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Related Experiment Videos

Using nurses for preventive activities with computer assisted follow up: a randomised controlled trial.

J Robson1, K Boomla, S Fitzpatrick

  • 1Chrisp Street Health Centre, London.

BMJ (Clinical Research Ed.)
|February 18, 1989
PubMed
Summary

A health promotion nurse significantly improved cardiovascular risk factor recording and cervical smear follow-up in general practice. This organized prevention program enhanced patient care and health outcomes.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • General Practice

Background:

  • Cardiovascular disease and cervical cancer are significant public health concerns.
  • Effective screening and management of risk factors are crucial for prevention.
  • General practices require efficient systems for patient follow-up and risk factor management.

Purpose of the Study:

  • To evaluate the impact of an organized prevention program, including a health promotion nurse, on the recording and follow-up of cardiovascular risk factors and cervical smears.
  • To determine if enhanced nursing support improves patient management in a general practice setting with computerized recall systems.

Main Methods:

  • A randomized controlled trial was conducted in an inner London general practice.
  • 3206 men and women aged 30-64 were randomized into intervention and control groups.

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  • The intervention group received care involving a health promotion nurse and general practitioner; the control group received care from the general practitioner alone.

    • Main Results:

    • Blood pressure recording improved from 73% to 93% in the intervention group.
    • Cervical smear uptake increased from 49% to 76% among women in the intervention group.
    • Recording of smoking, family history, and cholesterol levels was also significantly higher in the intervention group.

    Conclusions:

    • An organized prevention program with a dedicated health promotion nurse significantly enhances the recording and follow-up of cardiovascular risk factors.
    • Such programs are effective in improving screening rates for cervical smears.
    • Integrating specialized nursing roles into general practice can substantially improve preventive care delivery.