ArticleJournal of prevention (2022)2025
The Effect of Nurse-Led Intervention on Limiting Health Costs of Cardiovascular Diseases in Chinese Adults.
Article in Journal of prevention (2022), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Cardiovascular diseases (CVDs), as the leading cause of mortality worldwide, impose substantial health-related costs. Lifestyle modification through education and counseling is a key strategy in CVD management. This study aimed to evaluate the impact of a nurse-led intervention on CVDs-related health costs and lifestyle habits among Chinese adults with CVDs. A quasi-experimental study was conducted among adults with CVDs assigned to either an intervention or control group. The intervention consisted of bi-monthly sessions over a six-month period, conducted in a hospital setting by trained registered nurses. Outcomes included CVD-related health costs and lifestyle behaviors (smoking, alcohol use, physical activity, and diet), measured at baseline, post-intervention, and six-month follow-up. Data were analyzed using Analysis of covariance (ANCOVA) to compare adjusted outcomes between groups, controlling for baseline values, age, gender, and BMI. The intervention group showed a higher proportion of non-smokers (from 65.2 to 74.1%) and participants with healthy diets (from 14.8 to 27.4%). At post-intervention, they had significantly fewer cigarettes smoked (9.6 ± 0.27, 95% CI: 9.07, 10.13 in intervention group vs. 11.1 ± 0.31, 95% CI: 10.49, 11.71 in control group; p = 0.024, η² = 0.020) and higher physical activity levels (264.4 ± 5.7, 95% CI: 253.23, 275.57 in intervention group vs. 229.2 ± 6.2, 95% CI: 217.05, 241.35 in control group; p = 0.032, η² = 0.018). At follow-up, they also showed significantly lower adjusted CVD-related health costs (17.2 ± 0.41, 95% CI: 16.4, 18.0 in intervention group vs. 20.7 ± 0.46, 95% CI: 19.8, 21.6 in control group; p = 0.029, η² = 0.018), sustained reductions in cigarette use (9.5 ± 0.26, 95% CI: 8.99, 10.01 in intervention group vs. 11.2 ± 0.32, 95% CI: 10.57, 11.83 in control group; p = 0.013, η² = 0.024), and increased physical activity (260.1 ± 5.4, 95% CI: 249.52, 270.68 in intervention group vs. 229.1 ± 6.4, 95% CI: 216.56, 241.64 in control group; p = 0.016, η² = 0.021). The nurse-led intervention may help promote lifestyle improvements and contribute to reductions in CVD-related health costs.
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