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Revista chilena de cardiología

versión On-line ISSN 0718-8560

Resumen

VILCHEZ, Vivían; PARAVIC, Tatiana; SALAZAR, Alide  y  SAEZ, Katia. Effect of an innovative process of nursing counseling on cardiovascular health in a primary health care setting. Rev Chil Cardiol [online]. 2015, vol.34, n.1, pp.36-44. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602015000100004.

Background: prevention of cardiovascular disease remains a challenge for health care systems Aim: to evaluate the effect of an innovative process of personalized nursing counseling including telephone monitoring on cardiovascular risk factors and quality of life indexes. Method: the intervention took place at municipal health care facilities involved in the program for cardiovascular health in Concepción, Chile. After randomization, 56 subjects acted as controls and 53 were submitted to 10 personalized and 5 telephone counseling sessions. Variables measured included CVRS, blood pressure, pressure, BMI, abdominal circumference, total, LDL and HDL cholesterol levees and derived risk indexes. Coronary risk at 10 years was estimated. A parallel qualitative evaluation was performed through a phenomenological-hermeneutic method. Results: abdominal circumference, total and LDL cholesterol and Chol/HDL ratio decreased in both males and females. Weight decreased and CVRS increased in females. Systolic and diastolic blood pressure, LDL/HDL ratio and 8-year risk of CVD decreased in males. Qualitative intervention was effective in developing an attitude of "living with an expectation of change" and in creating personal interactions to strengthen such attitude. Conclusion: this innovative health intervention strategy was effective in the control of three cardiovascular risk factors and in improving CVRS.

Palabras clave : Cardiovascular nursing; risk factors; quality of life; personalized counseling.

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