Effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction in percutaneous coronary intervention: A cluster randomized controlled trial

Qing Wu; Dandan Zhang; Qi Zhao; Lin Liu; Zhisong He; Yan Chen; Hui Huang; Yunyin Hou; Xiaofang Yang; Jie Gu

doi:10.1371/journal.pone.0217535

Effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction in percutaneous coronary intervention: A cluster randomized controlled trial

PLoS One. 2019 May 31;14(5):e0217535. doi: 10.1371/journal.pone.0217535. eCollection 2019.

Authors

Qing Wu¹, Dandan Zhang¹, Qi Zhao², Lin Liu¹, Zhisong He³, Yan Chen⁴, Hui Huang⁴, Yunyin Hou¹, Xiaofang Yang¹, Jie Gu¹

Affiliations

¹ Nursing Department, The First Affiliated Hospital of Soochow University, Suzhou, China.
² Department of Radiotherapy, The First Affiliated Hospital of Soochow University, Suzhou, China.
³ Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, China.
⁴ Nursing Department, the 2nd Affiliated Hospital of Soochow University, Suzhou, China.

Abstract

Purpose: This study aimed to assess the effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction undergoing percutaneous coronary intervention.

Methods: We conducted the trial from June 2016 to December 2016. A total of one hundred and fifty patients with acute myocardial infarction after PCI who met the inclusion criteria were randomly divided into an experimental (n = 75) group and a control (n = 75) group. The participants in the experimental group received transitional health management for three months. The two groups of patients were evaluated for treatment adherence, quality of life, clinical indicators, adverse cardiovascular events and statistics regarding readmission rates at baseline and 6 months after discharge.

Results: Compared with the controls, patients in the intervention group demonstrated better medication adherence, reexamination adherence, healthy lifestyle and clinical indicators (all P<0.05) and lower rates of adverse cardiovascular events and readmission (all P<0.05).

Conclusion: Transitional health management effectively improved adherence in elderly patients with acute myocardial infarction after PCI, ameliorated clinical indicators, and effectively reduced the incidence of adverse cardiovascular events and readmission rates. Transitional health management was an effective intervention for PCI patients after discharge.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Female
Health Plan Implementation
Humans
Male
Middle Aged
Myocardial Infarction / therapy*
Patient Compliance*
Patient Discharge
Patient Education as Topic
Percutaneous Coronary Intervention*
Prognosis
Program Evaluation
Quality of Life
Transitional Care*
Treatment Outcome

Grants and funding

This work was supported by Suzhou Science and Technology Bureau, China. The program was financed by the Science, Education and Health Youth Science and Technology Project. (KJXW2012008). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.