Abstract
Introduction: The role of the nursing field as an educator and placing greater emphasis on the prevention and control of cardiovascular disease are key to achieving interventions that address genetic, environmental and behavioral risk as contributing factors in the development and progression of cardiovascular disease. Objective: Describe the role of nursing professionals in primary prevention interventions for cardiovascular diseases in the adult population. Methodology: Literature review including 4 stages: search and selection, compilation and evaluation, eligibility criteria and synthesis. The search was performed in PubMed, Scielo and Lilacs. Inclusion criteria included articles published from 2011 to 2021, primary research, clinical trials, randomized controlled trial, nurse-led interventions, practice guidelines, protocols, systematic reviews and meta-analyses were excluded. In the end, 64 articles were selected and seven met the criteria. Results: Nursing professionals were identified as the main members included in cardiovascular care, who played a key role in promoting healthy lifestyles and reducing cardiovascular risk. Three categories emerged, i.e., interventions focused on lifestyle, education and self-care, which included habit promotion, promotion and prevention, reduction of anthropometric, clinical and biochemical variables; in the end, only one intervention was guided by a nursing theory. Conclusions: The roles of nursing professionals within the first level of care interventions evidenced that cardiovascular health improves significantly from different approaches, i.e., lifestyle, education, and self-care.
References
Organización Mundial de la Salud. Obesidad y sobrepeso [Internet]. Ginebra: OMS; 2021 [citado 20 feb 2022]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight.
Organización Mundial de la Salud. Enfermedades cardiovasculares [Internet]. Ginebra: OMS; 2022 [citado 11 mar 2022]. Disponible en: https://www.who.int/es/health-topics/cardiovascular-diseases
Legetic B, Medici A, Hernández-Ávila M, Alleyne GAO, Hennis A. Las dimensiones económicas de las enfermedades no transmisibles en América Latina y el Caribe [Internet]. OPS; 2017 [citado 11 mar 2022]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/33994/9789275319055-spa.pdf?sequence=1&isAllowed=y
Secretaria de Salud. Enfermedades no transmisibles [Internet]. Gobierno de México; 2021 [citado 11 mar 2022]. Disponible en: https://www.gob.mx/salud/documentos/enfermedades-no-transmisibles?idiom=es
Organización Mundial de la Salud. Hipertensión [Internet]. Who. Int; 2021 [citado 11 mar 2022]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/hypertension
Pérez-Flórez M, Achcar JA. Desigualdades socioeconómicas en la mortalidad por enfermedades cardiovasculares: Región Pacifico de Colombia, 2002-2015. Cien Saude Colet [Internet]. 2021 [citado 17 feb 2023];26(suppl 3):5201–5214. Disponible en: https://www.scielosp.org/article/csc/2021.v26suppl3/5201-5214/es/
Mechanick JI, Farkouh ME, Newman JD, Garvey WT. Cardiometabolic-based chronic disease, adiposity and dysglycemia drivers: JACC State-of-the-Art Review. J Am Coll Cardiol [Internet]. 2020 [citado 11 mar 2022];75(5):525–538. Disponible en: https://www.sciencedirect.com/science/article/pii/S073510971938619X.
