Nurse-Led Secondary Prevention in Coronary Heart Disease

An Evidence-Based Practice

Description

The Nurse-Led Secondary Prevention in Coronary Heart Disease program helps improve secondary prevention among patients with coronary heart disease. Patients with a working diagnosis of coronary heart disease are qualified for the program. Through the program nurse-run clinics in general practices promote medical and lifestyle aspects of secondary prevention and offer regular follow-up. Participants visit the clinics every two to six months where they receive one-on-one counseling, receive personalized feedback, set goals, and an develop an action plan. Visits cover topics including symptom control, blood pressure and lipid management, drug treatment, and behavioral risk factors including exercise, diet, and smoking. Participants are offered dietary advice through "One Step at a Time" leaflets, and encouraged to participate in "Stepping Out" walking programs to promote physical activity.

Goal / Mission

The goal of this nurse-led program is to improve secondary prevention among patients with coronary heart disease.

Results / Accomplishments

The nurse-led prevention program participants were compared to a control group using a randomized controlled trial. After one year, the intervention group had significantly greater improvements than the control group in aspirin management (11.7% increase vs. 3.2%), blood pressure management (9.8% increase vs. 0.2%), lipid management (29.2% increase vs. 7.8%), physical activity (4.4% increase vs. 1.1% decrease), and low fat diet (7.5% increase vs. 0%). The intervention group also scored significantly better in five out of eight domains on the Short Form-34 health survey questionnaire.

About this Promising Practice

Organization(s)
Foresterhill Health Center Department of General Practice and Primary Care
Primary Contact
University of Aberdeen
King's College,
Aberdeen,
AB24 3FX
+44 (0)1224 272000
http://www.abdn.ac.uk/capc/
Topics
Health / Heart Disease & Stroke
Health / Health Care Access & Quality
Health / Physical Activity
Organization(s)
Foresterhill Health Center Department of General Practice and Primary Care
Source
Heart
Date of publication
1998
Date of implementation
1994
Location
Scotland
For more details
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC172882...
Target Audience
Adults

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  3. Community-Based Multiple Risk Factor Intervention for Cardiovascular Risk
  4. Heart Disease and Stroke Prevention: Self-Measured Blood Pressure Monitoring Interventions for Improved Blood Pressure Control When Combined with Additional Support
  5. Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP)
  6. Complete Health Improvement Program (CHIP) (formerly the Coronary Health Improvement Project)

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Related Content for: Nurse-Led Secondary Prevention in Coronary Heart Disease

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.