护士领导的工作场所干预在减少泰国工人心血管风险方面的有效性:一项随机对照试验
Arisara Ritngam1, Surintorn Kalampakorn1, Sunee Lagampan1
1Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Rajthevi, Bangkok, Thailand.
Journal of primary care & community health
|October 23, 2024
概括
一个由护士领导的工作场所健康促进计划显著降低了高危工人的心血管疾病风险. 该计划改善了风险分数和血压,证明了其在职业健康环境中的有效性.
科学领域:
- 职业健康 职业健康 职业健康
- 预防心血管疾病 预防心血管疾病
- 促进健康的计划 促进健康的计划
背景情况:
- 心血管疾病 (CVD) 是一个日益增长的全球健康挑战.
- 工作场所健康促进计划为减轻员工心血管风险提供了一个有希望的途径.
研究的目的:
- 评估由护士领导的工作场所健康促进计划 (NWHPP) 在降低高风险员工心血管疾病风险方面的有效性.
- 评估NWHPP对关键心血管风险因素的影响.
主要方法:
- 来自两家泰国工厂的60名处于风险阶段的工人被随机分配到干预和控制组.
- 干预组参加了为期8周的计划,重点是医疗保健重新设计,自我管理和组织支持.
- 心血管风险得分,缩血压 (SBP),吸烟状态和体重指数 (BMI) 在基线和随访时被测量.
主要成果:
- 与对照组相比,干预组的心血管疾病风险得分和SBP显著降低.
- 在项目后的干预组中观察到更高比例的非吸烟者 (75.0%对46.2%).
- 两组之间没有发现BMI的统计学上显著差异.
结论:
- NWHPP有效地改善了高风险工人的心血管风险概况.
- 实施支持性的工作场所政策和环境对于持续降低心血管疾病风险至关重要.
相关概念视频
Angina V: Nursing Management
4
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
4
Atherosclerosis IV: Nursing Management
1
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
1
Hypertension V: Nursing management
1
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
1
Acute Coronary Syndrome IV: Interprofessional Care
3
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
3
Psychoneuroimmunology: Cardiovascular Disease
25
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
25
Heart Failure V: Nursing Interventions
1
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
1


