RNRCTInternational journal of community based nursing and midwifery2017

Effects of Collaboration Care Model on the Quality of Life in Patients after Coronary Angioplasty: A Randomized Controlled Clinical Trial.

Parastoo Rezapoor, Mohsen Shahriari, Hamid Sanei and 1 others

PMID 28409165

WHAT IT FOUND

After coronary angioplasty, a collaboration care program with physician and nurse education, patient agreement on diet, medication and exercise, and follow-up calls improved total quality-of-life scores more than control-group education at three months.

Key findings

01The collaboration care group had a significantly better total quality-of-life outcome than the control group three months after the study.

02Quality of life improved significantly within the collaboration care group from before to three months after the study, but not within the control group.

03The groups did not differ significantly in baseline characteristics or baseline quality-of-life score.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used convenience sampling from one hospital, and each group had only 25 patients, so the result may not apply to other settings or patient groups. Follow-up was only three months, so it does not show whether quality-of-life gains persisted. The intervention included physician and nurse education, patient agreement on diet, medication and activity, and follow-up calls, so the contribution of any single component cannot be separated. Patients with acute cardiovascular disease, diabetes, hormone disorders, renal disease or mental disease were excluded, so it says little about common comorbid groups. The paper does not report allocation concealment, outcome-assessor blinding, or how dropouts were handled.

The easy way to misread this

Do not conclude that the collaboration care model alone caused the quality-of-life improvement. The program combined physician and nurse education, patient agreement on diet, medication and exercise, and follow-up calls, so the contribution of any single component cannot be separated.

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