[AF] La AE (Atención Enfermera) que llegó

[Ángel Sanz Granda]

Hola a todos,
 
Un nuevo estudio, y con buenos resultados, de AE. Esta vez en Maastricht  (Holanda), recién publicado en Br J Gen Pract. 2010;60:40-6. Acceso libre en http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2801783/?tool=pubmed 
 
ABSTRACT
 
BACKGROUND: A substantial part of  cardiovascular disease prevention is delivered in primary care. Special  attention should be paid to the assessment of cardiovascular risk factors.  According to the Dutch guideline for cardiovascular risk management, the heavy  workload of cardiovascular risk management for GPs could be shared with advanced  practice nurses.
 
AIM: To investigate the clinical  effectiveness of practice nurses acting as substitutes for GPs in cardiovascular  risk management after 1 year of follow-up.
 
DESIGN OF STUDY: Prospective  pragmatic randomised trial.
 
SETTING: Primary care in the  south of the Netherlands. Six centres (25 GPs, six nurses)  participated.
 
METHOD: A total of 1626  potentially eligible patients at high risk for cardiovascular disease were  randomised to a practice nurse group (n = 808) or a GP group (n = 818) in 2006.  In total, 701 patients were included in the trial. The Dutch guideline for  cardiovascular risk management was used as the protocol, with standardised  techniques for risk assessment. Changes in the following risk factors after 1  year were measured: lipids, systolic blood pressure, and body mass index. In  addition, patients in the GP group received a brief questionnaire.
 
RESULTS: A larger decrease in the  mean level of risk factors was observed in the practice nurse group compared  with the GP group. After controlling for confounders, only the larger decrease  in total cholesterol in the practice nurse group was statistically significant  (P = 0.01, two-sided).
 
CONCLUSION: Advanced practice  nurses are achieving results, equal to or better than GPs for the management of  risk factors. The findings of this study support the involvement of practice  nurses in cardiovascular risk management in Dutch primary care
 
A propósito de tu vídeo, Pedro, sí que es malamalísima la farmacia  americana.
 
 
 
Un saludo,

 
_______________________________
Ángel Sanz Granda, MSc.,  Pharm.D.
    e-mail: a.sanzgranda en terra.es
     Web: www.e-faeco.8m.net