| The effect of a self-management intervention to reduce vascular risk factors in patients with manifestations of vascular diseases. | |
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MedLine Citation:
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PMID: 20044312 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Self-management can improve health behaviors and influence reduction of vascular risk. We developed a 1-year self-management intervention and investigated its effect on vascular risk factors and quality of life in patients with different vascular diseases. DESIGN AND METHODS: This observational cohort study involved 223 patients (self-management group, n=125; usual care group n=98) with at least two modifiable vascular risk factors. RESULTS: Patients in the self-management group achieved treatment goals for LDL-cholesterol (difference 13%; 95%CI 1-26) and HDL-cholesterol (difference 9% 95%CI 0-19) significantly more often than did patients in the usual care group. Mean systolic blood pressure decreased significantly by 5mm Hg (95%CI -9 to 0) in the self-management group and mean BMI increased significantly by 0.4 kg/m(2) (95%CI -0.8 to -0.1) in the usual care group. No significant differences were seen in waist circumference, smoking, or triglycerides. General health (RAND36) improved more in the self-management group (by 8 points 95%CI 3-12) than in the usual care group. CONCLUSION: After 1 year, the self-management intervention was more effective than usual care on several important vascular risk factors in patients with vascular diseases. PRACTICE IMPLICATIONS: This self-management intervention used in a hospital population may be applicable in different care settings. |
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Authors:
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Berna G M Sol; Yolanda van der Graaf; Beate Brouwer; Sophie M C Hickox; Frank L J Visseren |
Publication Detail:
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Type: Journal Article Date: 2009-12-30 |
Journal Detail:
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Title: European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology Volume: 9 ISSN: 1873-1953 ISO Abbreviation: Eur J Cardiovasc Nurs Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-05 Completed Date: 2010-07-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101128793 Medline TA: Eur J Cardiovasc Nurs Country: Netherlands |
Other Details:
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Languages: eng Pagination: 132-9 Citation Subset: IM; N |
Copyright Information:
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Copyright (c) 2009 European Society of Cardiology. Published by Elsevier B.V. All rights reserved. |
Affiliation:
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Department of Vascular Medicine, University Medical Center Utrecht, The Netherlands. B.Sol@umcutrecht.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Body Mass Index Cholesterol, LDL / blood Female Follow-Up Studies Health Status Humans Hypertension / epidemiology, nursing Inpatients / statistics & numerical data Male Middle Aged Quality of Life* Questionnaires Risk Factors Risk Reduction Behavior* Self Care / statistics & numerical data* Smoking / epidemiology Vascular Diseases / epidemiology*, nursing* |
| Chemical | |
Reg. No./Substance:
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0/Cholesterol, LDL |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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