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신나미 ( Shin Nah-Mee ) - Korea University College of Nursing
윤지완 ( Yoon Ji-Won ) - Shinhan University College of Nursing
최지원 ( Choi Ji-Won ) - University of California School of Nursing
박영희 ( Park Young-Hee ) - Dongguk University College of Medicine Department of Nursing
전송이 ( Jeon Song-I ) - Korea University College of Nursing
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Abstract
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Purpose: The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease.
Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer.
Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention.
Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.
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KeyWords
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Cardiovascular disease, Diet, Physical activity, APN, Metabolic syndrome
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원문 및 링크아웃 정보
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등재저널 정보
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