Efectividad de un programa de capacitación en cuidados integrales para la prevención secundaria cardiovascular en enfermeras de atención primaria
Abstract
Objective To assess the effect of the "Program of Training in Integral Care for Secondary Cardiovascular Prevention in Primary Care Nursing" on the level of knowledge, the degree of application of comprehensive cardiovascular care, and on the continuity of care between the cardiac rehabilitation and primary care units, in relation to post-infarction patients.Methods Quasi-experimental before-after study without control group. Comprised an ad-hoc survey prior to training via the Internet and a post-training survey; both the pre- and post-course surveys were anonymous. The program consisted of secondary cardiovascular prevention training, chronicity in the cardiovascular patient and adherence to the therapeutic plan, and follow-up protocol.Results Over one third of the respondents did not know the control objectives of the different cardiovascular risk factors, more marked regarding lipid control. The program significantly improved the knowledge of the objectives of blood pressure, total cholesterol and LDL cholesterol, and the self-perception of better monitoring of lipid parameters and waist circumference. In centers with a cardiac rehabilitation unit, 73% of respondents indicated that there was "no" communication with the unit before the course, reducing to 55% in the post-course survey.Conclusion There are clear training needs of nurses for their involvement in these secondary prevention programs. A specific continuous training in secondary cardiovascular prevention for nurses in the field of primary care, improves and facilitates the acquisition of knowledge at this level, can improve the approach of patients with cardiovascular events during the first months of said event and communication with the reference cardiac rehabilitation units.
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Pender's model is particularly effective in community contexts, where its benefits extend to individuals, families, and social circles.
“Its application is particularly effective in community contexts, where its benefits extend not only to individuals but also to their families and social circles [12,13].”
From Effectiveness of Nola Pender’s Health Promotion Model: A Comprehensive Approach for Enhancing Healthy Behaviors and Quality of Life in Adults (2025) · cites this paper as [12]
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“Its application is particularly effective in community contexts, where its benefits extend not only to individuals but also to their families and social circles [12,13].”
Ruíz, S. S., Molina, C. J., Rodríguez‐Romero, R., Zamora‐Sánchez, J., & Paz, L. G. (2026) · Nursing Open · doi:10.1002/nop2.70886
- Authors
- Lizcano Álvarez, Á., Villar Espejo, T., López Köllmer, L., Gómez Menor, C., Ledesma Rodríguez, R., & Fernández Zarataín, G.
- Venue
- Enfermería Clínica
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 31
- Issue
- 5
- Pages
- 303-312
- ISSN
- 1130-8621 (ISSN-L)
- OpenAlex
- W3112716459
- Cited by
- 3
- References
- 16
- Citations by year
- 2026: 2 · 2025: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- es
- Open access
- closed
- Locations
- Enfermería Clínica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Social Sciences › Education › Health Education and Validation
- Keywords
- secondary prevention of cardiovascular disease, nursing training program, primary care nurses, post-infarction patients, continuity of care, cardiac rehabilitation, lipid control, blood pressure control, medication adherence, chronic cardiovascular disease
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