ABSTRACT
PURPOSE: To examine the baseline knowledge and risk factors of coronary heart disease (CHD) among Filipino-Americans (FAs), and to identify the predictors of CHD knowledge. DATA SOURCES: A convenience sample of 120 FAs recruited from three primary care clinics in Las Vegas, Nevada between May and July, 2010. Participants were asked about their demographic data and presence of CHD risk factors using the Demographics questionnaire. CHD knowledge was examined using the Heart Disease Fact questionnaire. CONCLUSIONS: FAs connected to primary care services are knowledgeable about CHD. Predictors of CHD knowledge include: gender and education. CHD risk factors common to FAs include: hypertension, diabetes mellitus type 2, dyslipidemia, abdominal adiposity, overweight, lack of exercise, and smoking. IMPLICATIONS FOR PRACTICE: Knowledge on CHD alone may not help prevent heart disease among FAs. Behavioral and cultural factors may play a major role in the development of CHD and CHD risk factors among FAs. NPs and other health care providers serve a vital role on health promotion, disease prevention, and management of patients. The use of the Neuman's systems model can serve as a guide when caring for FAs because of its emphasis in primary and secondary prevention interventions. Nurse practitioners must provide holistic and culturally sensitive care when managing their FA patients.
Subject(s)
Asian/psychology , Coronary Disease/etiology , Health Knowledge, Attitudes, Practice/ethnology , Primary Health Care , Adult , Humans , Male , Middle Aged , Nevada , Philippines/ethnology , Risk Factors , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
PURPOSE: To explore current studies on metabolic syndrome (MetS), including its complex pathophysiology and to describe the unique role of the advanced practice nurse including management and ethical decision making utilizing a case study to exemplify salient points. DATA SOURCES: From original research articles extracted from nursing and medical databases. CONCLUSIONS: MetS is a constellation of characteristics that increases the risk for the development of diabetes and cardiovascular disease. The pathophysiology of MetS is not completely understood, but is thought to involve a complex interaction between the environment, genetic susceptibility, insulin resistance, and abnormal adipose tissue function. IMPLICATIONS FOR PRACTICE: The role of the advanced practice nurse is appropriate for early intervention and counseling of patients with MetS and those who are at risk, as well as addressing the ethical challenges that accompany their care.
Subject(s)
Metabolic Syndrome/etiology , Metabolic Syndrome/physiopathology , Advanced Practice Nursing , Aged , Female , Humans , Metabolic Syndrome/therapy , Nurse's RoleABSTRACT
AIM: The aims of this study are a) to examine the prevalence of metabolic syndrome among Filipino-Americans, b) to compare the rate of metabolic syndrome between Filipino men and women, and c) to examine the prevalence of central adiposity. BACKGROUND: Filipino-Americans are the second largest Asian subgroup in the United States and their leading cause of death is coronary heart disease (CHD). METHODS: This study utilized a descriptive correlational, cross-sectional design that included a convenience sample of 300 Filipino-Americans residing in Southern Nevada. Survey questionnaires were used to collect the sample's demographic data and presence of CHD risk factors. Waist circumference measurements were used to examine central adiposity. RESULTS: Metabolic syndrome and central adiposity are highly prevalent among Filipino-Americans residing in Southern Nevada. More men than women had the syndrome, but the rate of central adiposity was significantly higher in women than in men. CONCLUSIONS: Intensive lifestyle modifications and treatment are indicated to decrease the prevalence of metabolic syndrome and the risk of heart disease in this group.
Subject(s)
Metabolic Syndrome/epidemiology , Adult , Aged , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Philippines/ethnology , Prevalence , United States/epidemiologyABSTRACT
UNLABELLED: This cross-sectional study was conducted to describe: the physical activity and function of 47 Filipinos (N = 47), 65+ years old living in Honolulu; and the relationship between these two variables. Data collected included an interview on demographics, health history, physical activity and function. Performance based physical function tests included handgrip, chair stands, balance, ten foot and six minutes walk. RESULTS: For physical activity, most of the participants engaged in sedentary lifestyle. However, they did not have difficulty performing activities of daily living (ADL) and generally had no difficulty with the performance-based physical function tests. Physical function, handgrip, was significantly related to heavy physical activity.
Subject(s)
Activities of Daily Living/classification , Aging/psychology , Cross-Cultural Comparison , Emigrants and Immigrants , Health Status Indicators , Motor Activity , Physical Fitness , Aged , Aged, 80 and over , Female , Hawaii , Health Behavior , Humans , Male , Philippines/ethnology , Self-AssessmentABSTRACT
PURPOSE: (a) To explore current studies on Tai Chi and its impact on coronary heart disease (CHD), (b) provide critique of existing studies, and (c) provide recommendations for clinical practice and future research. DATA SOURCES: Comprehensive review of literature. CONCLUSIONS: Tai Chi is a safe alternative exercise for patients who are at risk of CHD or with existing CHD. Implementing Tai Chi exercise may improve serum lipids, blood pressure, and heart rate. IMPLICATIONS FOR PRACTICE: Nurse practitioners (NPs) are in an ideal position to facilitate health promotion and disease prevention. NPs may prescribe Tai Chi as an alternative exercise therapy for their patients who are at risk for developing CHD and even for those with existing CHD. Tai Chi exercise may help prevent and even reverse the progression of cardiac disease.
Subject(s)
Coronary Artery Disease/therapy , Hypertension/therapy , Nurse Practitioners , Tai Ji , Blood Pressure , Coronary Artery Disease/nursing , Coronary Artery Disease/prevention & control , Exercise Therapy , Health Promotion , Heart Rate , Humans , Hypertension/nursing , Hypertension/prevention & control , Risk Assessment , Statistics as Topic , Time FactorsABSTRACT
PURPOSE: To analyze the concept of risk in relation to coronary heart disease (CHD) among Filipino-Americans (FAs) and provide a new definition of risk. SOURCE: Published literature. CONCLUSION: This concept analysis provided a new meaning of risk in relation to CHD among FAs and shed light on further understanding of risk. Risk has been laced with negativity in health care, but based on the current literature, risk can be conceptualized in a positive perspective, especially in the area of chronic health disease such as CHD. However, further research is needed in the conceptualization of risk related to CHD for consistency, adequacy, and meaning.
