Internet-Based Telerehabilitation Guidance Brings Additional Benefits to Patients after Percutaneous Coronary Intervention: A Retrospective Cohort Study
DOI:
https://doi.org/10.59958/hsf.7469Keywords:
percutaneous coronary intervention, internet technology, remote rehabilitation guidance, routine follow-up managementAbstract
Purpose: This study aimed to analyze the value of remote rehabilitation guidance based on Internet technology in patients undergoing percutaneous coronary intervention. Methods: We retrospectively analyzed the clinical data of 253 patients who underwent percutaneous coronary intervention in our hospital from June 2022 to March 2023. According to different nursing methods, they were divided into a study group (remote rehabilitation guidance based on Internet technology) and a control group (routine follow-up management) with 124 and 129 cases, respectively. The compliance left ventricular diastolic dysfunction (LVDD), left ventricular end-systolic diameter (LVDS), left ventricular ejection fraction (LVEF), Seattle Angina Questionnaire (SAQ), self-rating depression scale (SDS), self-rating anxiety scale (SAS), self-care ability, quality of life (SF-36), and satisfaction of the two groups were compared. Results: The compliance of the study group was 94.35%, which was higher than that of the control group (77.52%; n = 100, χ2 = 14.683, p < 0.001). We found no difference in cardiac function between the groups before the intervention (z = –0.783, p > 0.05). After the intervention, the LVDD and LVDS of the study group were lower than those of the control group, but LVEF was higher than that of the control group (z = –9.645, p < 0.001). Before the intervention, there was no difference in the SAQ scores between the groups (z = –0.180, –1.260, and –0.543, p > 0.05). After the intervention, the scores of angina pectoris attack, disease stability, and disease cognition in the study group were higher than those in the control group (z = –13.679, –10.644, and –11.448, p < 0.001). There was no difference in SDS and SAS scores between the groups before the intervention (z = –0.008 and –0.717, p > 0.05). After the intervention, the scores of the research group were lower than those of the control group (z = –13.709 and –8.041, p < 0.001). Before the intervention, we found no difference in self-care ability between the groups (z = –0.675, p > 0.05). After the intervention, the scores of health knowledge, self-responsibility, self-concept, and self-care skills in the study group were higher than those in the control group (z = –11.644, –9.387, –12.612, and –12.012, p < 0.001). There was no difference in the SF-36 scores between the groups before the intervention (z = –0.682, –0.189, –1.124, and –0.018, p > 0.05). After the intervention, the scores of the study group were higher than those of the control group (z = –12.323, –12.163, –12.066, and –12.054, p < 0.001). The satisfaction rate of the research group was 91.94%, which was significantly higher than that of the control group (70.54%; n = 91, χ2 = 18.822, p < 0.001). Conclusions: The effect of remote rehabilitation guidance based on Internet technology is evident. It can effectively improve patients' cardiac function, enhance self-care ability, and result in high compliance with nursing care. Moreover, it can effectively reduce negative emotions and improve their quality of life. Given that satisfaction is high, it is a procedure worth promoting.
References
Shaya GE, Leucker TM, Jones SR, Martin SS, Toth PP. Coronary heart disease risk: Low-density lipoprotein and beyond. Trends in Cardiovascular Medicine. 2022; 32: 181–194.
Shu Y, Zheng Y, Guo Y, Zhu D, Huang S. Roles of Immune and Oxidative Stress-Related Factors in the Diagnosis of Coronary Artery Disease: A Retrospective Study. The Heart Surgery Forum. 2023; 26: E417–E427.
Wirtz PH. Hypothalamic-Pituitary-Adrenal Axis. In Waldstein SR, Kop WJ, Suarez EC, Lovallo WR, Katzel LI (eds.) Handbook of Cardiovascular Behavioral Medicine (pp. 941–974). Springer: New York, NY. 2022.
Park DY, Hanna JM, Kadian S, Kadian M, Jones WS, Damluji AA, et al. In-hospital outcomes and readmission in older adults treated with percutaneous coronary intervention for stable ischemic heart disease. Journal of Geriatric Cardiology. 2022; 19: 631–642.
Akbari T, Al-Lamee R. Percutaneous Coronary Intervention in Multi-Vessel Disease. Cardiovascular Revascularization Medicine: Including Molecular Interventions. 2022; 44: 80–91.
Kodera S, Morita H, Kiyosue A, Ando J, Komuro I. Cost-Effectiveness of Percutaneous Coronary Intervention Compared With Medical Therapy for Ischemic Heart Disease in Japan. Circulation Journal. 2019; 83: 1498–1505.
Oktaramdani T, Mudjaddid E, Muhadi, Shatri H. Increased Heart Rate Variability following Elective Percutaneous Coronary Intervention in Patients with Stable Coronary Artery Disease and Preprocedural Anxiety. Cardiology Research and Practice. 2019; 2019: 3696825.
Beleigoli A, Champion S, Tirimacco R, Nesbitt K, Tideman P, Clark RA. A co-designed telehealth-based model of care to improve attendance and completion to cardiac rehabilitation of rural and remote Australians: The Country Heart Attack Prevention (CHAP) project. Journal of Telemedicine and Telecare. 2021; 27: 685–690.
