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Davies MJ, Heller S, Skinner TC Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ. 2008; 336:(7642)491-495 https://doi.org/10.1136/bmj.39474.922025.BE

de Souza Filho ZA, Ferreira AA, dos Santos J, Meira KC, Pierin AMG. Cardiovascular risk factors with an emphasis on hypertension in the Mura Indians from Amazonia. BMC Public Health. 2018; 18:(1) https://doi.org/10.1186/s12889-018-6160-8

Diederichsen ACP, Mahabadi AA, Gerke O Increased discordance between HeartScore and coronary artery calcification score after introduction of the new ESC prevention guidelines. Atherosclerosis. 2015; 239:(1)143-149 https://doi.org/10.1016/j.atherosclerosis.2015.01.005

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Three-year follow-up of a factorial randomised controlled trial of two decision aids for newly diagnosed hypertensive patients. 2005. https://bjgp.org/content/55/516/551.long (accessed 8 June 2021)

European Association of Preventive Cardiology. HeartScore® A unique and interactive risk prediction and management system. 2021. https://www.heartscore.org (accessed 8 June 2021)

European Society of Cardiology. SCORE Risk Charts. The European cardiovascular disease risk assessment model. 2021. http://tinyurl.com/ESC-score-riskchart (accessed 8 June 2021)

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Gozdowska J, Jędrych E, Chabior A, Kieszek R, Kwiatkowski A, Chmura A, Durlik M. Cardiovascular Risk Evaluated With the Use of Heartscore in Kidney Transplant Recipients—Three Years of Follow-up. Transplant Proc. 2016; 48:(5)1570-1575 https://doi.org/10.1016/j.transproceed.2016.01.073

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Education

Cardiac Nursing

Impact of nurse-initiated education on HeartScore in patients with hypertension: a randomised trial

24 June 2021

Professional

03 June 2021

Volume 30 · Issue 12

ISSN (print): 0966-0461

ISSN (online): 2052-2819

Abstract

Background:

People with hypertension experience significant damage to major organs due to insufficient management of cardiovascular risk factors.

Aims:

To assess the impact of nurse-led educational interventions on the total cardiovascular risk among people with hypertension.

Method:

the study was an interventional randomised study. The sample (n=92) was randomly assigned to the either the control or intervention group. The HeartScore tool was used to assess patients' total cardiovascular risk between December 2017 and March 2018.

Findings:

56.6% of the control group and 55.4% of the intervention group were women, with a mean age of 64.4 years and 66.2 years respectively (P>0.05). Total cholesterol reduced in both groups; however, improvement was greater in the intervention group (P<0.05). Total cardiovascular risk fell in the intervention group from 4.75 to 4.33 (P>0.05), while the control group saw an increase in risk from 10.03 to 12.65 (P=0.035).

Conclusion:

Nurse-led educational interventions should be incorporated in the usual care of patients with hypertension, in order to achieve the best management of the condition.

The presence of cardiovascular risk factors in patients with arterial hypertension has been examined in many studies. According to Badego et al (2020), the most frequent risk factors in people with hypertension are obesity and smoking, and de Souza Filho et al (2018) found that people with hypertension had higher values of body mass index, waist circumference, visceral fat and body fat than non-hypertensive individuals. At the same time, studies have demonstrated that patients with hypertension have very low levels of adherence to recommended guidance on managing their cardiovascular risk factors. For example, in Warren-Findlow and Seymour's (2011) study 58.6% of patients adhered to their medication regimen, less than 25% followed the recommended diet guidance, 25% continued to smoke and less than 30% maintained a recommended body weight.

Evidence that patients with hypertension demonstrate poor management of cardiovascular risk factors has highlighted the need for a tool that can be used to assess an individual's total cardiovascular risk.

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Hypertension

Education

Intervention

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HeartScore