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 editorsNurmeksela, Anu; Pihlainen, Vuokko; Kettunen, Tarja; Laukkanen, Jari; Peltokoski, Jaana

Journal or seriesNursing and Health Sciences

ISSN1441-0745

eISSN1442-2018

Publication year2021

Publication date14/05/2021

Volume23

Issue number3

Pages range678-687

PublisherWiley-Blackwell

Publication countryAustralia

Publication languageEnglish

DOIhttps://doi.org/10.1111/nhs.12852

Publication open accessOpenly available

Publication channel open accessPartially 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.


Keywordscoronary diseaserehabilitation patientsrehabilitationrisk factorspatient counsellingnursesfollow-up study

Free keywordscounseling; coronary artery disease; follow‐up studies; nursing; risk factors


Contributing organizations


Ministry reportingYes

Reporting Year2021

JUFO rating1


Last updated on 2024-03-04 at 20:16