A1 Journal article (refereed)
Nurse-led counseling for coronary artery disease patients : A 1-year follow-up study (2021)

Nurmeksela, A., Pihlainen, V., Kettunen, T., Laukkanen, J., & Peltokoski, J. (2021). Nurse-led counseling for coronary artery disease patients : A 1-year follow-up study. Nursing and Health Sciences, 23(3), 678-687. https://doi.org/10.1111/nhs.12852

JYU authors or editors

Publication details

All authors or editors: Nurmeksela, Anu; Pihlainen, Vuokko; Kettunen, Tarja; Laukkanen, Jari; Peltokoski, Jaana

Journal or series: Nursing and Health Sciences

ISSN: 1441-0745

eISSN: 1442-2018

Publication year: 2021

Publication date: 14/05/2021

Volume: 23

Issue number: 3

Pages range: 678-687

Publisher: Wiley-Blackwell

Publication country: Australia

Publication language: English

DOI: https://doi.org/10.1111/nhs.12852

Publication open access: Openly available

Publication channel open access: Partially open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/75711

Abstract

Nurse‐led counseling and systematic follow‐up has been shown to reduce cardiovascular risk factor levels. The study aim was to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse‐led intervention and to report patients’ evaluations of nurse‐led counseling. The study design was a real‐life longitudinal follow‐up counseling intervention. Data were collected from November 2017 to May 2020. The nurse‐led intervention and patients’ follow‐up time was one year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low‐density lipoprotein cholesterol and triglycerides at every follow‐up visit compared to their baseline levels, and that waist circumference decreased during the one‐year follow‐up. Patients assessed the quality of nurse‐led counseling to be very good, though it decreased slightly during follow‐up. The results suggest the integrated care path together with specialized and primary care for coronary artery disease patients need further development. More research is needed on how to strengthen patients’ self‐management and what kind of counseling would best promote it.

Keywords: coronary disease; rehabilitation patients; rehabilitation; risk factors; patient counselling; nurses; follow-up study

Free keywords: counseling; coronary artery disease; follow‐up studies; nursing; risk factors

Contributing organizations

Ministry reporting: Yes

Reporting Year: 2021

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