Nursing Staff Insight about Modifiable Risk Factors of Cardiovascular Diseases in a Multicultural Setting, Saudi Arabia

Main Article Content

Anfal Alqirnas
Shahad Alotaiby
Munira Alfaqeeri
Hadel Alsaran
Waqas Sami

Keywords

Modifiable Risk Factors, knowledge, attitude, practice, cardiovascular disease, preventive medicine, nurses

Abstract

OBJECTIVE: Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels that occur due to different risk factors. studies had shown that controlling these factors can result in lower mortality rate. Therefore, the objective of this study was to investigate the attitude, knowledge, and practice regarding cardiovascular modifiable risk factors among nursing staff in a tertiary hospital in Riyadh.


MATERIALS AND METHODS:  A cross-sectional study was conducted between January 2020 – October 2020 in King Salman Heart Center at King Fahad Medical City (KFMC). Data were obtained utilizing a self-administered questionnaire completed by 121 nurses. Analysis of the data was done using IBM SPSS version 26 (IBM Corp., Armonk, NY, USA).


RESULTS: The majority of the participants did not have any CVDs' risk factors. However, physical inactivity, obesity, unhealthy eating, and smoking were frequent in a substantial number of the participants. It was found that 71.07% of nurses had good knowledge, a positive attitude (61.98%), and most of them were following a fair nursing practice (67.77%).


CONCLUSION: Overall, we found that the participating nurses had a good knowledge, fair attitude and good practice about the modifiable risk factors of CVD which urges launching initiatives for CVD risk prevention in KFMC, however, awareness campaigns are recommended to educate the nurses more with the state-of-the-art knowledge in this area.

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References

1) Mensah GA, Roth GA, Fuster V. The global burden of cardiovascular diseases and risk factors: 2020 and beyond. J Am Coll Cardiol 2019; 74: 2529–2532.
2) Thomas H, Diamond J, Vieco A, Chaudhuri S, Shinnar E, Cromer S, Perel P, Mensah GA, Narula J, Johnson CO, Roth GA. Global atlas of cardiovascular disease. Global Heart 2018; 13: 143-163.
3) Buttar HS, Li T, Ravi N. Prevention of cardiovascular diseases: Role of exercise, dietary interventions, obesity and smoking cessation. Exp Clin Cardiol 2005; 10: 229-249.
4) Patel SA, Winkel M, Ali MK, Narayan KV, Mehta NK. Cardiovascular mortality associated with 5 leading risk factors: national and state preventable fractions estimated from survey data. Ann Intern Med 2015; 163: 245-253.
5) Sajid, M. R., Muhammad, N., Zakaria, R., & Bukhari, S. A. C. (2020). Modifiable risk factors and overall cardiovascular mortality: Moderation of urbanization. Journal of Public Health Research, 9(4).
6) Bonotto GM, Sassi MR, Susin LR. Knowledge of modifiable risk factors for cardiovascular disease among women and the associated factors: A population-based study. Cien Saude Colet 2016; 21: 293-302.
7) Basubrain MS, Basubrain ES, Elessawi LR, Bafarat OA, Baflah RA, Srouji RM, Basubrain OS, Dammas HO. Knowledge, attitude, and practice of general population towards CVD in Saudi Arabia. Diabetes 2017; 36: 15087-15092.
8) World Health Organization (WHO). Cardiovascular diseases (CVDs). Available at: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) Cited date Jan 10, 2021.
9) Ministry of Health (MOH). Cardiovascular Diseases Cause 42% of Non-Communicable Diseases Deaths in the Kingdom. Available at: https://www.moh.gov.sa/en/Ministry/MediaCenter/News/Pages/News-2013-10-30-002.aspx Cited date December 19, 2020.

