Secondary Logo

Institutional members access full text with Ovid®

Nurse-led Motivational Telephone Follow-up After Same-day Percutaneous Coronary Intervention Reduces Readmission and Contacts to General Practice

Mols, Rikke Elmose, PhD, RN; Hald, Marianne, RN; Vistisen, Heidi Sønderby, MCn, RN; Lomborg, Kirsten, PhD, RN; Maeng, Michael, MD, PhD

Journal of Cardiovascular Nursing: May/June 2019 - Volume 34 - Issue 3 - p 222–230
doi: 10.1097/JCN.0000000000000566
ARTICLES: Interventions
Buy
SDC

Background: Same-day discharge of patients undergoing percutaneous coronary intervention (PCI) may challenge preparation of patients for discharge.

Objective: The objective of this study was to investigate whether nurse-led telephone follow-up influenced patients' self-management post-PCI.

Methods: We performed a randomized study with an allocation rate of 1:1. A standardized nurse-led motivational telephone consultation was conducted between 2 and 5 days after PCI to support adherence to medical therapy, follow-up activities, emotional well-being, and healthy lifestyle. The control group received usual care and discharge procedures. Primary outcome was adherence to use of P2Y12 inhibitor (clopidogrel or ticagrelor) therapy at 30 days of follow-up.

Results: We consecutively included 294 elective patients (83%) undergoing PCI and with planned same-day discharge. Adherence to P2Y12 inhibitors was not influenced by the intervention (intervention vs control, 95% vs 93%, respectively; P = .627). However, the proportion of patients readmitted (8% vs 16%, P = .048), as well as self-initiated contacts to general practitioners (29% vs 42%, P = .020), was lower in the intervention group compared with the control group. Patients in the intervention group were more likely to know how to manage symptoms of angina pectoris (90% vs 80%, P = .015), and a higher proportion of patients in the intervention group commenced healthy physical activities (53% vs 41%, P = .043).

Conclusion: Nurse-led motivational telephone follow-up did not influence adherence to antiplatelet medical therapy after PCI. However, the intervention positively influenced self-management of angina pectoris and reduced hospital readmissions and self-initiated contacts to general practitioners and hospitals.

Rikke Elmose Mols, PhD, RN Healthcare Researcher, Department of Cardiology, Aarhus University Hospital, Denmark.

Marianne Hald, RNProject Nurse, Department of Cardiology, Aarhus University Hospital, Denmark.

Heidi Soenderby Vistisen, MCn, RNDevelopment Nurse, Department of Cardiology, Aarhus University Hospital, Denmark.

Kirsten Lomborg, PhD, RNProfessor, Department of Clinical Medicine, Aarhus University; and the Research Program in Patient Involvement, Aarhus University Hospital, Denmark.

Michael Maeng, PhD, MD Associated Professor and Invasive Cardiologist, Department of Cardiology, Aarhus University Hospital, Denmark.

The study received financial support from an internal fund at Aarhus University Hospital Nursing Foundation (MVU-Foundation).

The authors have no conflicts of interest to disclose.

Correspondence Rikke Elmose Mols, PhD, RN, Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Blvd 99, 8200 Aarhus N, Denmark (rikkmols@rm.dk).

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.jcnjournal.com).

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved