Key result
Nurse-run clinics benefit secondary prevention of coronary heart disease, but a broader community approach is needed to address structural, economic, and cultural issues in cardiovascular risk management.
Highlights the need to transition from individualized, intensive nurse-led secondary prevention to broader community-based cardiovascular risk management.
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Nurse-led clinics may support secondary prevention in coronary disease; leaves open optimal community strategies addressing structural barriers.
Randomised controlled trials have demonstrated the benefit of nurse-run clinics for secondary prevention of coronary heart disease through impacting upon health perceptions and on cardiovascular risk factors. However, to achieve positive results, intensive intervention is needed and this requires a significant time commitment. At present, nurses tend to be involved in individualised interventions directed at patients who already have coronary heart disease. There is a need now to consider a community approach to prevention of cardiovascular disease. It is also important to try to influence the structural, economic, and cultural issues that are impacting upon cardiovascular risk management.
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Jillian Riley (2003) conducted a review in Coronary heart disease and cardiovascular risk. Nurse-run clinics and community approach was evaluated. Nurse-run clinics benefit secondary prevention of coronary heart disease, but a broader community approach is needed to address structural, economic, and cultural issues in cardiovascular risk management.
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