PDF(Pubmed)
Abstract：
Coronary artery disease (CAD) is one among the major causes of mortality in patients all around the globe. It has been reported by the World Health Organization (WHO) that approximately 80% of cardiovascular diseases could be prevented through lifestyle modifications. Management of CAD involves the prevention and control of cardiovascular risk factors, invasive and non-invasive treatments including coronary revascularizations, adherence to proper medications and regular outpatient follow-ups. Nurse-led clinics were intended to mainly provide supportive, educational, preventive measures and psychological support to the patients, which were completely different from therapeutic clinics. Our review focuses on the involvement and implication of nurses in the primary and secondary prevention and management of cardiovascular diseases. Nurses have a vital role in Interventional cardiology. They also have major roles during the management of cardiac complications including congestive heart failure, atrial fibrillation and heart transplantation. Today, the implementation of a nurse-led tele-consultation strategy is also gaining positive views. Therefore, a nurse-led intervention for the management of patients with cardiovascular diseases should be implemented in clinical practice. Based on advances in therapy, more research should be carried out to further investigate the effect of nurse-led clinics during the long-term treatment and management of patients with cardiovascular diseases.
摘要：
冠状动脉疾病（CAD）是全球患者死亡的主要原因之一。据世界卫生组织（WHO）报道，大约80％的心血管疾病可以通过改变生活方式来预防。CAD的管理涉及心血管危险因素的预防和控制，侵入性和非侵入性治疗，包括冠状动脉血运重建，坚持适当的药物治疗和定期门诊随访。护士主导的诊所主要是为了提供支持，教育,预防措施和对患者的心理支持，与治疗诊所完全不同。我们的审查重点是护士在心血管疾病的一级和二级预防和管理中的参与和意义。护士在介入心脏病学中起着至关重要的作用。它们在管理包括充血性心力衰竭在内的心脏并发症中也有重要作用，心房颤动和心脏移植。今天,护士主导的远程咨询策略的实施也获得了积极的意见。因此,在临床实践中，应实施护士主导的心血管疾病患者管理干预措施。基于治疗的进展，应开展更多的研究，以进一步调查护士主导的诊所在心血管疾病患者长期治疗和管理中的作用。
