Continuous nursing care improving outcomes of patients after percutaneous coronary intervention

Medicine (Baltimore). 2024 Nov 29;103(48):e40807. doi: 10.1097/MD.0000000000040807.

Abstract

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.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Aged
  • Female
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Nursing Care / methods
  • Percutaneous Coronary Intervention* / nursing
  • Postoperative Complications* / epidemiology
  • Postoperative Complications* / nursing
  • Quality of Life*
  • Treatment Outcome