摘要:

Cardiovascular reactivity (CR), the abrupt increase in blood pressure and heart rate that occurs during stress, is emerging as a potential risk factor for hypertension and coronary heart disease, This article reviews the research on CR to verbal communication, an everyday stressor. A case study is presented to illustrate the usefulness of this research to clinical practice. Strategies to decrease CR during talking are presented.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Life–style habits such as diet and exercise can have powerful effects on the development and progression of coronary heart disease. This article presents evidence supporting the use of these two modalities in the treatment of coronary heart disease. Diet is discussed in terms of cholesterol, obesity, fiber, fish oils, and antioxidants. Exercise is discussed in terms of the preparation for and the components of an exercise program. Appropriate nursing interventions are offered foruse when working with patients who must modify their dietary or exercise habits.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Smoking is the leading cause of preventable death in the United States, and smoking–related diseases are involved in more than one third of all hospital admissions. Smoking cessation has immediate and major health benefits for all individuals. Studies have demonstrated that a substantial reduction in mortality and morbidity can be achieved by abstinence from smoking. Interventions to reduce smoking must become a priority for health care providers, as physicians and nurses have the opportunity to interact with millions of smokers each year. The purpose of this article is to outline intervention strategies that nurses can use with smokers to encourage compliance with hospital smoking policies and to facilitate long–term abstinence from smoking

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Coronary heart disease and other vascular complications of hypertension and hyperlipidemia are leading causes of morbidity and mortality and adding to health care costs in the United States. Nonpharmacologic and pharmacologic treatment are available and have been successful in reducing the frequency and severity of these conditions. Appropriate detection, confirmation, evaluation, and treatment of at-risk individuals by the health care provider are the focus of the discussion that follows.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article reports the experience of patients with elevated blood pressure scheduled to be seen in a nurse-based hypertension management program in a large multispecialty group practice. The hypertension management program is a screening and follow-up program designed to improve the measurement and management of patients' blood pressure with standardized protocols. The cohort for this study of the effectiveness of the hypertension management program consisted of 200 patients with elevated blood pressure (140 referred directly for management and counseling, 60 entered through screening), At entry, only 17% of the patients had blood pressure within controlled limits (140/90 mm Hg). One year after entry in the management phase of the program, systolic pressure had decreased an average of 6.20 mm Hg (P<0.001), and 44% of patients had blood pressure within controlled limits (P<0.001). These results suggest that the use of standardized screening techniques using multiple measurements helps to ensure that patients will not be unnecessarily treated. Furthermore, patients who entered the program successfully lowered their blood pressure and maintained the reduction over time.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Inadequate adherence to treatment regimens has been a concern of health care providers for more than two decades. However, it continues to have a significant impact on morbidity and health care cost, Poor adherence crosses ethnic and age groups, socioeconomic strata, acute and chronic diseases, and treatment regimens. Depending on the population, the prescribed regimen, and the definition or measure of adherence used, rates vary from 10% to 85%. The consequences of absent or partial adherence are observed in the research arena and all types of clinical settings. Educational and behavioral strategies may prevent or remediate adherence problems.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Familial heterozygous hypercholesterolemia (FH) is a genetically linked lipid disorder that involves elevations in total cholesterol and LDL cholesterol. About 5% of patients with coronary heart disease have FH. Treatment options include dietary therapy, weight optimization, exercise, and drug treatment. A case study of a patient who has undergone 4 years of treatment for FH after a diagnosis of coronary heart disease is presented. Nursing care was instrumental in the patient's compliance with and adherence to the treatment plan.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This column focuses on research utilization in future issues. In this article, the coeditors of this column review the differences between the conduct of research and research utilization, describe the decision-making process for research utilization, and discuss the Agency for Health Care Policy and Research Clinical Practice Guidelines.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID