Key result
Continuous nursing care via WeChat significantly decreased vagal reflex incidence (P=0.042) and improved smoking cessation (P=0.001) and alcohol withdrawal (P=0.003) at 1 year post-PCI.
Why the study?
Cardiac rehabilitation and continuous nursing management after discharge are key following PCI, and this study aimed to explore the significance of the WeChat platform in continuous post-PCI care.
Does continuous nursing care based on the WeChat platform improve outcomes in patients after percutaneous coronary intervention?
Cohort (n=90)
Yes
Does continuous nursing care based on the WeChat platform improve outcomes in patients after percutaneous coronary intervention?
Continuous nursing care via WeChat after PCI improves lifestyle modifications and psychological status while reducing vagal reflex incidence.
Suggests digital continuous care may support lifestyle modification post-PCI; leaves open whether these observational benefits translate.
Percutaneous coronary intervention (PCI) is an effective method for the treatment of coronary heart disease. Cardiac rehabilitation and continuous nursing management after discharge are the key to ensure the quality of treatment and the quality of life of patients. This study aimed to explore the significance of WeChat platform in continuous care after PCI. We collected the clinical data of 90 PCI patients in 2 centers from January 2020 to July 2023, and divided the patients into 2 groups: the continuous nursing care group based on the WeChat platform and the control group. Continuous nursing care was implemented immediately after discharge. After 1-year follow-up, we compared the outcomes of the 2 groups, including postoperative complications, lifestyle changes and psychological status. There were no heart-related postoperative complications in either group. The incidence of vagal reflex was significantly decreased in the continuous nursing group (P = .042). The improvement of life style, such as smoking cessation (P = .001) and alcohol withdrawal (P = .003), was significantly better than that of the control group. The continuous nursing group was better than the control group in improving psychological status based on the Hamilton's depression scale. Continuous nursing care based on WeChat platform could reduce the incidence of complications of patients after PCI, alleviate patients' depression, and improve patients' quality of life.
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Zhang et al. (2024) conducted a cohort in Post-percutaneous coronary intervention (PCI) (n=90). Continuous nursing care based on the WeChat platform vs. Control group was evaluated on Postoperative complications, lifestyle changes and psychological status. Continuous nursing care via WeChat significantly decreased vagal reflex incidence (P=0.042) and improved smoking cessation (P=0.001) and alcohol withdrawal (P=0.003) at 1 year post-PCI.
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