What is the clinical evidence from this study?

Study design: Review. Population: Acute myocardial infarction following percutaneous coronary intervention. Intervention: Continuity of care models vs. Conventional care. Primary outcome: Treatment adherence, lifestyle behaviors, and quality of life.

What question did this study set out to answer?

The aim is to summarize research on continuity of care for patients with acute myocardial infarction following PCI.

March 31, 2026Open Access

Advances in continuity of care models for patients with acute myocardial infarction following percutaneous coronary intervention

Key Result

Continuity of care models enhance treatment adherence, support the adoption of healthy lifestyle behaviors, and improve quality of life in patients with acute myocardial infarction following PCI.

Key Points

The aim is to summarize research on continuity of care for patients with acute myocardial infarction following PCI.
Narrative review of recent literature on continuity of care for AMI post-PCI.
Focus on frameworks, major care models, and nursing components.
Assessment of challenges in implementation and model integration.
Continuity of care may improve treatment adherence among AMI patients post-PCI.
Supports the adoption of healthy lifestyle behaviors for better health outcomes.
Indicates gaps in evidence quality and strategies for effective implementation.

Structured PICO

Does continuity of care improve treatment adherence and clinical outcomes in patients with acute myocardial infarction following percutaneous coronary intervention?

Population

Patients with acute myocardial infarction (AMI) following percutaneous coronary intervention (PCI)

Intervention

Continuity of care models (including physician-nurse integration, Internet plus platforms, and family-participatory approaches)

Comparator

Conventional care or traditional follow-up methods

Continuity of care models show promise in improving long-term management and prognosis for post-PCI AMI patients, though standardized frameworks and higher-quality evidence are needed.

Limitations

Lack of high-quality, multicenter randomized controlled trials
Generally short follow-up durations
Insufficient evaluation of cost-effectiveness and implementation feasibility
Absence of standardized intervention frameworks across different care models
Lack of multidisciplinary specialists
Lack of relevant policy framework

Abstract

Background : Patients with acute myocardial infarction (AMI) following percutaneous coronary intervention (PCI) often face substantial post-discharge challenges, including poor treatment adherence, difficulty in managing lifestyle modifications, and reduced quality of life. Continuity of care is widely recognized as a key nursing intervention for improving long-term outcomes in post-PCI AMI patients. This narrative review synthesizes recent domestic and international literature on continuity of care for patients with AMI after PCI, focusing on its conceptual framework, major care models, and core nursing components. Available evidence suggests that continuity of care may enhance treatment adherence, support the adoption of healthy lifestyle behaviors, and improve quality of life in this population. However, gaps remain in model integration, implementation strategies, and the overall quality of evidence. This paper aims to systematically summarize research progress on continuity of care for post-PCI AMI patients, providing guidance for the development of scientific, standardized, and implementable care protocols.

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