主导诊所在心血管疾病患者长期治疗和管理中的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d753/10759353/fc62b1b13cdb/12912_2023_1422_Fig1_HTML.jpg

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