Participation of Primary Care Nurses in the Prevention of Chronic Non Communicable Diseases in the Republic of Kazakhstan: A Cross Sectional Study

Alexandra Masharipova, Nasikhat Nurgaliyeva,, Gulmira Derbissalina

Abstract


Abstract

Background: Chronic diseases are a huge threat to public health in Kazakhstan and around the world. Many deaths can be prevented by using evidence‑based behavioral interventions. Nurses, as the most numerous health care workers, can perform behavioral therapy for the prevention of Non‑Communicable Diseases (NCDs). This study was conducted in order to explore the behavioral interventions performed by nurses, to analyze current problems, barriers and the attitude of nurses to these activities.

Materials and Methods: A cross‑sectional study was conducted among 260 nurses in the city of Nur‑Sultan from 2019 to 2020. The sample was calculated using a formula and simple random sampling. The study was conducted using a specially compiled questionnaire. Descriptive statistics were chosen as a statistical method. Pearson’s Chi‑square criterion was used to identify a statistically significant relationship between variables.

Results: Among 260 nurses, 208 participants (80%) had the desire to conduct behavioral interventions among patients. Most nurses do not have enough time to conduct behavioral interventions. A short work experience affects to a greater extent nurses use passive training methods. Almost half (47.30%) of nurses rate their level of knowledge about the real effects of drugs, tobacco, alcohol, and preventive measures on the body as “average”.

Conclusions: The work of nurses on the prevention of NCDs is not performed enough due to lack of working time and available domestic literature, heavy workload. Behavioral therapy should be based on reliable scientific evidence, which can be achieved through the development of clinical guidelines and continuous training of nurses.



Keywords


Behavioral therapy, cross‑sectional study, Kazakhstan, noncommunicable diseases, nursing

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References


WHO provides information on trends in noncommunicable diseases. WHO. 2011. Available from: https://www.who.int/ mediacentre/news/releases/2011/NCDs_profiles_20110914/ru/.

Noncommunicable diseases. WHO. 2018. Available from: https:// www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases/.

Kruk ME, Nigenda G, Knaul FM. Redesigning primary care to tackle the global epidemic of noncommunicable disease. Am J Public Health 2015;105:431-7.

Better Noncommunicable Disease Outcomes: Challenges and Opportunities for Health Systems. Kazakhstan Country Assessment. Geneva: WHO; 2018. Available from: www.euro. who.int/__data/assets/pdf_file/0004/367384/hss-ncds-kaz-eng.pdf.

European Health Information Portal. Premature mortality. Copenhagen: Regional Office for Europe – WHO. 2019. Available from: https://gateway.euro.who.int/en/indicators/ h2020_1-premature-mortality/.

Prevention and control of noncommunicable diseases in Kazakhstan. WHO. 2019. Available from: https://www.euro.who. int/__data/assets/pdf_file/0004/409927/BizzCase-KAZ-Rus-web. pdf.

Belyatko A, Nurgaliyeva N, Derbissalina G. Evaluation of nurses’ work with patients with behavioral risk factors (smoking, alcohol). Valeology: Health – Illness – Recovery 2020;1:123-5.

Grigoriev P, Jasilionis D, Stumbrys D, Stankūnienė V, Shkolnikov VM. Individual- and area-level characteristics associated with alcohol-related mortality among adult Lithuanian males: A multilevel analysis based on census-linked data. PLoS One 2017;12:e0181622. doi: 10.1371/journal.pone. 0181622.

Official website of the Ministry of Health of the Republic of Kazakhstan. Available from: http://www.mz.gov.kz.

WHO’s Global status report on alcohol and health 2018.

Funahashi K, Takahashi I, Danjo K, Matsuzaka M, Umeda T, Nakaji S. Smoking habits and health-related quality of life in a rural Japanese population. Qual Life Res 2011;20:199-204.

Berger D, Bradley KA. Primary care management of alcohol misuse. Med Clin North Am 2015;99:989-1016.

Hobbs N, Godfrey A, Lara J, Errington L, Meyer TD, Rochester L, et al. Are behavioral interventions effective in increasing physical activity at 12 to 36 months in adults aged 55 to 70 years? A systematic review and meta-analysis. BMC Med 2013;11:75.

Stead LF, Carroll AJ, Lancaster T. Group behaviour therapy programmes for smoking cessation. Cochrane Database Syst Rev 2017;3:CD001007.

Carroll KM, Kiluk BD. Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychol Addict Behav 2017;31:847-61.

Hamilton I, Baker S. Nurses’ role in tackling problematic alcohol use. Practice Nurs 2013;24:351-5.

Jennings C, Astin F. A multidisciplinary approach to prevention. Eur J Prev Cardiol 2017;24:77-87.

Vitacca M, Visca D, Spanevello A. Cure correlate in Pneumologia Riabilitativa: la Riabilitazione Polmonare nelle Broncopneumopatie Croniche Ostruttive (BPCO) può trarre beneficio da un approccio multidisciplinare? [Care-Related intervention in Rehabilitative Pneumology: Pulmonary Rehabilitation in Chronic Obstructive Broncopneumopathies (COPD) can benefit from a multidisciplinary approach?]. G Ital Med Lav Ergon 2018;40:37-41.

Gies CE. Evaluating Effectiveness of an Inpatient Nurse-directed. Smoking Cessation Program in a Small Community Hospital. Medical College of Ohio; 2015. p. 112.

State of the world's nursing 2020: investing in education, jobs and leadership. WHO. 2020. Available from: https://apps.who. int/iris/bitstream/handle/10665/331673/9789240003293-eng.pdf. [Last accessed on 2023 Mar 16].

Shishani K, Nawafleh H, Sivarajan Froelicher E. Jordanian nurses’ and physicians’ learning needs for promoting smoking cessation. Prog Cardiovasc Nurs 2008;23:79-83.

Giovanni G. Nicotine Addiction: Prevention, Health Effects and Treatment Options. New York: Nova Biomedical; 2012.

Behaviour change: individual approaches: Public health guideline. NICE 2014.

Clinical Best Practice Guidelines. Integrating Tobacco Interventions into Daily Practice. 3rd ed. Registered Nurses’ Association of Ontario; Canada: 2017.

Drug and Alcohol Withdrawal Clinical Practice Guidelines – NSW. NSW Department of Health; Australia: 2007.

DeCola P, Benton D, Peterson C, Matebeni D. Nurses’ potential to lead in non-communicable disease global crisis. Int Nurs Rev 2012;59:321-30.

Casey D. Nurses’ perceptions, understanding and experiences of health promotion. J Clin Nurs 2007;16:1039-49.

Becker RM, Heidemann ITSB, Meirelles BHS, Costa MFBNAD, Antonini FO, Durand MK. Nursing care practices for people with chronic noncommunicable diseases. Rev Bras Enferm 2018;71:2643-9.


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