Cardiovascular Disease Patient Prevention Experience with Nurses in the Primary Care Sector| Stephy Publishers


 



Abstract

Introduction: Cardiovascular disease (CVD) is a common term used to refer to disorders affecting the blood vessels or the heart that have led to the majority of deaths worldwide.

Aim: The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting.

Methods: In the selection of clinical nurses who were interested in primary care to participate, qualitative describing design and impracticable sampling were used. The data collection methods include semi-structured and one-on-one interviews. The results were analyzed by the methodology for qualitative content analysis.

Results: In this study, 10 nurses were participated and their role in CVD prevention plays a part in health education, diagnosis and consultation, reassurance, monitoring of vital signs, and collecting blood samples. The challenges include cultural obstacles and vocabulary, negative attitudes, contradictory regulations, a lack of equipment, a shortage of nursing staff and the lack of knowledge and information. Electronic information, patient education, nurse training, and communication workshops are the facilitators for nurses that prevent heart disease.

Conclusion: Cardiovascular disease is lethal, but adequate preventive programs can accommodate it. In addition, nurses play an important role in preventing CVD in primary healthcare and should therefore concentrate efforts on the enhancement of their capacity. The aim of future research should be to understand how patients interpret and incorporate data on the prevention of CVD provided by nurses.


Keywords

Cardiovascular disease, Coronary artery disease, Stroke, Nurses, Primary care


Introduction

The world's leading threat continue to be cardiovascular diseases (CVD) such as coronary heart disease, pulmonary respiratory disease, heart failure, stroke, rheumatic heart disease and hypertension. Approximately all CVDs inevitably lead to heart failure, which is a serious disease with significant morbidity and mortality and a major burden not just for the affected persons but also for community and health care systems.1 According to the Centers for Control and Prevention, most chronic diseases such as CVDs, stroke, obesity and diabetes are preventable and less costly to treat wheat and are known to account for over 44% of deaths.2,3 The pathogenesis of CVD is dominated by atherosclerosis.4 The risk factors of activities such as obesity, smoking, unhealthy diet, alcoholism and physical inactivity will prevent the CVD. Due to the fact that the disease is the leading cause of death, it is important to assess the role of nurses in prevention, as early detection helps start suitable interventions which reduce mortality.5 Nurses play an important role in cardiovascular disease prevention and treatment, a strategy that aims to minimize people's heart disease. In particular because of the need to integrate health education and wellness promotional activity in their positions,6 nurses play an important role in preventing CVD in China based on Ma and Zhu's quantitative survey. The role of nurses in the prevention of CVD is divided into three categories: primary prevention, clinical procedures, and disease management. Around12% of nurses in Switzerland create plans to avert risky habits and risk factors contributing to heart disease.7 This is in line with the Tagliabue et al survey conducted in Switzerland. The research also shows that the caregivers provide guidance, health education and review of previous CVDs. Tagliabue et al. further claimed that nurses provide outreach programs to encourage good health and heart disease prevention. Interventions used by nurses to avoid CVD apply to the efforts of nurses to tackle CVD. According to the longitudinal, pre-test-posttest, pre-test community design performed in Mexico and Costa Rica between 2011 and 2012, nursing operations include patient training, therapy, evaluation, and management of outreach services in cardiac disease prevention.8 Global wide studies have been shown the role of nurses and their experience in engaging the prevention of CVD in the primary cares and this study shows the role of nurses from the Saudi Arabia.The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting.


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