Lavie CJ, Laddu D, Arena R, Ortega FB, Alpert MA, Kushner RF. Healthy weight and obesity prevention: JACC health promotion series. J Am Coll Cardiol [Internet]. 2018 [citado 11 mar 2022];72(13):1506-1531. Disponible en: http://dx.doi.org/10.1016/j.jacc.2018.08.1037
Organización Panamericana de la Salud. HEARTS Paquete técnico para el manejo de las enfermedades cardiovasculares en la atención primaria de salud. Hábitos y estilos de vida saludables: asesoramiento para los pacientes [Internet]. OPS; 2019 [citado 11 mar 2022]. Disponible en: https://iris.paho.org/handle/10665.2/50805
Cervantes CAD. Tendencia e impacto de la mortalidad por enfermedades cardiovasculares en México. Rev Cub Salud Publica [Internet]. 2019 [citado 11 mar 2022];45(4):e1081 Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=94854
Núñez RG, López EI , Ramos HS , Ramos PE , Guevara VM , González TI. Riesgo cardiovascular en pacientes de primer nivel de atención. Rev Salud Publica Nutr [Internet]. 2015 [citado 11 mar 2022];14(1):1-8 Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78978
Riesgo cardiovascular en pacientes de primer nivel de atención. Rev Salud Publica Nutr [Internet]. 2018 [citado 11 mar 2022]. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78978
Chan AW, Chair SY, Lee DT, Leung DY, Sit JW, Cheng HY, et al. Tai chi exercise is more effective than brisk walking in reducing cardiovascular disease risk factors among adults with hypertension: A randomized controlled trial. Int J Nurs Stud [Internet]. 2018 [citado 11 mar 2022];S0020-7489(18)30201-30203. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30195124/
Zheng X, Yu H, Qiu X, Chair SY, Wong EM-L, Wang Q. The effects of a nurse-led lifestyle intervention program on cardiovascular risk, self-efficacy and health promoting behaviors among patients with metabolic syndrome: Randomized controlled trial. Int J Nurs Stud Stud [Internet]. 2020 [citado 11 mar 2022];109(103638):103638. Disponible en: https://doi.org/10.1016/j.ijnurstu.2020.103638
Fernández-Ruiz VE, Paniagua-Urbano JA, Solé-Agustí M, Ruiz-Sánchez A, Gómez-Marín J, Armero-Barranco D. Effectiveness of the I2AO2 interdisciplinary programmed by nurses on metabolic syndrome and cardiovascular risk: a randomized, controlled trial. J Int Med Res [Internet]. 2018 [citado 11 mar 2022];46(6):2202–2218. Disponible en: https://doi.org/10.1177/0300060518757604
Tiessen AH, Smit AJ, Broer J, Groenier KH, Van Der Meer K. Randomized controlled trial on cardiovascular risk management by practice nurses supported by self-monitoring in primary care. BMC Fam Pract [Internet]. 2018 [citado 11 mar 2022];13(1):90. Disponible en: https://doi.org/10.1186/1471-2296-13-90
Ogedegbe G, Plange-Rhule J, Gyamfi J, Chaplin W, Ntim M, Apusiga K, et al. Health insurance coverage with or without a nurse-led task shifting strategy for hypertension control: A pragmatic cluster randomized trial in Ghana. PLoS Med [Internet]. 2018 [citado 11 mar 2022];1;15(5): e1002561. Disponible en: https://doi.org/10.1371/journal.pmed.1002561
Zhang H, Jiang Y, Nguyen HD, Poo DCC, Wang W. The effect of a smartphone-based coronary heart disease prevention (SBCHDP) programmed on awareness and knowledge of CHD, stress, and cardiac-related lifestyle behaviors among the working population in Singapore: a pilot randomized controlled trial. Health Qual Life Outcomes [Internet]. 2017 [citado 11 mar 2022];15(1):1-13. Disponible en: https://doi.org/10.1186/s12955-017-0623-y
Mora R, Majem F, Puig AH, Sanz LI, Llobet TE, Arce CM, et al. Salut al cor/salud en el corazón: resultados del programa de educación sanitaria en salud cardiovascular de Mútua Terrassa. Aten Primaria [Internet]. 2014 [citado 11 mar 2022];46(9):457-463. Disponible en: https://doi.org/10.1016/j.aprim.2013.12.009
