NCC demonstrated to have an effect on a small number of outcomes .
NCC that incorporated blood pressure monitoring , cholesterol control and smoking cessation has an impact on the improvement of secondary prevention .
Current guidelines on secondary prevention of cardiovascular disease recommend nurse-coordinated care ( NCC ) as an effective intervention .
However , NCC programmes differ widely and the efficacy of NCC components has not been studied .
Effectiveness of three models for comprehensive cardiovascular disease risk reduction.
Cost and accessibility contribute to low participation rates in phase 2 cardiac rehabilitation programs in the United States . In this study , we compared the clinical effectiveness of 2 less costly and potentially more accessible approaches to cardiovascular risk reduction with that of a contemporary phase 2 cardiac rehabilitation program . Low- or moderate-risk patients ( n = 155 ) with coronary artery disease ( CAD ) were r and omly assigned to 12 weeks of participation in a  contemporary phase 2 cardiac rehabilitation program ( n = 52 ) , a physician supervised , nurse-case-managed cardiovascular risk reduction program ( n = 54 ) , or a community-based cardiovascular risk reduction program administered by exercise physiologists guided by a computerized participant management system based on national clinical guidelines ( n = 49 ) . In all , 142 patients ( 91.6 % ) completed testing at baseline and after 12 weeks of intervention . For patients with abnormal ( i.e. , not at the goal level ) baseline values , statistically significant ( p < or = 0.05 ) improvements were observed with all 3 interventions for multiple CAD risk factors . No statistically significant risk factor differences were observed among the 3 programs . For patients with a baseline maximal oxygen uptake < 7 metabolic equivalents , cardiorespiratory fitness increased to a greater degree in patients in the cardiac rehabilitation program and the community-based program versus the physician-supervised , nurse- case-managed program . These data have important implication s for cost containment and increasing accessibility to clinical ly effective comprehensive cardiovascular risk reduction services in low- or moderate-risk patients with CAD
NCC demonstrated to have an effect on a small number of outcomes .
NCC that incorporated blood pressure monitoring , cholesterol control and smoking cessation has an impact on the improvement of secondary prevention .
Current guidelines on secondary prevention of cardiovascular disease recommend nurse-coordinated care ( NCC ) as an effective intervention .
However , NCC programmes differ widely and the efficacy of NCC components has not been studied .