Key result
An integrated symptom management program significantly improved symptom experiences, LDL levels, self-care activity, and quality of life compared to usual care in CAD patients post-PCI.
Why the study?
Does an integrated symptom management program prevent recurrent cardiac events and improve symptoms in CAD patients after PCI?
Does an integrated symptom management program prevent recurrent cardiac events and improve symptoms in CAD patients after PCI?
A 6-month integrated symptom management program post-PCI significantly improves patient-reported outcomes and LDL levels, though it did not significantly reduce recurrent cardiac events in this small cohort.
Answers are grounded in this paper and cite their sources.
Program participation was associated with fewer recurrent events post-PCI; leaves open need for randomized confirmation before practice change.
PURPOSE: This study was conducted to develop and to determine the effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. METHODS: Subjects consisted of 58 CAD patients (experimental group: 30, control group: 28). The experimental group participated in an integrated symptom management program for 6 months which was composed of tailored education, stress management, exercise, diet, deep breathing, music therapy, periodical telephone monitoring and a daily log. The control group received the usual care. RESULTS: The experimental group significantly decreased symptom experiences and the level of LDL compared to the control group. The experimental group significantly increased self care activity and quality of life compared to the control group. Although no significant difference was found in cardiac recurrence, the experimental group had fewer recurrences. CONCLUSION: These results suggest that an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention can improve symptom aggravation, recurrent rate, self care activity and quality of life. Nursing interventions are needed to maintain and further enhance the quality of life of these patients and the interventions should be implemented in the overall transition period.
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Youn‐Jung Son (2008) studied Coronary artery disease (CAD) after percutaneous coronary intervention (n=58). Integrated symptom management program vs. Usual care was evaluated on Symptom experiences, level of LDL, self care activity, quality of life, and cardiac recurrence. An integrated symptom management program significantly improved symptom experiences, LDL levels, self-care activity, and quality of life compared to usual care in CAD patients post-PCI.
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