Smith CE, Piamjariyakul U, Dalton KM, Russell C, Wick J, Ellerbeck EF. Nurse-led multidisciplinary heart failure group clinic appointments: Methods, materials, and outcomes used in the clinical trial. J Cardiovasc Nurs [Internet]. 2016 [citado 11 mar 2022];30(4 Suppl 1): S25-34. Disponible en: https://doi.org/10.1097/JCN.0000000000000255
Esquivel N, Díaz LP, Cañon W. Intervenciones adaptadas en personas con enfermedad cardiovascular: hacia un abordaje de enfermería para el cuidado individualizado. Rev Cuid [Internet]. 2019 [citado 11 mar 2022];10(3):1-4. Disponible en: https://doi.org/10.15649/cuidarte.v10i3.947
Vilchez V, Paravic T, Salazar A, Sáez K. Efecto de intervención innovadora: consejería de enfermería en salud cardiovascular en atención primaria. Rev chil cardiol [Internet]. 2015 [citado mar 11 2022];34(1):36-44. Disponible en: http://dx.doi.org/10.4067/S0718-85602015000100004
Martínez-Delgado M, Ramírez-López C. Cardiovascular health education intervention in the prison of Soria. Rev Esp Sanid Penit [Internet]. 2016 [citado 07 jul 2022];18(1):5-11. Disponible en: https://scielo.isciii.es/pdf/sanipe/v18n1/02_original.pdf
Brevis I, Valenzuela S, Sáez K. Efectividad de una intervención educativa de enfermería sobre la modificación de factores de riesgo coronarios. Ciencia y Enfermería [Internet]. 2014 [citado 11 mar 2022];20(3):43–57. Disponible en: http://dx.doi.org/10.4067/S0717-95532014000300005.
Estrada D, Pujol E, Jiménez L, Salamero M, De la Sierra A. Efectividad de una intervención educativa sobre hipertensión arterial dirigida a pacientes hipertensos de edad avanzada. Rev Esp Geriatr Gerontol [Internet]. 2012 [citado mar 11 2022];47(2):62–66. Disponible en: 10.1016/j.regg.2011.10.016
Vílchez BV, Klijn TP, Salazar A, Sáez CK. Effectiveness of personalized face-to-face and telephone nursing counseling interventions for cardiovascular risk factors: a controlled clinical trial. Rev Lat Am Enfermagem [Internet]. 2016 [citado 11 mar 2022];24:e2747. Disponible en: 10.1590/1518-8345.0626.2747
Achury BL. Efecto de la entrevista motivacional sobre la adherencia de pacientes cardiovasculares. Enferm glob [Internet]. 2019 [citado 11 mar 2022];18(4):459-484. Disponible en: https://dx.doi.org/10.6018/eglobal.18.4.341611.
Rodríguez AS, Soidán JL, De Toro SM, Labrador FL, Garrido JM, Fernández MR. Beneficios de una intervención educativa en la dieta y en el perfil antropométrico de mujeres con un factor de riesgo cardiovascular. Medicina Clínica [Internet]. 2016 [citado 07 jul 2022];146(10):436-439. Disponible en: https://doi.org/10.1016/j.medcli.2015.12.013
Garay R, Segura S. Promoción de estilos de vida saludable en el entorno familiar. Nutr. clín. diet. Hosp [Internet]. 2017 [citado 11 mar 2022];37(4):183-188 Disponible en: https://doi.org/ 10.12873/374roquegaray
Saffi MAL, Polanczyk CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: a randomized clinical trial. Eur J Cardiovasc Nurs [Internet]. 2014 [citado 11 mar 2022];13(5):436-443. Disponible en: https://doi.org/ 10.1177/1474515113505396.
Cadena EJ. El cuidado de enfermería en pacientes con riesgo cardiovascular sustentado en la teoría de Nola J Pender. Investig Enferm Imagen Desarro [Internet]. 2017 [citado 11 mar 2022];19(1):107-121. Disponible en: https://doi.org/10.11144/Javeriana.ie19-1.ecep
Dupotey HD. Intervención educativa en la prevención de enfermedades cardiovasculares en comunidades urbanas. Revista Conrado [Internet]. 2021 [citado 11 feb 2023];17(81):363-373. Disponible en: https://conrado.ucf.edu.cu/index.php/conrado/article/view/1909
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