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Contribution of nursing to risk factor management as perceived by patients with established coronary heart disease

Wilma J M Scholte op Reimer1, Chris H Jansen, Esther A M de Swart

  • 1Department of Cardiology/Clinical Epidemiology, Erasmus Medical Center Rotterdam, Dijkzigt Hospital, Room H556, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. scholteopreimer@thch.azr.nl

European Journal of Cardiovascular Nursing
|November 19, 2003
PubMed

Insights

Many patients with coronary heart disease (CHD) do not recall receiving risk factor management information. There

Area of Science:

  • Cardiology
  • Public Health
  • Nursing Research

Background:

  • Guidelines emphasize risk factor management for coronary heart disease (CHD) patients.
  • Adherence to patient education guidelines for CHD risk factors in clinical practice is crucial.

Purpose of the Study:

  • To assess adherence to patient education guidelines for CHD risk factor management.
  • To evaluate the perceived contribution of nursing to CHD risk factor management.

Main Methods:

  • A study involving 357 patients with established CHD across three Dutch hospitals.
  • Data collected via patient interviews at least 6 months post-hospital admission.
  • Focus on patients post-coronary-artery bypass graft, percutaneous transluminal coronary angioplasty, or acute myocardial infarction/ischemia.

Main Results:

  • Reported information provision varied: 75% for smokers, 36% for overweight, 67% for hypertension, 61% for high cholesterol, 49% for sedentary lifestyle.
  • Nurses informed 14-23% of patients on risk factors, while physicians informed 55-71%.
  • A significant number of patients with established CHD and risk factors did not recall receiving management information.

Conclusions:

  • Substantial potential exists to improve healthcare professionals' compliance with CHD risk factor management guidelines.
  • The perceived contribution of nurses to risk factor management is notably smaller than that of physicians.
  • Nursing's role in risk factor management requires reconsideration within improved organizational structures.
Abstract

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