Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3701-3707
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3701
Effect of continuous nursing on treatment compliance and side effect management of coronary heart disease
Juan Wei, Bai-Wen-Xian Li, Shao-Jie Han, Hong-Jie Zhuang, Wen-Hong Cao
Juan Wei, Bai-Wen-Xian Li, Shao-Jie Han, Hong-Jie Zhuang, Wen-Hong Cao, Department of Cardiology, The First Affiliated Hospital of Hebei North University, Zhangjiakou 750061, Hebei Province, China
Author contributions: Wei J, Li BWX, Han SJ, Zhuang HJ, and Cao WH designed the research study; Wei J and Cao WH performed the research; Li BWX, Han SJ, Zhuang HJ, and Cao WH contributed new reagents and analytic tools; Wei J analyzed the data and wrote the manuscript. All authors have read and approve the final manuscript.
Institutional review board statement: This study protocol was approved by The First Affiliated Hospital of Hebei North College.
Informed consent statement: All the families have voluntarily participated in the study and have signed informed consent forms.
Conflict-of-interest statement: The authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Juan Wei, BD, Nurse in Charge, Department of Cardiology, The First Affiliated Hospital of Hebei North University, No. 12 Changqing Road, Qiaoxi District, Zhangjiakou 750061, Hebei Province, China. 13831317571@163.com
Received: March 1, 2024
Revised: April 12, 2024
Accepted: May 13, 2024
Published online: July 6, 2024
Processing time: 120 Days and 3.1 Hours
Abstract
BACKGROUND

There are relatively few studies on continuing care of coronary heart disease (CHD), and its research value needs to be further clarified.

AIM

To investigate the effect of continuous nursing on treatment compliance and side effect management in patients with CHD.

METHODS

This is a retrospective study with patients from January 2021 to 2023. The study was divided into two groups with 30 participants in each group. Self-rating anxiety scale (SAS) and Self-rating depression scale (SDS) were used to assess patients' anxiety and depression, and medical coping questionnaire was used to assess patients' coping styles. The pelvic floor dysfunction questionnaire (PFDI-20) was used to assess the status of pelvic floor function, including bladder symptoms, intestinal symptoms, and pelvic symptoms.

RESULTS

SAS score decreased from 57.33 ± 3.01before treatment to 41.33 ± 3.42 after treatment, SDS score decreased from 50.40 ± 1.45 to 39.47 ± 1.57. The decrease of these two indexes was statistically significant (P < 0.05). PFDI-20 scores decreased from the mean 16.83 ± 1.72 before treatment to 10.47 ± 1.3the mean after treatment, which was statistically significant (P < 0.05).

CONCLUSION

The results of this study indicate that pioneering research in continuous care of CHD has a positive impact on improving patients' treatment compliance, reducing anxiety and depression levels, and improving coping styles and pelvic floor functional status.

Keywords: Coronary heart disease; Continuing care; Treatment compliance; Anxiety and depression; Coping style; Pelvic floor function status; Pioneering study

Core Tip: After the implementation of the pioneering intervention, patients' anxiety and depression levels were significantly reduced, treatment compliance was significantly improved, more positive coping styles, and pelvic floor functional status was significantly improved. In the intervention group, Self-rating Anxiety Scale and Self-rating Depression Scale scores were significantly reduced, the proportion of treatment compliance was significantly increased, the scores of face dimension were increased, the scores of avoidance and obedience dimension were decreased, and the pelvic floor dysfunction questionnaire scores were also significantly decreased. These results show that the intervention has a significant effect on psychological support and treatment coordination, which helps to improve the quality of life of patients and promote the rehabilitation process.