Ambulatory Nurse Education Improves Metabolic Profile and Physical Activity in Patients with Cardiovascular Disease
Keywords:Ambulatory nurse education, cardiovascular disease, clinical outcome.
Introduction: Although interventions combining patient education and post discharge management have
demonstrated benefits in patients with cardiovascular disease the benefit attributable to ambulatory nurse
education (ANE) alone is uncertain.
Material and Method: A quasi experimental study was conducted in Specialist Cardiology Ambulance D
& D in Pristinaamong 98 patients. Ambulatory nurse education was implemented to assess the effectiveness
on awareness on life style where pretest and posttest design without control group was used. A complete
clinical and laboratory measurements before and after ANE (at 30, 60 and 90 days) were performed. The
clinical outcome were physical activity, body mass index, blood pressure, lipid and diabetic profile. The
pre-post tested (validity, reliability and pilot testing) structured questionnaire was used for data collection.
Results: At follow up to 90 days, in patients that underwent ANE program, the following indices were
decreased: BMI (p<0.001), glycemic level (p<0.001), HbCA1 (p=0.02), lipid profile (cholesterol, triglycerides
and LDL-C, p<0.001 for all). HDL-C was increased (p=0.01) In addition, physical activity was significantly
improved: total activity and daily activity were increased ((p<0.001) and p=0.002, respectively).
Conclusion: The ambulatory nurse education improves glycemic and lipidic control, BMI and physical
activity in patients with cardiovascular disease.