Northern Jiangsu People's Hospital Affiliated to Yangzhou University
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 108
- 试验地点
- 1
- 主要终点
- Medication Adherence
研究概览
简要总结
Patients with coronary heart disease (CHD) require long-term medication and lifestyle modification following percutaneous coronary intervention (PCI). However, they often face challenges such as poor medication adherence and inadequate self-management. This study aims to evaluate the effects of the transitional care model (TCM) on CHD patients after PCI, regarding medication adherence, self-efficacy, and lipid levels.
详细描述
TCM improved medication adherence, self-efficacy, and lipid profiles in CHD patients after PCI, while enhancing overall patient satisfaction. Compared with routine nursing care, TCM yielded superior clinical benefits and is recommended for broader application in the post-PCI management of CHD patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 47 Years 至 58 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients clinically diagnosed with CHD according to established diagnostic criteria
- •patients who met the World Health Organization (WHO) indications for PCI
- •complete clinical data available
排除标准
- •Patients with cognitive impairment
- •Patients with incomplete follow-up data.
- •Patients with comorbid malignancy
- •Patients with severe hepatic
- •Patients with renal insufficiency
研究组 & 干预措施
routine nursing care group
Patients assigned to the control group underwent routine nursing care based on the standardized medical treatment, including admission health education (PCI postoperative risk management and medication instructions), psychological counseling, dietary and exercise guidance, individualized rehabilitation planning, and discharge instructions. After discharge, patients attended routine outpatient follow-up visits, including laboratory testing of blood lipids, blood pressure, and blood glucose, without structured follow-up or WeChat-based education. Routine outpatient education and guidance were provided only.
干预措施: routine nursing care group (Other)
TCM intervention group
Patients in the observation group received a 3-month TCM intervention delivered by specially trained nurses, in addition to routine nursing care.
干预措施: TCM intervention group (Other)
结局指标
主要结局
Medication Adherence
时间窗: Baseline (before discharge) and 3 months after discharge
Medication adherence will be assessed using the Medication Adherence Report Scale-5 (MARS-5). The scale consists of 5 items that evaluate nonadherent behaviors (e.g., forgetting to take medications, altering dosages). Each item is scored on a 5-point Likert scale (1="always" to 5="never"), with total scores ranging from 5 to 25. A higher total score indicates better medication adherence.
次要结局
- Self-efficacy(Baseline (before discharge) and 3 months after discharge)
- Lipid Profile(Baseline (before discharge) and 3 months after discharge.)
研究者
Qing Wang
Northern Jiangsu People's Hospital Affiliated to Yangzhou University
Northern Jiangsu People's Hospital