eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor:Chinese Nursing Association
Source journal for Chinese Science Citation Database
China Academic Journals Full-text Database
China Core Journal Alternative Database
Scopus
Research Paper

Development of a continuous nursing program for patients after percutaneous coronary intervention

  • Yi-ting YANG ,
  • Xue-jiao ZHU
Expand
  • School of Medicine,Hangzhou Normal University,Hangzhou,311121,China

Received date: 2020-04-28

  Online published: 2020-12-30

Abstract

Objective To develop a mutual-goal based continuous nursing program for patient with coronary heart disease(CHD) after percutaneous coronary intervention(PCI). Methods Contents of the program were formed preliminarily by the literature review based on the King theory of goal attainment. Expert argumentation was used to demonstrate the scientific nature and feasibility of the program,to develop the mutual-goal based continuous nursing program for CHD after PCI. Results This program included two parts:face-to-face education based on mutual goals,and every 2-week telephone follow-ups,in a total of 12 weeks. Face-to-face education based on mutual goals included health education with the help of a self-management manual,self-management tools and mutual goal contracts. The education was performed on the first day after PCI,lasting about 30~60 mins. The telephone follow-up started from the second week after inclusion,and was conducted once every two weeks for a total of 6 weeks. Each follow-up lasted for 5~10 mins. Both nurse and patients perceived and judged the patients’ implementation of the mutual goals in the past two weeks and took actions,and dynamically adjusted the mutual goals when necessary. Conclusion This developed mutual-goal based continuous nursing program under the guidance of King theory of goal attainment for patients with CHD after PCI has been preliminarily proved feasible and scientific.

Cite this article

Yi-ting YANG , Xue-jiao ZHU . Development of a continuous nursing program for patients after percutaneous coronary intervention[J]. Chinese Journal of Nursing Education, 2020 , 17(12) : 1067 -1071 . DOI: 10.3761/j.issn.1672-9234.2020.12.002

References

[1] WHO. Cardiovascular diseases[EB/OL]. [2016-12-11]. http://www.who.int/mediacentre/factsheets/fs317/en/.
[2] Dunlay SM, Pack QR, Thomas RJ, et al. Participation in cardiac rehabilitation,readmissions,and death after acute myocardial infarction[J]. Am J Med, 2014,127(6):538-546.
[3] Pfaeffli Dale L, Whittaker R, Jiang YN, et al. Text message and Internet support for coronary heart disease self-management:results from the Text4Heart randomized controlled trial[J]. J Med Internet Res, 2015,17(10):e237.
[4] 卫生部. 卫生部办公厅关于开展延续性护理服务试点工作的通知(卫办医改发[2012]号)[Z]. 2012.
[5] ?stbring MJ, Eriksson T, Petersson G, et al. Motivational interviewing and medication review in coronary heart disease(MIMeRiC):protocol for a randomized controlled trial investigating effects on clinical outcomes,adherence,and quality of life[J]. JMIR Res Protoc, 2018,7(2):e57.
[6] Zhang P, Xing FM, Li CZ, et al. Effects of a nurse-led transitional care programme on readmission,self-efficacy to implement health-promoting behaviours,functional status and life quality among Chinese patients with coronary artery disease:a randomised controlled trial[J]. J Clin Nurs, 2018,27(5/6):969-979.
[7] Kambhampati S, Ashvetiya T, Stone NJ, et al. Shared decision-making and patient empowerment in preventive cardiology[J]. Curr Cardiol Rep, 2016,18(5):49.
[8] 王天秀, 焦剑. 医患关系中的患者赋权问题探究——从患者角色的两个维度说起[J]. 医学与哲学, 2019,40(6):8-11,63.
[9] 鲍本霖, 林梅. 授权教育对中青年PCI术后患者自我管理能力及自我效能感的影响[J]. 中国卫生标准管理, 2017,8(6):105-107.
[10] 刘小春, 许灵娇, 钱银芬. 授权教育对冠心病支架植入术患者自我管理能力的影响[J]. 护理与康复, 2012,11(12):1113-1115.
[11] van de Pol MHJ, Fluit CRMG, Lagro J, et al. Expert and patient consensus on a dynamic model for shared decision-making in frail older patients[J]. Patient Educ Couns, 2016,99(6):1069-1077.
[12] Forster A, Dickerson J, Young J, et al. A structured training programme for caregivers of inpatients after stroke(TRACS):a cluster randomised controlled trial and cost-effectiveness analysis[J]. Lancet, 2013,382(9910):2069-2076.
[13] King IM. The theory of goal attainment in research and practice[J]. Nurs Sci Q, 1996,9(2):61-66.
[14] de Leon-Demare K, MacDonald J, Gregory DM, et al. Articulating nurse practitioner practice using King’s theory of goal attainment[J]. J Am Assoc Nurse Pract, 2015,27(11):631-636.
[15] WHO. Prevention of cardiovascular disease:pocket guidelines for assessment and management of cardiovascular risk[S]. Geneva:World Health Organization, 2007.
[16] Smith SC, Benjamin EJ, Bonow RO, et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease:2011 update[J]. J Am Coll Cardiol, 2011,58(23):2432-2446.
[17] 中华医学会心血管病学分会介入心脏病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 中华心血管病杂志编辑委员会. 中国经皮冠状动脉介入治疗指南(2016)[J]. 中华心血管病杂志, 2016,44(5):382-400.
[18] 中国成人血脂异常防治指南修订联合委员会. 中国成人血脂异常防治指南(2016年修订版)[J]. 中国循环杂志, 2016,31(10):937-950.
[19] 中国医师协会心血管内科医师分会预防与康复专业委员会. 经皮冠状动脉介入治疗术后运动康复专家共识[J]. 中国介入心脏病学杂志, 2016,24(7):361-369.
[20] U.S.Preventive Services Task Force. Recommendations for primary care practice[EB/OL]. (2019-03-20). https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations.
[21] Santana RF, Pereira SK, do Carmo TG, et al Effectiveness of a telephone follow-up nursing intervention in postsurgical patients[J]. Int J Nurs Pract, 2018,24(4):e12648.
[22] Duffy JR, Hoskins LM, Dudley-Brown S. Development and testing of a caring-based intervention for older adults with heart failure[J]. J Cardiovasc Nurs, 2005,20(5):325-333.
[23] WHO. Innovative care for chronic conditions:building blocks for action[EB/OL]. (2018-12-03). http://www.who.int/chp/knowledge/publications/icccglobalreport.pdf?ua=1.
[24] 祝秋萍, 姚丽文, 王旻靖, 等. 提醒性药盒的综合干预对院外冠心病PCI术后患者遵医行为的影响[J]. 护士进修杂志, 2016,31(15):1424-1427.
Outlines

/