Cardiovascular risk factors and visiting nurse intervention--evaluation of a Croatian survey and intervention model: the CroHort study.

Džakula, Aleksandar and Ivezić, Jaka and Žilić, Maja and Crnica, Vanja and Bander, Ilda and Janev Holcer, Nataša and Šogorić, Selma and Pavić, Jadranka and Županić, Mara and Vuletić, Silvije (2012) Cardiovascular risk factors and visiting nurse intervention--evaluation of a Croatian survey and intervention model: the CroHort study. Collegium Antropologicum, 36 (S1). pp. 21-5. ISSN 0350-6134

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Croatian abstract

KARDIOVASKULARNI RIZIČNI ČIMBENICI I INTERVENCIJA PATRONAŽNIH SESTARA – EVALUACIJA ISTRAŽIVANJA U HRVATSKOJ I INTERVENCIJSKI MODEL: CROHORT STUDIJA ----- Cilj istraživanja bio je prepoznavanje čimbenika koji utječu na uspješnost implementacije primarnih i sekundarnih preventivnih programa u Hrvatskoj, putem patronažnog sustava. Korištena su dva glavna izvora informacija: izvještaji o radu patronažnih sestara u Hrvatskoj i istraživanja o sudjelovanju patronažnih sestara u studiji CroHort 2008. Od 9,070 sudionika koji su sudjelovali u istraživanju CAHS 2003, tijekom CroHort 2008 programa je 3,229 (35,6%) sudionika bilo ponovno intervjuirano. Napravljena je kvalitativna analiza na uzorku od 34 patronažnih sestara koje su sudjelovale u istraživanju CroHort 2008. Rezultati pokazuju tri ključna problema koja ograničavaju preventivne programe: nemogućnost zdravstvenog sustava da prepozna važnost primarne prevencije, nedovoljno mogućnosti patronažnih sestara za provođenje prevencije te nedostatak motivacije i edukacije u istraživanoj populaciji.

English abstract

The aim of this study is to identify factors that influence the success of the implementation of the primary and secondary prevention programs in Croatia by the visiting/community services. Two main sources of information were used: reports about regular visiting nurse services in Croatia and research about visiting nurse participation in the Croatian Adult Health Cohort Study (CroHort) 2008. Out of the total number 9,070 respondents who participated in CAHS 2003 survey, during CroHort 2008 program 3,229 (35.6%) participants were re-interviewed. The qualitative analysis was done with a sample of 34 visiting nurses, which participated in the CroHort 2008. Results show that there are three key problems which limit preventive programs: inability of the health care system to recognize the importance of the primary prevention; visiting nurses' lack capacity to implement prevention and populations' lack of motivation and education.

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