Being a swedish student with there are some trouble writing an abstract in a correct manner. Anyone have the time to correct following?
Partly due to the lack of physicians (P:s) in many Primary Care-centers in Sweden a reorganization has been carried out where District Nurses (DN:s) have obtained an extended responsibility for patients with cardiovascular diseases. In a town in Central Sweden, in the beginning of 2004, a so called "Metabolt team" was introduced in a Primary Care-center where DN:s, with diabetes and hypertension as speciality, obtained an extended responsibility for this group of patients. The purpose was i.a. to reduce the P:s workload and to increase the accessibility. The aim of the study was to explore what differences there were between P:s and DN:s documentation of lifestyle factors. Study design was a descriptive, retrospective, comparative examination of patients' records with a quantitative nature. Randomised selection was made of thirty patients managed by a P:s and another thirty patients managed by DN:s in a Primary Care-center i Central Sweden. N**Tot(60), NDN(30), NP(30). Inclusion criteria's: patients with any of the diagnoses ICD; I209P, I21-P or I25-P. Out of 326 documented records among the physicians were lifestyle factors documented by 38%. Among the district nurses 248 documented records, lifestyles factors were documented by 83%. This is a significant difference, (p=0,0007). The differences in education and different focus on patients' problems could explain the results from the study. To what extent this could influence the care of these patients is a question that needs further research.
Keywords: Documentation, lifestyle factors, cardiovascular disease, secondary prevention.