Impacts of intensive follow-up on the long-term prognosis of percutaneous coronary intervention in acute coronary syndrome patients – a single center prospective randomized controlled study in a Chinese population

Du, Lei; Dong, Pingshuan; Jia, Jingjing; Li, Zhiguo; Lai, Lihong; Yang, Xinwei; Wang, Shaoxin; Yang, Xi-shan; Li, Zhijuan; Shang, Xianwen; Fan, Xiao-Nong

doi:10.1177/2047487315607041

Cited by 21 publications

(23 citation statements)

References 27 publications

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“…This finding highlights the importance of multi-professional collaboration to predict patient adherence, which was also reported by Valaker et al (2017) In the acute phase, after PCI, the therapeutic relationship between patients and their cardiologist is an important predictor for adherence to treatment, 7 and the resources for this should be guaranteed despite the scarce number of cardiologists. This result is in line with Du et al (2016), who confirmed that counselling coordinated by a cardiologist is effective for decreasing cardiovascular risk factors and promoting adherence to treatment. In the present study, support from nurses was associated with lower total cholesterol in line with the finding reported in numerous of studies that confirmed that nursing interventions had a positive impact on improving patients' health behaviour and managing risk factors.…”

Section: Discussionsupporting

confidence: 87%

“…Additionally, the accumulation of risk factors and the increasing prevalence of hypertension, obesity and diabetes are more common among women compared to men. 29 It is interesting to note that, in the 2013 baseline study, support from nurses was not a statistically significant predictor of adherence to treatment, but support from physicians was a significant predictor of females' motivation to adhere to treatment. 7 However, six years after PCI, both support from nurses and support from physicians were significant predictors of adherence.…”

Section: Discussionmentioning

confidence: 95%

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Support from next of kin and nurses are significant predictors of long-term adherence to treatment in post-PCI patients

Kähkönen

Kyngäs

Saaranen

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Adherence to treatment is a crucial factor in preventing the progression of coronary heart disease. More evidence of the predictors of long-term adherence is needed. Aims: The purpose of this study was to identify the predictive factors of adherence to treatment six years after percutaneous coronary intervention. Methods: Baseline data ( n=416) was collected in 2013 and follow-up data in 2019 ( n=169) at two university hospitals and three central hospitals in Finland. The self-reported Adherence of Patients with Chronic Disease Instrument was used. Data were analysed using descriptive statistics and binary logistic regression analysis. Results: The respondents reported higher adherence to a healthy lifestyle six years after percutaneous coronary intervention in comparison to four months post-percutaneous coronary intervention; adherence was seen in their healthy behaviour, such as decreased smoking and reduced alcohol consumption. Participating in regular follow-up control predicted adherence. Support from next of kin predicted physical activity and normal cholesterol levels; this outcome was associated with close relationships, which also predicted willingness to be responsible for treatment adherence. Women perceived lower support from nurses and physicians, and they had more fear of complications. Fear was more common among respondents with a longer duration of coronary heart disease. Physical activity and male gender were associated with perceived results of care. Conclusion: Support from next of kin, nurses and physicians, results of care, responsibility, fear of complication and continuum of care predicted adherence to treatment in long term. These issues should be emphasised among women, patients without a close relationship, physically inactive and those with a longer duration of coronary heart disease.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 95%

Support from next of kin and nurses are significant predictors of long-term adherence to treatment in post-PCI patients

Kähkönen

Kyngäs

Saaranen

et al. 2019

European Journal of Cardiovascular Nursing

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“…Participants in the intervention group received medical consultations from a cardiologist through phone calls at 3, 6, 12 and 36 months postdischarge. The study found that the intervention group had significantly better medication adherence 38. Similarly, Li et al 39 used phone call interviews to educate participants with myocardial infarction on relevant knowledge after discharge and found this intervention was effective in improving medication adherence.…”

Section: Resultsmentioning

confidence: 95%

“…Du et al 38 randomised 964 patients with CHD into an intervention or control group. Participants in the intervention group received medical consultations from a cardiologist through phone calls at 3, 6, 12 and 36 months postdischarge.…”

Section: Resultsmentioning

confidence: 99%

Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Dardas

et al. 2019

Heart Asia

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In China, poor cardioprotective medication adherence is a key reason for the high mortality rate of coronary heart disease (CHD). The aims of this systematic review are to (1) describe and synthesise factors that influence medication adherence among Chinese people with CHD, (2) evaluate the current status of intervention studies, and (3) discuss directions of future research to improve medication adherence. A comprehensive search using PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Scopus, Global Health and PsycINFO was undertaken to describe poor adherence in China. Thirty-three eligible articles were included in the study. The review shows that there are multiple contributing factors to poor medication adherence, including patients’ sociodemographic characteristics, health status and medication characteristics. In addition, from patients’ perspective, lack of medication-related knowledge, such as the name, function, dosage and frequency, contributes to poor adherence. From physicians’ perspective, a gap exists between CHD secondary prevention guidelines and clinical practice in China. Follow-up phone calls, educational lectures, booklets and reminder cards were common methods found to be effective in improving medication adherence. This systematic review indicates that cardioprotective medications were commonly prescribed as secondary prevention medication to patients with CHD in China, but adherence to these medications gradually decreased during a follow-up period. Therefore, more research should be conducted on how to establish high-quality health educational programmes aimed at increasing patients’ medication adherence.

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“…However, based on the results of this study, during the acute phase after PCI, physician support is predictor of adherence to treatment. The therapeutic relationship between patients and physicians is important and the resources needed for this relationship should be guaranteed, as Du et al () have confirmed: cardiologist‐coordinated intensive follow‐up programmes have decreased cardiovascular risk factors, reduced medical costs, promoted adherence to medication and improved the long‐term prognoses of patients after PCI.…”

Section: Discussionmentioning

confidence: 99%

Hypothetical model of perceived adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention

et al. 2019

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AimTo test the hypothetical model of adherence to treatment among patients with coronary disease after percutaneous coronary intervention.DesignA descriptive, explanatory, cross‐sectional survey.MethodsThe study was conducted in 2013 with 416 patients in five hospitals in Finland. The adherence of patients with chronic disease instrument, the adherence visual analogue scale, the social support for people with coronary heart disease instrument, the EuroQoL five‐dimensional scale and EuroQoL visual analogue scale were used. The data were analysed using descriptive statistic. The hypothetical model was tested using structural equation modelling.ResultsThe hypothetical model explained 30% of perceived adherence to treatment. Structural equation modelling confirmed that motivation, support from physicians and next of kin had direct associations with adherence. Indirectly, informational support, results of care, perceived health, anxiety and depression were associated with adherence. The background variables associated with adherence were gender, relationship, physical activity, consumption of vegetables and consumption of alcohol.

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Impacts of intensive follow-up on the long-term prognosis of percutaneous coronary intervention in acute coronary syndrome patients – a single center prospective randomized controlled study in a Chinese population

Abstract: A cardiologist-coordinated intensive follow-up program markedly decreased cardiovascular risk factors, reduced medical costs, promoted medication adherence and improved the long-term prognosis of patients after percutaneous coronary intervention in the Chinese population.

Cited by 21 publications

References 27 publications

Support from next of kin and nurses are significant predictors of long-term adherence to treatment in post-PCI patients

Support from next of kin and nurses are significant predictors of long-term adherence to treatment in post-PCI patients

Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Hypothetical model of perceived adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention

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