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Nurse-led Motivational Telephone Follow-up After Same-day Percutaneous Coronary Intervention Reduces Readmission and Contacts to General Practice.
- Source :
- Journal of Cardiovascular Nursing; May/Jun2019, Vol. 34 Issue 3, p222-230, 9p
- Publication Year :
- 2019
-
Abstract
- Background: Same-day discharge of patients undergoing percutaneous coronary intervention (PCI) may challenge preparation of patients for discharge. Objective: The objective of this study was to investigate whether nurse-led telephone follow-up influenced patients' self-management post-PCI. Methods: We performed a randomized study with an allocation rate of 1:1. A standardized nurse-led motivational telephone consultation was conducted between 2 and 5 days after PCI to support adherence to medical therapy, follow-up activities, emotional well-being, and healthy lifestyle. The control group received usual care and discharge procedures. Primary outcome was adherence to use of P2Y<subscript>12</subscript> inhibitor (clopidogrel or ticagrelor) therapy at 30 days of follow-up. Results: We consecutively included 294 elective patients (83%) undergoing PCI and with planned same-day discharge. Adherence to P2Y<subscript>12</subscript> inhibitors was not influenced by the intervention (intervention vs control, 95%vs 93%, respectively; P = .627). However, the proportion of patients readmitted (8% vs 16%, P = .048), as well as self-initiated contacts to general practitioners (29% vs 42%, P = .020),was lower in the intervention group compared with the control group. Patients in the intervention group were more likely to know how to manage symptoms of angina pectoris (90%vs 80%, P = .015), and a higher proportion of patients in the intervention group commenced healthy physical activities (53% vs 41%, P = .043). Conclusion: Nurse-led motivational telephone follow-up did not influence adherence to antiplatelet medical therapy after PCI. However, the intervention positively influenced self-management of angina pectoris and reduced hospital readmissions and self-initiated contacts to general practitioners and hospitals. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANGINA pectoris
CHI-squared test
CORONARY disease
STATISTICAL correlation
DRUGS
FAMILY medicine
FISHER exact test
INTERVIEWING
MOTIVATION (Psychology)
NURSE-patient relationships
PATIENT compliance
PSYCHOLOGICAL tests
QUESTIONNAIRES
STATISTICAL sampling
SELF-management (Psychology)
T-test (Statistics)
WELL-being
LIFESTYLES
RANDOMIZED controlled trials
MOTIVATIONAL interviewing
CLOPIDOGREL
PATIENT readmissions
PERCUTANEOUS coronary intervention
Subjects
Details
- Language :
- English
- ISSN :
- 08894655
- Volume :
- 34
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 136069939
- Full Text :
- https://doi.org/10.1097/JCN.0000000000000566