Key result
Early multidimensional cardiac rehab linked to ~71% fewer adverse cardiovascular events after PCI.
Why the study?
The value of early multi-dimensional cardiac rehabilitation nursing in patients undergoing PCI and its effects on adverse events and medication adherence were evaluated.
Does early multi-dimensional cardiac rehabilitation nursing improve medication adherence, quality of life, and reduce adverse events in patients undergoing PCI?
Does early multi-dimensional cardiac rehabilitation nursing improve medication adherence, quality of life, and reduce adverse events in patients undergoing PCI?
Early multi-dimensional cardiac rehabilitation nursing post-PCI significantly improves medication adherence, quality of life, and reduces adverse cardiovascular events.
Answers are grounded in this paper and cite their sources.
May reduce post-PCI adverse events; leaves open confirmation in randomized trials before practice change.
Objective: To evaluate the application value of early multi-dimensional cardiac rehabilitation nursing in percutaneous coronary intervention (PCI) and its effects on adverse events and patients’ adherence to medication. Methods: A total of 90 patients that underwent PCI in Cangzhou Central Hospital from January 2019 to January 2020 were selected as the study subjects. The patients were divided into two groups according to the order of admission, the control group and the study group, with 45 patients in each group. Patients in the control group were cared for using conventional nursing methods, while those in the study group were cared for using conventional nursing methods combined with early multi-dimensional cardiac rehabilitation nursing. The efficacy of nursing and the incidence of adverse events in the two groups of patients were assessed and compared. The exercise of self care agency scale (ESCA) was used to evaluate the self-care ability of patients after intervention. The generic quality of life inventory-74 (GQOLI-74) was used to assess the patients’ quality of life after intervention. The Morisky medication adherence scale 9 (MMAS-8) was used to assess the patients’ adherence to medication before and after intervention. The hospital anxiety and depression scale (HAD) was used to assess the patients’ emotional state before and after intervention. Results: The total nursing satisfaction after intervention in the study group was significantly higher than that in the control group (P<0.05). A remarkably lower incidence of adverse cardiovascular events after intervention was observed in the study group in comparison to the control group (P<0.05). Patients in the study group had significantly higher ESCA, GQOLI-74 and MMAS-8 scores and lower HAD scores than those in the control group (all P<0.001). Conclusion: Early multi-dimensional cardiac rehabilitation nursing for patients undergoing PCI can significantly improve the patients’ adherence to medication and quality of life. It can also reduce the incidence of adverse cardiovascular events. It has remarkable nursing efficacy, and is worthy of more widespread promotion and clinical application.
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Zhao et al. (2022) studied Coronary heart disease requiring percutaneous coronary intervention (n=90). Early multi-dimensional cardiac rehabilitation nursing vs. Conventional nursing was evaluated on Incidence of adverse cardiovascular events (p=<0.05). Early multi-dimensional cardiac rehabilitation nursing significantly reduced the incidence of adverse cardiovascular events to 8.89% compared to 31.11% with conventional nursing in patients undergoing PCI.
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