What question did this study set out to answer?

To assess the effects of an intensive primary care nurse-led follow-up program on cardiovascular disease self-management and compliance behaviours following myocardial infarction.

April 21, 2023Nursing OpenOpen Access

Intensive nurse‐led follow‐up in primary care to improve self‐management and compliance behaviour after myocardial infarction

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Why the study?

Although prevention and rehabilitation occur in hospital settings, a nurse-led approach in primary care is needed after myocardial infarction, prompting assessment of cardiovascular disease self-management and compliance behaviours.

Does intensive nurse-led follow-up improve self-management and compliance behaviors in patients after myocardial infarction?

Population

212 patients with acute coronary syndrome from 40 healthcare facilities

Comparison

Intensive nurse-led follow-up programme pre- vs post-intervention

Design

Multicentre quasi-experimental pre-post study without a control group

Follow-up

12-18 months

Authors

ALAngel Lizcano‐ÁlvarezUniversidad Rey Juan Carlos LCLaura Carretero‐JuliánUniversidad Complutense de Madrid ATAna Talavera‐SaezUniversidad Rey Juan Carlos

Discussion

Member takes

Implication

Intensive nurse-led follow-up may enhance post-MI compliance; leaves open confirmation in randomized trials.

Key Points

To assess the effects of an intensive primary care nurse-led follow-up program on cardiovascular disease self-management and compliance behaviours following myocardial infarction.
Conducted a multicentre, quasi-experimental, pre-post study without a control group across 40 healthcare facilities.
Enrolled 212 patients with acute coronary syndrome who participated in an 11-intervention program over 12–18 months utilizing a self-care notebook and functional health patterns.
Assessed changes in Nursing Outcomes Classification (NOC) scores for cardiac self-management, diet, physical activity, and medication compliance using paired Student's t-tests.
A total of 132 patients completed the intensive intervention protocol.
All evaluated Nursing Outcomes Classification indicators demonstrated statistically significant improvements following the intervention (p = 0.000).
Mean scores increased for prescribed diet compliance (3.7 to 4.1), prescribed physical activity compliance (3.9 to 4.3), and prescribed medication compliance (3.9 to 4.7).

Structured PICO

Does intensive nurse-led follow-up improve self-management and compliance behaviors in patients after myocardial infarction?

Population

212 patients with acute coronary syndrome (myocardial infarction) from 40 healthcare facilities (132 completed the intervention)

Intervention

Intensive nurse-led follow-up in primary care including 11 interventions during the first 12-18 months after myocardial infarction, using Marjory Gordon's functional health patterns and a self-care notebook

Outcome

Nursing Outcomes Classification (NOC) outcomes: Self-management: Cardiac Disease (1617) and Compliance Behaviour: Prescribed Diet (1622), Prescribed Activity (1632), and Prescribed Medication (1623) assessed at baseline and end of interventionpatient reported

Intensive nurse-led follow-up in primary care significantly improves self-management and compliance with diet, activity, and medication in patients after myocardial infarction.

Cite This Study

Lizcano‐Álvarez et al. (2023) studied this question.

synapsesocial.com/papers/6a83feb920cfb2932ffe30f7 https://doi.org/10.1002/nop2.1758

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Intensive nurse‐led follow‐up in primary care to improve self‐management and compliance behaviour after myocardial infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Intensive nurse‐led follow‐up in primary care to improve self‐management and compliance behaviour after myocardial infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider