engleski

Primary and Secondary Prevention of Cardiovascular Diseases Embedded in the Visiting Nurse Services: Description of the Intervention Model

The paper describes a visiting nurse led intervention model for the primary and secondary prevention of cardiovascular diseases (CVD) and specificities of its application. Although CVD burden is high in Croatia, the visiting nurse serviceshavenotbeenspecificallyfocusedonCVDpreventioninthepopulationuntilnow.Theinterventionmodeldescribed here is being implemented alongside the second cycle of the Croatian Adult Health Survey (2008 CAHS). The model includes an objective evaluation of respondents’ CVD risk factors through quantitative and qualitative analyses, as well as respondents’self-evaluationofriskfactorsandmotivationtochange.Atthesametime, respondentsareeducatedandintervention is evaluated. A 'health booklet' was specifically designed for documentation during one year’s follow-up, whereboththeuserandthevisitingnursekeepcopiesofthenegotiatedtargetsandstrategiessettoachievethem.Thisintervention model has the potential to mobilize the service towards permanent incorporation of primary and secondary CVD prevention into routine care and, due to work specificities of the visiting nurse services, to cover the entire population in an organized CVD prevention.

Cardiovascular diseases ; community health nursing ; Croatian Adult Health Survey ; prevention ; Croatia

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