Paper
Friday, 21 July 2006
This presentation is part of : Health Promotion Initiatives
An Evaluation of a Community Nurse Based Cardiovascular Disease Prevention Program
Pei-Lin Hsieh, MSc, PhD, Shu-Man Lin, BA, Chen-Hung Chiang, BA, and Hsiao-Jung Chen, BA. School of Nursing, Chang Gung Institute of Technology, Tao-Yuan, Taiwan
Learning Objective #1: understand the community nurse based cardiovascular disease prevention program in Taiwan.
Learning Objective #2: identify the effective design in the cardiovascular disease prevention program.
Cardiovascular disease (CVD) is associated with high morbidity and mortality. Community nurse based prevention programs, using an integrated approach, have been effective in reducing CVD in high risk persons. Aim to evaluate a Taiwanese, 6 month community CVD prevention program. A pre-test-post-test in both experimental (n=79) and control group (n=108) design was used evaluate the intervention. Participants were recruited during routine health examinations by community nurses. Criteria for high risk of CVD were: hypertension (systolic blood pressure, SBP > 140 mmHg or diastolic blood pressure, DBP > 90mmHg); total blood cholesterol > 200 mg/dl; high density lipoprotein, HDL, < 40 mg/dl; low density lipoprotein (LDL), > 110 mg/dl; triglyceride > 200 mg/dl; cigarette smoking; body mass index (BMI) > 24; blood sugar > 120 mg/dl; alcohol consumption (90ml ethanol/week); and family history (one or both parents died of CHD before the age of 60 years). Inclusion criteria: a person identified as having hypertension and at least one of the above. The community prevention program was based on diet, physical activity and addressing special needs, for example, the presence of two chronic diseases. In order to implement the intervention, 11 community nurses were involved in organizing and facilitating activities and encouraged participants to adopt a healthier lifestyle. All laboratory data and A Heart Promotion Questionnaire (HPQ) were used to evaluate the intervention. When the experimental and control groups were compared, the results revealed that there was significant differences in the level of SBP; DBP; HDL; BMI; and the total score of the HPQ. When the pre and post test compared in the experimental group, there was significant difference in the level of cholesterol; LDL; and blood sugar. The community CVD prevention program can be used to guide the development of other chronic diseases prevention programs.

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