Effect of a mutual goal‐based continuous care program on self‐management behaviour and health outcomes in patients after percutaneous coronary intervention: A randomized controlled trial

Abstract

Aims To evaluate the effects of mutual goal‐based continuous care program on the outcomes of patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI). Design A single‐blinded randomized controlled trial. Methods 87 patients with CHD after PCI in Hangzhou, Zhejiang, China, were randomly divided into study ( n = 42) and control ( n = 45) groups. The control group received 12‐week cardiac rehabilitation and routine care. The study group received routine care and cardiac rehabilitation and the 12‐week intervention program developed according to the goal attainment theory, including the mutual goal‐based face‐to‐face guidance, and every‐2‐week telephone follow‐ups. The self‐management behaviour, quality of life, unscheduled readmission rate, and satisfaction of patients were examined. Results For the patients subjected to the developed continuous nursing program based on mutual goals, achievement rates of all dimension mutual goals were at high levels (from 80.21% to 98.41%), except for the weight control (60.94%). Moreover, according to the comparable base data, compared with the control group, the self‐management behaviour (study group 93.43 vs. control group 76.00), quality of life (QoL), and patients' satisfaction (study group 4.64 vs. control group 4.11) were higher, while the unscheduled readmission rate (study group 4.76% vs. control group 22.22%) was lower, in the study group, with statistically significant differences.

Effect of case management based on Omaha system on clinical symptoms and quality of life of coronary heart disease patients after percutaneous coronary intervention

“…Tan et al [24] applied a behavior-changing nursing intervention to patients with CHD after PCI and found that applying the behavior change theory for cardiac rehabilitation management of patients with CHD after PCI can improve the lifestyle and QOL of patients. Zhu et al [25] implemented a mutual goal-based continuous care program for patients with CHD after PCI over a 12-week period. They concluded that this program enhanced the self-management behavior of patients with CHD after PCI, improved patient QOL and satisfaction, and controlled the unscheduled readmission rate.…”