Key result
An integrated dual-medical model combining internet-based support with continuous nursing significantly reduced anxiety scores (MD -4.57) compared to standard care in patients following percutaneous coronary intervention.
Why the study?
Coronary heart disease remains a prevalent, chronic cardiovascular disorder with rising global incidence and mortality, prompting evaluation of an internet-based continuous nursing intervention after percutaneous coronary intervention.
Does an internet-based continuous nursing intervention under a dual heart medical model improve quality of life, psychological distress, medication adherence, and cardiac function in patients following emergency percutaneous coronary intervention?
RCT (n=60)
Open-label
Random number table
No
Does an internet-based continuous nursing intervention under a dual heart medical model improve quality of life, psychological distress, medication adherence, and cardiac function in patients following emergency percutaneous coronary intervention?
An internet-based continuous nursing intervention integrating psychological support significantly improves quality of life, medication adherence, and cardiac function in patients recovering from emergency PCI.
Answers are grounded in this paper and cite their sources.
Internet-based nursing may benefit post-PCI CHD patients; hypothesis-generating and requires larger trials before practice change.
Coronary heart disease (CHD) remains a prevalent and chronic cardiovascular disorder with a persistently rising global incidence and mortality rate. This study evaluates the clinical outcomes of an internet-based continuous nursing intervention for CHD patients following percutaneous coronary intervention. A cohort of 60 CHD patients admitted to our hospital between June 2023 and April 2024 were enrolled as study subjects. Using a randomized number table method, they were allocated into a control group and an observation group, with 30 patients in each. The control group received standard care, whereas the observation group underwent an integrated dual-medical model combining internet-based support with structured continuous nursing. Comparison metrics included anxiety scores (e.g., Hospital Anxiety and Depression Scale), depression scores, SF-36 quality-of-life assessments, medication adherence, cardiac function parameters (left ventricular ejection fraction, left ventricular diastolic dysfunction), and rates of cardiovascular adverse events. Post-intervention, exhibited significant reductions in anxiety and depression scores, with the observation group demonstrating markedly lower scores than the control group (P < .05). The observation group also achieved superior SF-36 scores across all domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health (P < .05). While medication adherence at 1 month showed no statistical difference between groups (P > .05), the observation group displayed significantly higher compliance at 2 and 4 months (P < .05). Cardiac function improved in both groups, with the observation group achieving greater enhancements in left ventricular ejection fraction and left ventricular diastolic dysfunction (P < .05). The dual-medical model integrating internet-based continuous nursing significantly enhances cardiac rehabilitation, optimizes medication adherence, elevates quality of life, alleviates psychological distress, and reduces cardiovascular complications in post-percutaneous coronary intervention patients.
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Fu et al. (2025) conducted an RCT in Coronary heart disease after percutaneous coronary intervention (n=60). Internet plus continuing nursing under dual heart medical model vs. Standard care was evaluated on Anxiety score (Self Rating Anxiety Scale) at 6 months (MD -4.57, 95% CI -5.94 to -3.20, p=<0.05). An integrated dual-medical model combining internet-based support with continuous nursing significantly reduced anxiety scores (MD -4.57) compared to standard care in patients following percutaneous coronary intervention.
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