A Cohort Study of the Effects of Integrated Medical and Nursing Rounds Combined with AIDET Communication Mode on Recovery and Quality of Life in Patients Undergoing Percutaneous Coronary Intervention

Abstract

Objective. To explore the influence of the communication mode of “Acknowledge, Introduce, Duration, Explanation, and Thanks (AIDET)” on the postoperative recovery and quality of life of patients undergoing percutaneous coronary intervention. Methods. Sixty patients with percutaneous coronary intervention in our hospital from April 2019 to April 2021 were selected. The patients were randomly divided into a control group ( n = 30 ) and research group ( n = 30 ). The control group received integrated medical and nursing rounds, and the research group received integrated medical and nursing rounds combined with AIDET communication mode. The scores of nursing satisfaction, cardiac function, self-nursing ability, short-term prognosis, and quality of life were compared between the two groups. Results. In the comparison of nursing satisfaction between the two groups, the satisfaction of the research group was low in 1 case, moderate in 6 cases, and high in 27 cases, with a satisfaction rate of 96.67%. In the control group, there were 7 cases with low satisfaction, 10 cases with moderate satisfaction, and 13 cases with high satisfaction, with a satisfaction rate of 76.67%. The nursing satisfaction of the research group was higher than that of the control group, and the difference was statistically significant, and the difference was statistically significant ( P < 0.05 ). After intervention, the cardiac function of the two groups was improved. The LVEF and LVESVI of the research group were higher than those of the control group, while the WMSI of the research group was lower than that of the control group ( P < 0.05 ). In the comparison of self-nursing ability, the self-nursing maintenance, self-nursing management, self-nursing confidence, and total score of self-nursing in the research group were significantly higher than those in the control group, and the difference was statistically significant ( P < 0.05 ). The incidence rates of acute myocardial infarction (AMI), revascularization, arrhythmia, heart failure, cardiogenic shock, and cardiac death in the research group were obviously lower than those in the control group, and the difference was statistically significant ( P < 0.05 ). After intervention, the scores of quality of life of the two groups decreased, and the scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower than those in the control group ( P < 0.05 ). Conclusion. Medical and nursing integrated ward rounds combined with AIDET communication mode can effectively improve the prognosis of patients undergoing percutaneous coronary intervention to promote the establishment of a harmonious nurse-patient relationship. The patients’ self-care ability is able to be effectively enhanced.

Nursing students’ lived experiences with using AIDET in patient communication: A qualitative study in the Philippines

“…AIDET empowers both student nurses and patients. For students, following the AIDET framework builds trust and credibility with patients, fostering a more open communication environment (Li et al, 2022 ). This aligns with patient-centered care by encouraging empathy and understanding patients’ needs (Palombi et al, 2015 ).…”

“…This easy-to-remember approach significantly improves interactions between patients and healthcare providers (Dhir, 2022 ; Kourkouta & Papathanasiou, 2014 ; Meehan, 2021 ; ODaniel & Rosenstein, 2008 ; Turner et al, 2016 ; Yang & Kim, 2022 ). Studies consistently report that AIDET leads to improvements in patient satisfaction, reduced anxiety, and a more positive overall hospital experience (Dhir, 2022 ; Li et al, 2022 ; Palombi et al, 2015 ). However, limited research explores how nurses and student nurses integrate AIDET into their practice, particularly in the Philippines.…”

The effect of multimodal care based on Peplau’s interpersonal relationship theory on postoperative recovery in lung cancer surgery: a retrospective analysis

“…In the late 1990s the American Baptist Memorial Hospital pioneered the use of AIDET (A: acknowledge; I: introduce; D: duration; E: explicit; T: thank you) as a form of communication, which was later adopted in China for anesthetic pain management. This approach not only effectively controls pain but also enhances mutual trust between nurses and patients while increasing patients' and doctors' engagement in pain management [12]. Our anesthetic nurses used the AIDET standardized communication model for postoperative follow-up.…”

The implementation and effect evaluation of AIDET standard communication health education mode under the King theory of goal attainment: A randomized control study

“…In the actual usage of AIDET communication mode, it all achieves the better results reflected on patients satisfaction, [6] the improvement of patient experience, [7] the reduction of analgesic compliance, [8] promoting nurse-patient relationship, [9] alleviating patients anxiety, [10] the harmony of nurse-patient relationship, [11] increasing the quality of nursing work, [12] and fully embodying the standard maintenance operation of specialist nurses and health education [13] , etc.…”

“…While emphasizing the importance of verbal communication and nonverbal communication, there are 5 aspects including AIDET, that promotes the procedures and standard languages of effective and in-depth communication between nurses and patient shown as Figure 1 . In the actual usage of AIDET communication mode, it all achieves the better results reflected on patients satisfaction, [ 6 ] the improvement of patient experience, [ 7 ] the reduction of analgesic compliance, [ 8 ] promoting nurse-patient relationship, [ 9 ] alleviating patients anxiety, [ 10 ] the harmony of nurse–patient relationship, [ 11 ] increasing the quality of nursing work, [ 12 ] and fully embodying the standard maintenance operation of specialist nurses and health education [ 13 ] , etc.…”