Effect of a mutual goal-based continuous care program on self-management behaviour and health outcomes in patients after percutaneous coronary intervention: A randomized controlled trial.
Xuejiao Zhu, Yiting Yang, Meijuan Cao
PMID 36709489WHAT IT FOUND
Nurse-led mutual goal setting and phone follow-ups significantly improved self-management, quality of life, and satisfaction in heart patients after stenting.
Unscheduled readmissions dropped to 4.76% in the intervention group versus 22.22% in the control group.
Key findings
01The intervention group had significantly higher total self-management scores (93.43 vs 76.00) and better quality of life than the control group after 12 weeks.
02Unscheduled readmission within 12 weeks was significantly lower in the intervention group (4.76%) compared to the control group (22.22%).
03Patient satisfaction was significantly higher in the intervention group (4.64) than in the control group (4.11).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted in a single hospital in China, which may limit the generalizability of the findings to other healthcare systems. The follow-up period was only 12 weeks, so the long-term sustainability of the effects on self-management and readmission rates is unknown. Weight control goals were not achieved as effectively as other behavioral goals, suggesting this specific area may need different strategies.
Declared interests
The study was supported by the Zhejiang Soft Science Research Project. The authors declared no conflicts of interest.
The easy way to misread this
Do not assume this program works without the specific nurse-led goal-setting and follow-up structure. The control group received routine care and cardiac rehabilitation, yet still had a high readmission rate (22.22%), indicating that standard discharge instructions alone are insufficient for these outcomes.