Effects of Nurse-Managed Protocols in the Outpatient Management of Adults With Chronic Conditions

Abstract

U.S. Department of Veterans Affairs.

The effectiveness of the nursing intervention on cholesterol level and quality of life among hypertensive patients with dyslipidemia

“…More than half were females, about two thirds were married, one-third graduated from secondary school and half of them were governmental employees. This result was in the line with Shaw et al, [23] who concluded that the subject's age were ranged between thirtyseven to seventy-two with median age 58.3 years, about half of them were females.…”

“…This result was also in agreement with Frisoli et al [30] who reported that lifestyle changes may postpone hypertension in non-hypertensive patients and diminish blood pressure in hypertensive patients which leads to reducing the frequency and doses of antihypertensive drugs. Also, these results were consistent with Shaw et al, [23] who reported that both systolic and DBP improved after the intervention (3.68 mmHg for SBP, 1.56 mmHg for DBP). More over, Irmak et al [24] noted a significant decrease in the mean systolic and DBP.…”

“…This indicates the effectiveness of the intervention on improvement of lipid profiles after the nursing intervention. These results were in the line with the findings of Shaw et al [23] who concluded that the nurse-managed protocols in the studies had a consistently positive effect on chronically ill patients, in addition the total cholesterol levels decreased by 0.24 mmol/L, and LDL cholesterol levels decreased by 0.31 mmol/L. Moreover, Bachen et al [33] found that serum cholesterol concentration and free fatty acids were increased following acute stress.…”

A Respiratory Therapist Disease Management Program for Subjects Hospitalized With COPD

“…The median (interquartile range) duration of hospitalization for a COPD exacerbation was less for subjects in the intervention group (5 [3][4][5][6][7][8][9][10][11] d vs 8 [4 -18.5] d, P ϭ .045). Total in-patient hospital days and ICU days due to COPD exacerbations were significantly less for the intervention group (Table 5).…”

“…5 These programs are often conducted by physician extenders and may include education about the underlying disease, optimization of evidence-based medications, support from case managers, and institution of self-management principles. 6 …”