Key result
Peplau's interpersonal relationship theory combined with case management significantly improved the rate of blood pressure control (84.31% vs 56.25%, p<0.001) at 3 months compared to routine care in patients after primary PCI.
Why the study?
The study evaluated the effect of Peplau's interpersonal relationship theory combined with case management on exercise-based cardiac rehabilitation, self-efficacy, and risk factors in patients after primary PCI.
Does Peplau's interpersonal relationship theory combined with case management improve exercise-based cardiac rehabilitation, self-efficacy, and risk factor control in patients after primary PCI?
RCT (n=99)
Random number table method
No
Does Peplau's interpersonal relationship theory combined with case management improve exercise-based cardiac rehabilitation, self-efficacy, and risk factor control in patients after primary PCI?
Combining Peplau's interpersonal relationship theory with case management significantly improves cardiac rehabilitation engagement and cardiovascular risk factor control in patients following primary PCI.
Answers are grounded in this paper and cite their sources.
May support theory-based case management in post-PCI rehab; leaves open need for randomized trials before practice change.
Objective To explore the effect of Peplau's interpersonal relationship theory (PIRT) combined with case management (CM) on exercise-based cardiac rehabilitation (EBCR), self-efficacy of rehabilitation and risk factors in patients after primary percutaneous coronary intervention (PCI). Methods The convenience sampling method was used to select patients who were admitted to the Department of Cardiology in our hospital from January to October 2022 and received PCI for the first time. Patients were divided into a control group and an intervention group. The control group was given routine treatment and health guidance, including radial artery puncture site care, monitoring of vital signs, informing about medication and dietary precautions, etc. and the intervention group was given PIRT combined with CM. The study was conducted for 3 months. The effect of intervention in the two groups was evaluated by the coronary heart disease risk factor index, EBCR knowledge-attitude-behavior questionnaire and EBCR self-efficacy scale. Results The rate of risk factors control including blood pressure (p < 0.001), low density lipoprotein cholesterol (p = 0.012), smoking cessation (p = 0.031) and exercises (p = 0.021), the scores of EBCR knowledge (p < 0.001), attitude (p = 0.001) and behavior (p < 0.001), and the score of EBCR self-efficacy scale (p < 0.001) in the intervention group were better than those in the control group at 3 months after intervention. Conclusion Peplau's interpersonal relationship theory combined with appropriate case management can effectively control cardiovascular disease in patients after primary PCI.
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Qin et al. (2024) conducted an RCT in Coronary heart disease post primary percutaneous coronary intervention (PCI) (n=99). Peplau's interpersonal relationship theory (PIRT) combined with case management (CM) vs. Routine treatment and health guidance was evaluated on Blood pressure control rate at 3 months (p=<0.001). Peplau's interpersonal relationship theory combined with case management significantly improved the rate of blood pressure control (84.31% vs 56.25%, p<0.001) at 3 months compared to routine care in patients after primary PCI.
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