Nurse‐led counseling for coronary artery disease patients: A 1‐year follow‐up study

Abstract

Nurse‐led counseling and systematic follow‐up have been shown to reduce cardiovascular risk factor levels. The study aims were to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse‐led intervention and to report patients' evaluations of nurse‐led counseling. The study design was a real‐life longitudinal follow‐up counseling intervention. Data were collected from November 2017 to May 2020. The nurse‐led intervention and patients’ follow‐up time was 1 year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low‐density lipoprotein cholesterol, and triglycerides at every follow‐up visit compared to their baseline levels and that waist circumference decreased during the 1‐year follow‐up. Patients assessed the quality of nurse‐led counseling to be very good, though it decreased slightly during follow‐up. The results suggest the integrated care path and specialized and primary care for coronary artery disease patients need further development. More research is needed on how to strengthen patients’ self‐management and what kind of counseling would best promote it.

Intensive nurse‐led follow‐up in primary care to improve self‐management and compliance behaviour after myocardial infarction

“…For this reason, it is important that intensive, comprehensive follow-up is carried out during the first months after the event to improve CVRFs and morbidity and mortality rates. As in previous studies, it has been observed that better results are obtained in this period, enabling patients to improve some of their CVRFs (Huang et al, 2017;Jafari et al, 2020;Nurmeksela et al, 2021;Ruiz-Bustillo et al, 2019), their self-efficacy (Polsook et al, 2016), and their levels of empowerment (Lei et al, 2018). Kim et al confirmed that it is essential to periodically monitor the direct effect of self-care compliance on changes to left ventricular ejection fraction in outpatients after AMI.…”

Experiencia del síntoma en el Síndrome Coronario Agudo: comprobación de un modelo conceptual

“…El modelo causal reportado evidencia que las variables: control personal, severidad de los síntomas y evaluación cognitiva inuyen en la evaluación de los síntomas, lo que determina la respuesta reejada en la toma de decisiones. Con ello se conrma su correlación bidireccional, tal como lo plantea el MCMS (21)(22)(23)(24). Como respaldo a esto, otros estudios similares (25)(26) documentan que cuando la persona entiende su enfermedad como una condición crónica que se puede agudizar, esto le permite evaluar mejor los síntomas, otorgándole mayor control en la toma de decisiones frente a nuevos eventos coronarios.…”