The quality of long-term counselling for percutaneous coronary intervention patients: A cross-sectional study.
Minna Lahtinen, Pirjo Kaakinen, Anne Oikarinen and 1 others
PMID 37118937WHAT IT FOUND
PCI patients who visited a cardiac nurse rated counselling quality significantly higher than those who did not, especially for lifestyle and medication advice.
Both groups scored lowest on social support and patient-centred goal setting, suggesting a specific gap in follow-up care.
Key findings
01Patients who visited the cardiac nurse reported higher satisfaction with counselling about lifestyle modification and medication compared to those who did not visit.
02Both groups rated counselling on social support as the least satisfactory dimension of care.
03Only about half of the PCI patients visited a cardiac nurse in primary care according to national guidelines.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The response rate was low, with only 264 of 1150 eligible patients providing analysable data, which may introduce selection bias. The study relied on self-reported satisfaction from a single region in Finland, so results may not generalize to other healthcare systems. Data was collected 1 to 2 years post-PCI, which may affect the accuracy of patients' recall regarding specific counselling interactions. The study design cannot prove that the nurse visit caused the higher satisfaction ratings, as the groups were not randomized.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that attending a cardiac nurse visit improves clinical outcomes like mortality or readmission rates. This study only measured patient satisfaction with the quality of counselling, not health results.