Overview programs for care management of patients after percutaneous coronary intervention

Thi May Phan1, , Huy Hoang Ngo2, Nhu Hung Pham1
1 Hanoi Heart Hospital
2 Nam Dinh University of Nursing

Main Article Content

Abstract

Objective: To review systematically current interventional studies related to knowledge, treatment adherence and quality of life of patients after percutaneous coronary intervention, as the basic for developing the program of management and care for patients after percutaneous coronary intervention at Hanoi Heart Hospital. Methods: A systematic review from Pubmed, Google scholar, Science Direct, Corchane library, European and American Society of Cardiology databases related to interventional studies affecting knowledge, treatment adherence and quality of life in patients with coronary artery disease after percutaneous coronary intervention in the last 10 years. Titles and topics include ‘percutaneous coronary intervention’, ‘management and nursing care’, ‘cardiovascular rehabilitation’, ‘knowledge of coronary artery disease’, ‘treatment adherence’, ‘quality of life’. Results: Of the 44 relevant papers, 17 studies met all the criteria, 27 studies were excluded. Interventions varied in interventional duration, contents, methods, and measures such as personalized health education, direct (one-on-one) counseling during  hospitalization, at the time of discharge; group counseling or indirect counseling via text messages, medication reminders, follow-up appointments via automatic text messages, telephone; long-term management and care support with documents with images, instructional videos, electronic health monitoring handbooks, etc. showed good practice results for patients. Conclusion: The interventional progams impacted on the particpants’ knowledge and treatment adherence. The result of systematic review also showed that a program for care management of patients after PCI needs to be multi-faceted, combined education and supportive measures to help patients move from passive care to active self-care to bring long-term effectiveness to patients.

Article Details

References

1. Khan MA, Hashim MJ, Mustafa H, et al. Global Epidemiology of Ischemic Heart Disease: Results from the Global Burden of Disease Study. Cureus. 2020;12(7):e9349-e9349. doi:10.7759/cureus.9349
2. Wennberg E, Abualsaud AO, Eisenberg MJJJA. Patient Management Following Percutaneous Coronary Intervention. 2025;4(1):101453.
3. Andishmand AJAiP, Journal T. Effects of Non-Adherence to Clopidogrel in Patients Undergoing Primary Percutaneous Coronary Intervention. 2025;5(1):36-44.
4. Premkumar S, Ramamoorthy L, Pillai AA. Impact of nurse-led cardiac rehabilitation on patient‘s behavioral and physiological parameters after a coronary intervention: A pilot randomized controlled trial. 2022;29(1):17-23. doi:10.4103/jfcm.jfcm_315_21
5. Brown TM, Pack QR, Aberegg E, et al. Core Components of Cardiac Rehabilitation Programs: 2024 Update: A Scientific Statement From the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation. 0(0)doi:doi:10.1161/CIR.0000000000001289
6. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. 2009;339
7. Nakashima T, Tahara YJJoic. Achieving the earliest possible reperfusion in patients with acute coronary syndrome: a current overview. 2018;6:1-10.
8. Lee J, Lee HJJoKaon. The effects of smart program for patients who underwent percutaneous coronary intervention (SP-PCI) on disease-related knowledge, health behavior, and quality of life: a non-randomized controlled trial. 2017;47(6):756-769.
9. Tang YH, Chong MC, Chua YP, Chui PL, Tang LY, Rahmat NJJocn. The effect of mobile messaging apps on cardiac patient knowledge of coronary artery disease risk factors and adherence to a healthy lifestyle. 2018;27(23-24):4311-4320.
10. Kuchi ZG, Zakerimoghadam M, Esmaeili M, Geraiely BJHNP. The effect of an empowerment program on the perceived risk and physical health of patients with coronary artery disease. 2020;34(3):163-170.
11. Fatahian F, Mohammadifard N, Hassanzadeh A, Shahnazi HJHSR. The effect of a health belief model‐based education on nutritional behavior and biochemical factors of patients with myocardial infarction: A line follow‐up experimental study. 2024;7(3):e1966.
12. Lloyd JT, Maresh S, Powers CA, Shrank WH, Alley DEJMC. How much does medication nonadherence cost the Medicare fee-for-service program? 2019;57(3):218-224.
13. Khonsari S, Subramanian P, Chinna K, Latif LA, Ling LW, Gholami OJEjocn. Effect of a reminder system using an automated short message service on medication adherence following acute coronary syndrome. 2015;14(2):170-179.
14. Levy AE, Huang C, Huang A, Michael Ho PJCar. Recent approaches to improve medication adherence in patients with coronary heart disease: progress towards a learning healthcare system. 2018;20:1-9.
15. Santo K, Chow CK, Thiagalingam A, Rogers K, Chalmers J, Redfern JJBo. MEDication reminder APPs to improve medication adherence in Coronary Heart Disease (MedApp-CHD) Study: a randomised controlled trial protocol. 2017;7(10):e017540.
16. Zorina O, Fatkulina N, Saduyeva F, Omarkulov B, Serikova SJPp, adherence. Patient adherence to therapy after myocardial infarction: A scoping review. 2022:1613-1622.
17. Zhu Y, Zhao Y, Wu Y. Effectiveness of mobile health applications on clinical outcomes and health behaviors in patients with coronary heart disease: A systematic review and meta-analysis. International Journal of Nursing Sciences. 2024/04/01/ 2024;11(2):258-275. doi:https://doi.org/10.1016/j.ijnss.2024.03.012
18. Jiang N, Sun M-M, Zhou Y-Y, Feng X-XJATHM. Significance of patient participation in nursing care. 2021;27(5):115-9.
19. Cho MY, Min ES, Hur MH, Lee MS. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units. Evidence-based complementary and alternative medicine : eCAM. 2013;2013:381381. doi:10.1155/2013/381381
20. Members ATF, Hamm CW, Bassand J-P, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). European Heart Journal. 2011;32(23):2999-3054. doi:10.1093/eurheartj/ehr236 %J European Heart Journal
21. Chang Z, Guo Aq, Zhou Ax, et al. Nurse‐led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease. 2020;28(2):124-131.
22. Mols RE, Hald M, Vistisen HS, Lomborg K, Maeng M. Nurse-led Motivational Telephone Follow-up After Same-day Percutaneous Coronary Intervention Reduces Readmission and Contacts to General Practice. Journal of Cardiovascular Nursing. 2019;34(3)
23. Liu X, Zou Y, Huang D, Lu HJAJoTR. Effect of evidence-based nursing combined with exercise rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention. 2022;14(10):7424.
24. Baoming Qu, Hou Q, Men X, Zhai X, Jiang T, Wang RJAjotr. Research and application of KABP nursing model in cardiac rehabilitation of patients with acute myocardial infarction after PCI. 2021;13(4):3022.
25. Thang N, Nguyen TH, Nguyen PT, et al. Pharmacist-led intervention to enhance medication adherence in patients with acute coronary syndrome in Vietnam: a randomized controlled trial. 2018;9:656.
26. Lê Thị Thu Hiền, Phan Tiến Công, Nguyễn Thị Nương, Trần Thị Thu Phương, Lưu Văn Hậu. ĐÁNH GIÁ KẾT QUẢ KIỂM SOÁT CÁC YẾU TỐ NGUY CƠ CỦA BỆNH NHÂN MẠCH VÀNH MẠN TÍNH SAU CAN THIỆP GIÁO DỤC TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108. Tạp chí Y học Việt Nam. 12/23 2024;545(3)doi:10.51298/vmj.v545i3.12350