Effects of secondary prevention clinics on health status in patients with coronary heart disease: 4 year follow-up of a randomized trial in primary care

Family Practice
Peter MurchieJoan Thain

Abstract

The long-term effects of disease management programmes for coronary heart disease on health status are unknown. In a randomized trial of nurse-led secondary prevention clinics, we found significantly improved health status at 1 year. Participants were followed-up again at 4 years to determine if improvements had been sustained. Our aim was to evaluate the effects on health of nurse-led clinics for the secondary prevention of coronary heart disease in primary care. A total of 1343 patients with coronary heart disease were randomized to nurse-led secondary prevention clinics or usual care, with follow-up at 1 and 4 years by review of medical case notes and national data sets, and postal questionnaires. The study involved a stratified, random sample of 19 general practices in north-east Scotland. Health status was measured by the SF-36 questionnaire, chest pain by the angina TyPE specification and anxiety and depression by the hospital anxiety and depression scale. At 1 year, there were significant improvements in five of eight SF-36 domains (all functioning scales, pain and general health) in patients randomized to clinics. Role limitations attributed to physical problems improved the most [adjusted difference 8.52, 95% confidenc...Continue Reading

Citations

Jun 3, 2014·BMC Health Services Research·Nahara Anani Martínez-GonzálezThomas Rosemann
Aug 25, 2009·American Heart Journal·Yoel KorenfeldFrancisco Lopez-Jimenez
Oct 5, 2010·International Journal of Mental Health Nursing·Brenda HappellRebeka Tennent
Jul 8, 2015·Human Resources for Health·Nahara A Martínez-GonzálezThomas Rosemann
Jul 13, 2012·Annals of Physical and Rehabilitation Medicine·M LabrunéeV Gremeaux
Dec 7, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Anneke BlokstraWm Monique Verschuren
Jun 29, 2017·The Cochrane Database of Systematic Reviews·Lindsey AndersonRod S Taylor
Jun 30, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Edel MurphySusan M Smith
Aug 11, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lars ViktrupSusan L Dennett
Jan 1, 2015·Evidence-based Mental Health·Anna Chaimani
Jan 1, 2010·JBI Library of Systematic Reviews·Verena Schadewaldt, Tim Schultz

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