Abstract
PurposeThis study aimed to assess the effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction undergoing percutaneous coronary intervention.MethodsWe conducted the trial from June 2016 to December 2016. A total of one hundred and fifty patients with acute myocardial infarction after PCI who met the inclusion criteria were randomly divided into an experimental (n = 75) group and a control (n = 75) group. The participants in the experimental group received transitional health management for three months. The two groups of patients were evaluated for treatment adherence, quality of life, clinical indicators, adverse cardiovascular events and statistics regarding readmission rates at baseline and 6 months after discharge.ResultsCompared with the controls, patients in the intervention group demonstrated better medication adherence, reexamination adherence, healthy lifestyle and clinical indicators (all P<0.05) and lower rates of adverse cardiovascular events and readmission (all P<0.05).ConclusionTransitional health management effectively improved adherence in elderly patients with acute myocardial infarction after PCI, ameliorated clinical indicators, and effectively reduced the incidence of adverse cardiovascular events and readmission rates. Transitional health management was an effective intervention for PCI patients after discharge.
Highlights
Cardiovascular diseases are the leading cause of death globally[1]
17 million people die of cardiovascular disease each year, and 80% of deaths occur in less developed countries[2]
There are approximately 290 million patients with cardiovascular diseases in China, including 2.5 million patients with myocardial infarction which known as a heart attack and occurring when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle [5]
Summary
Cardiovascular diseases are the leading cause of death globally[1]. 17 million people die of cardiovascular disease each year, and 80% of deaths occur in less developed countries[2]. Coronary heart disease is the most common type of cardiovascular disease, accounting for 67.1% of the death rate[4]. There are approximately 290 million patients with cardiovascular diseases in China, including 2.5 million patients with myocardial infarction which known as a heart attack and occurring when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle [5]. From 2002 to 2015, the mortality rate from coronary heart disease in China increased by nearly three-fold[5]
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