10) Sami W, Alabdulwahhab KM, Ab Hamid MR, Alasbali TA, Alwadani FA, Ahmad MS. Dietary knowledge among adults with type 2 diabetes—kingdom of Saudi Arabia. International journal of environmental research and public health. 2020 Jan;17(3):858
11) Sami W, Alabdulwahhab KM, Hamid MR, Alasbali TA, Alwadani FA, Ahmad MS. Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Cross-Sectional Study. Medicina 2020; 56: 1-8.
12) Qureshi MS, Fawad A, Rafiullah M, Khan MK, Gul AM, Hafizullah M. Frequency of Cardiovascular Disease Risk Factors among Low Income Group. Pak Heart J 2012; 45: 166-173.
13) Nam S, Lee SJ. Occupational factors associated with obesity and leisure-time physical activity among nurses: A cross sectional study. Int J Nurs Stud 2016; 57: 60-69.
14) Ibrahim MM, Rahman NA, Rahman NI, Haque M. Knowledge, Attitude and Practice of Malaysian public university students on risk factors for cardiovascular diseases. J Appl Pharm Sci 2016; 27: 56-63.
15) Khan SB, Hafizullah M, Gul AM, Rehman H, Ali J, Qureshi MS, Shah ST, Jan H, Shah SF. Frequency of coronary heart disease risk factors among nurses. J Postgrad Med Inst 2012; 26: 1-8.
16) Ali D. How Aware are the Educators of Cardiovascular Risk Factors? Pak Heart J. 2012; 42: 3-4.
17) Jahromi MK, Hojat M, Koshkaki SR, Nazari F, Ragibnejad M. Risk factors of heart disease in nurses. Iran J Nurs Midwifery Res 2017; 22: 332-337.
18) Wu Y, Deng Y, Zhang Y. Knowledge, attitudes, and behaviors of nursing professionals and students in Beijing toward cardiovascular disease risk reduction. Res Nurs Health. 2011; 34: 228-240.
19) Nurten KA, Turan N, Aydin GO, Hatice KA, İlkay ER, Pinar IL. Cardiovascular Disease Risk Factors and Knowledge Level in Nursing Students. Clin Exp Health Sci 2018; 9: 195-201.
20) Muhihi AJ, Urassa DP, Mpembeni RN, Leyna GH, Sunguya BF, Kakoko D, Kessy AT, Njelekela MA. Effect of training community health workers and their interventions on cardiovascular disease risk factors among adults in Morogoro, Tanzania: Study protocol for a cluster randomized controlled trial. Trials 2018; 19: 1-2.
21) Sharma D, Vatsa M, Lakshmy R, Narang R, Bahl VK, Gupta SK. Study of cardiovascular risk factors among tertiary hospital employees and their families. Indian Heart J 2012; 64: 356-363.
22) Miller SK, Alpert PT, Cross CL. Overweight and obesity in nurses, advanced practice nurses, and nurse educators. J Am Assoc Nurse Pract 2008; 20: 259-265.
23) Kolbe-Alexander T, Phiri L, Draper C, Lambert E. Nurses’ lifestyle behaviours, health priorities and barriers to living a healthy lifestyle. J Sci Med Sport 2014; 18: e98.
24) Haskell WL, Alderman EL, Fair JM, Maron DJ, Mackey SF, Superko HR, Williams PT, Johnstone IM, Champagne MA, Krauss RM. Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP). Circulation 1994; 89: 975-990.
25) DeBusk RF, Miller NH, Superko HR, Dennis CA, Thomas RJ, Lew HT, Berger WE, Heller RS, Rompf J, Gee D, Kraemer HC. A case-management system for coronary risk factor modification after acute myocardial infarction. Ann Intern Med 1994; 120: 721-729.
26) Wood DA, Kotseva K, Connolly S, Jennings C, Mead A, Jones J, Holden A, De Bacquer D, Collier T, De Backer G, Faergeman O. Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: a paired, cluster-randomised controlled trial. Lancet. 2008; 37: 1999-2012.
27) Fonarow GC, Gawlinski A, Moughrabi S, Tillisch JH. Improved treatment of coronary heart disease by implementation of a Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). Am J Cardiol 2001; 87: 819-822.
28) Clark AM, Hartling L, Vandermeer B, McAlister FA. Meta-analysis: secondary prevention programs for patients with coronary artery disease. Ann Intern Med 2005; 143: 659-672.
29) Xian Y, Pan W, Peterson ED, Heidenreich PA, Cannon CP, Hernandez AF, Friedman B, Holloway RG, Fonarow GC; GWTG Steering Committee and Hospitals. Are quality improvements associated with the Get with the Guidelines-Coronary Artery Disease (GWTG-CAD) program sustained over time? A longitudinal comparison of GWTG-CAD hospitals versus non-GWTG-CAD hospitals. Am Heart J. 2010; 159: 207-214.
30) Berra K, Miller NH, Fair JM. Cardiovascular disease prevention and disease management: a critical role for nursing. J Cardiopulm Rehabil 2006; 26: 197-206.
31) Fair JM, Gulanick M, Braun LT. Cardiovascular risk factors and lifestyle habits among preventive cardiovascular nurses. J Cardiovasc Nurs 2009; 24: 277-286.
32) Tan SM, Han E, Quek RY, Singh SR, Gea‐Sánchez M, Legido‐Quigley H. A systematic review of community nursing interventions focusing on improving outcomes for individuals exhibiting risk factors of cardiovascular disease. J Adv Nurs 2020; 76: 47-61.
33) Klisic A, Kavaric N, Vujcic S, Spasojevic-Kalimanovska V, Kotur-Stevuljevic J, Ninic A. Total oxidant status and oxidative stress index as indicators of increased Reynolds Risk Score in postmenopausal women. European Review for Medical and Pharmacological Sciences. 2020 Oct 1;24(19):10126-33.
34) Castelao JE, Gago-Dominguez M. Risk factors for cardiovascular disease in women: relationship to lipid peroxidation and oxidative stress. Medical hypotheses. 2008 Jan 1;71(1):39-44.
35) Fearon IM. Risk factors, oxidative stress, and cardiovascular disease. Systems biology of free radicals and antioxidants. Berlin-Heidelberg: Springer. 2014:765-90.
36) Anderson C, Milne GL, Park YM, Sandler DP, Nichols HB. Cardiovascular disease risk factors and oxidative stress among premenopausal women. Free Radical Biology and Medicine. 2018 Feb 1;115:246-51.
37) Klisic A, Kavaric N, Soldatovic I, Bjelakovic B, Kotur-Stevuljevic J. Relationship between cardiovascular risk score and traditional and nontraditional cardiometabolic parameters in obese adolescent girls. Journal of medical biochemistry. 2016 Sep;35(3):282.
38) Lin JP, Vitek L, Schwertner HA. Serum bilirubin and genes controlling bilirubin concentrations as biomarkers for cardiovascular disease. Clinical chemistry. 2010 Oct 1;56(10):1535-43.