TY - JOUR
T1 - A pilot study of APN-led self-management program to improve cardiovascular health status among Korean women with risk factors
AU - Shin, Nah Mee
AU - Yoon, Ji Won
AU - Choi, Jiwon
AU - Park, Younghee
AU - Jeon, Songi
PY - 2016
Y1 - 2016
N2 - The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease. Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer. Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention. Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.
AB - The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease. Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer. Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention. Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.
KW - APN
KW - Cardiovascular disease
KW - Diet
KW - Metabolic syndrome
KW - Physical activity
UR - http://www.scopus.com/inward/record.url?scp=84969772249&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84969772249&partnerID=8YFLogxK
U2 - 10.7475/kjan.2016.28.2.237
DO - 10.7475/kjan.2016.28.2.237
M3 - Article
AN - SCOPUS:84969772249
VL - 28
SP - 237
EP - 245
JO - Korean Journal of Adult Nursing
JF - Korean Journal of Adult Nursing
SN - 1225-4886
IS - 2
ER -