Date of Award

Spring 4-10-2025

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

David Liguori, DNP, NP-C, ACHPN

Second Advisor

Christine Queval-Chung, DNP, FNP-BC

Abstract

Practice Problem: Dyslipidemia management requires participation by both the healthcare provider and the patient alike. The inability to control lipid levels, including modifiable risk factors, can lead to cardiovascular disease which is the leading cause of death globally.

PICOT: In patients at a federally qualified health center that are 18-99 years of age and have a diagnosis of any type of dyslipidemia (P), does the implementation of a self-management program (SMP) via continued access to video recordings, take-home booklets, and biweekly follow-up calls (I) compared to current practices (C), increase compliance to medication adherence and lifestyle modification recommendations (O) within 8-weeks (T).

Evidence: SMPs have resulted in statistical significance of behavioral modifications (diet, physical activity, smoking cessation, and medication compliance) and patient outcomes. Most of this research has been focused on chronic diseases such as diabetes, however, dyslipidemia has been included within the studies.

Intervention: An 8-week SMP for dyslipidemia was implemented to eligible participants.

Outcome: A two proportions z-test was statistically significant, without assumption of normality, for participants to be completely compliant with health behaviors post-intervention of a self-management program for dyslipidemia (83.33%, n=6).

Conclusion: The implementation of a self-management program for dyslipidemia demonstrated statistical significance for increasing positive health behavior to modifiable risk factors of cardiovascular disease. Future projects might have the ability and opportunity to show statistical significance transferrable to lipid panel outcomes post SMP implementation.

Comments

Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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