Gehring K, Kloek CJ, Aaronson NK, Janssen KW, Jones LW, Sitskoorn MM, et al. Feasibility of a home-based exercise intervention with remote guidance for patients with stable grade II and III gliomas: a pilot randomized controlled trial. Clinical Rehabilitation. 2018; 32: 352–366.
Interventional cardiology Group, Society of Cardiology, Chinese Medical Association, Atherosclerosis and Coronary Heart Disease Group, Society of Cardiology, Chinese Medical Association; Thrombosis Prevention and Treatment Committee, Society of Cardiovascular Physicians, Chinese Medical Association, etc. Guidelines for diagnosis and treatment of stable coronary heart disease. Chinese Journal of Cardiology. 2018; 46: 680–694. (In Chinese)
Interventional cardiology Group, Chinese Society of Cardiology, Chinese Medical Association Branch of Cardiovascular Physicians, Thrombus Prevention and Treatment Committee, Chinese Journal of Cardiology Editorial Committee. Chinese Guidelines for percutaneous coronary intervention (2016). Chinese Journal of Cardiology. 2016; 44: 382–400. (In Chinese)
Lawal OA, Awosoga O, Santana MJ, James MT, Wilton SB, Norris CM, et al. Measurement invariance of the Seattle Angina Questionnaire in coronary artery disease. Quality of Life Research: an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. 2022; 31: 1223–1236.
Chang Z, Guo AQ, Zhou AX, Sun TW, Ma LL, Gardiner FW, et al. Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease. The Australian Journal of Rural Health. 2020; 28: 124–131.
Paquet A, Calvet B, Lacroix A, Girard M. Sensory processing in depression: Assessment and intervention perspective. Clinical Psychology & Psychotherapy. 2022; 29: 1567–1579.
Yanardağ MZ, Özer Ö, Özmen S. Investigating Self-Care Agency and Well-Being of Elderly People. Social Work in Public Health. 2021; 36: 496–508.
de Beurs E, Carlier I, van Hemert A. Psychopathology and health-related quality of life as patient-reported treatment outcomes: evaluation of concordance between the Brief Symptom Inventory (BSI) and the Short Form-36 (SF-36) in psychiatric outpatients. Quality of Life Research. 2022; 31: 1461–1471.
Getch SE, Lute RM. Advancing Integrated Healthcare: A Step by Step Guide for Primary Care Physicians and Behavioral Health Clinicians. Missouri Medicine. 2019; 116: 384–388.
Sassen B. Nursing and Holistic Care. In Sassen B (ed.) Improving Person-Centered Innovation of Nursing Care: Leadership for Change (pp. 1–10). Springer Nature: Switzerland, Cham. 2023.
Bhattad PB, Pacifico L. Empowering Patients: Promoting Patient Education and Health Literacy. Cureus. 2022; 14: e27336.
Rhon DI, Fritz JM, Greenlee TA, Dry KE, Mayhew RJ, Laugesen MC, et al. Move to health-a holistic approach to the management of chronic low back pain: an intervention and implementation protocol developed for a pragmatic clinical trial. Journal of Translational Medicine. 2021; 19: 357.
Dineen-Griffin S, Garcia-Cardenas V, Williams K, Benrimoj SI. Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLoS ONE. 2019; 14: e0220116.
Karam M, Chouinard MC, Poitras ME, Couturier Y, Vedel I, Grgurevic N, et al. Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: A Scoping Review. International Journal of Integrated Care. 2021; 21: 16.
The Lancet Oncology. Provision of mental health care for patients with cancer. The Lancet. Oncology. 2021; 22: 1199.
Bohanna I, Harriss L, McDonald M, Cullen J, Strivens E, Bird K, et al. A systematic review of disability, rehabilitation and lifestyle services in rural and remote Australia through the lens of the people-centred health care. Disability and Rehabilitation. 2022; 44: 6107–6118.
Cairns A, Geia L, Kris S, Armstrong E, O'Hara A, Rodda D, et al. Developing a community rehabilitation and lifestyle service for a remote indigenous community. Disability and Rehabilitation. 2022; 44: 4266–4274.
Marley WD, Barratt A, Pigott T, Granat M, Wilson JD, Roy B. A multicenter randomized controlled trial comparing gamification with remote monitoring against standard rehabilitation for patients after arthroscopic shoulder surgery. Journal of Shoulder and Elbow Surgery. 2022; 31: 8–16.
McDonnell JM, Ahern DP, Ross TD, Gibbons D, Synnott KA, Butler JS. The efficacy of remote virtual care in comparison to traditional clinical visits for elective orthopaedic patients: A meta-analysis of prospective randomised controlled trials. The Surgeon. 2022; 20: 177–186.
Lineker SC, Fleet LJ, Bell MJ, Sweezie R, Curran V, Brock G, et al. Getting a Grip on Arthritis Online: Responses of rural/remote primary care providers to a web-based continuing medical education programme. Canadian Journal of Rural Medicine. 2019; 24: 52–60.
Buckley JP. The changing landscape of cardiac rehabilitation; from early mobilisation and reduced mortality to chronic multi-morbidity management. Disability and Rehabilitation. 2021; 43: 3515–3522.
