Background. Cardiovascular disease (CVD) is a major cause of increased morbidity and mortality globally. Clinical practice guidelines recommend that individuals with CVD are routinely instructed to engage in self-care including diet restrictions, medication adherence, and symptom monitoring. Objectives. To describe the nature of nurse-led CVD self-care interventions, identify limitations in current nurse-led CVD self-care interventions, and make recommendations for addressing them in future research. Design. Integrative review of nurse-led CVD self-care intervention studies from PubMed, MEDLINE, ISI Web of Science, and CINAHL. Primary studies (n = 34) that met the inclusion criteria of nurse-led RCT or quasiexperimental CVD self-care intervention studies (years 2000 to 2012) were retained and appraised. Quality of the review was assured by having at least two reviewers screen and extract all data. Results. A variety of self-care intervention strategies were studied among the male (57%) and Caucasian (67%) dominated samples. Combined interventions were common, and quality of life was the most frequent outcome evaluated. Effectiveness of interventions was inconclusive, and in general results were not sustained over time. Conclusions. Research is needed to develop and test tailored and inclusive CVD self-care interventions. Attention to rigorous study designs and methods including consistent outcomes and measurement is essential.
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机译:背景。心血管疾病(CVD)是全球发病率和死亡率增加的主要原因。临床实践指南建议常规指导患有CVD的个体进行自我保健,包括饮食限制,用药依从性和症状监测。目标。为了描述由护士主导的CVD自我护理干预措施的性质,确定当前由护士主导的CVD自我护理干预措施的局限性,并为在将来的研究中解决这些问题提出建议。设计。来自PubMed,MEDLINE,ISI Web of Science和CINAHL的护士主导的CVD自我护理干预研究的综合综述。保留并评估了符合护士指导的RCT或准实验性CVD自我护理干预研究(2000年至2012年)纳入标准的主要研究(n = 34)。通过至少两个审阅者进行筛选并提取所有数据,可以确保审阅的质量。结果。在男性(57%)和白人(67%)为主的样本中研究了各种自我护理干预策略。联合干预很常见,生活质量是评估最频繁的结果。干预措施的有效性尚无定论,总的来说,随着时间的推移,效果还没有持续。结论。需要进行研究以开发和测试量身定制的,包含在内的CVD自我护理干预措施。必须注意严格的研究设计和方法,包括一致的结果和测量。
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