Korean J Adult Nurs.
2016 Apr;28(2):237-245. 10.7475/kjan.2016.28.2.237.
A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors
- Affiliations
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- 1College of Nursing, Korea University, Seoul, Korea. nshin@korea.ac.kr
- 2College of Nursing, Shinhan University, Dongducheon, Korea.
- 3School of Nursing, University of California, San Francisco, USA.
- 4Department of Nursing, College of Medicine, Dongguk University, Gyeongju, Korea.
- KMID: 2358689
- DOI: http://doi.org/10.7475/kjan.2016.28.2.237
Abstract
- 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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