Effect of the procedural follow-up plan on medical compliance behavior and self-care ability of patients with acute coronary syndrome after percutaneous coronary intervention

Abstract

Objective To explore the effect of procedural follow-up plan on medical compliance behavior and self-care ability of acute coronary syndrome (ACS) patients with percutaneous coronary intervention (PCI) . Methods A total of 115 patients with acute coronary syndrome who were hospitalized in Vasculocardiology Department of Zhejiang Xiaoshan Hospital from June 2015 to July 2016 were selected as research subjects by convenience sampling method and divided into control group (n=58) and intervention group (n=57) according to random number table. Routine cardiological nursing care and post-discharge follow-up were implemented in both groups, on the basis of which, the intervention group was followed with procedural follow-up plan after discharge. The medical compliance behavior scale and the exercise of self-care agency scale (ESCA) were used to compared the medical compliance behavior and self-care ability between two groups at the time point of discharge, 2 months and 4 months after discharge. Results There was no statistical significance between intervention group and control group with medical compliance behavior and self-care ability at discharge (P>0.05) . The medical compliance behavior of intervention group was significantly better than control group, and the self-care ability of intervention group was significantly higher than control group at 2 months and 4 months after discharge, and the differences were statistically significant (P<0.05) . Conclusions The procedural follow-up plan can enrich patients' disease related knowledge, improve patient's medical compliance behavior and strengthen patients' self-care ability, which has great value for patients' clinical prognosis. Key words: Acute coronary syndrome; Follow-up; Medical compliance behavior; Self-care ability