Keywords
primary care nursing
myocardial infarction
Job Satisfaction
Secondary Care
How to Cite
Abstract
Objective: To describe the satisfaction of patients and primary care nurses who have undergone an intensive and protocolised follow-up programme for patients who have had a recent myocardial infarction (AMI).
Methodology: Cross-sectional descriptive study within a quasi-experimental, multicentre, before and after, without a control group. A total of 219 patients between 40-70 years old diagnosed with AMI were included. The programme was completed by 132 patients. 59 nurses from health centres were involved. Intensive follow-up was carried out for 12 months with 11 nursing consultations. They used a Cardiovascular Self-Care Notebook as a tool in the self-management of cardiovascular disease. The level of satisfaction was measured at the end of the programme with an ad hoc questionnaire with closed and open questions assessing the follow-up protocol and the use of the self-care notebook.
Results: The nurses considered the protocolised follow-up and the care provided to be relevant (90.1%). More than 85% rated the improvement of the therapeutic relationship as very/very important. The notebook was very useful and beneficial in supporting patient follow-up (90.1%) and in improving self-care compliance. Patients confirmed that they were very satisfied (87.8%) with the professionalism and time spent. 88.8% increased their knowledge and adherence to self-care. 96.9% would recommend the program.
Conclusions: Patients and nurses valued carrying out an adequate intensive follow-up as soon as possible after suffering an AMI as very positive, since patients perceived an improvement in the management of their disease, while nurses observed a better empowerment of cardiovascular self-care.
References
Bibliografía
Rebollo P, Cuervo J, Villa G, Barreda MJ, Tranche S, Sánchez-Baragaño MA, Prieto MÁ. Desarrollo y validación de un cuestionario genérico para la evaluación de la satisfacción de los pacientes crónicos: Cuestionario SAT-Q. Aten Primaria. 2010;42. doi: 10.1016/j.aprim.2009.12.008
Xiao H, Barber JP. The effect of perceived health status on patient satisfaction. Value in Health. 2008;11. doi: 10.1111/j.1524-4733.2007.00294.x.
Jernberg T, Hasvold P, Henriksson M, Hjelm H, Thuresson M, Janzon M. Cardiovascular risk in post-myocardial infarction patients: nationwide real world data demonstrate the importance of a long-term perspective. Eur Heart J. 2015;36:1163–1170. doi: 10.1093/EURHEARTJ/EHU505. Cited: in: : PMID: 25586123.
Kotseva K, De Backer G, De Bacquer D, Rydén L, Hoes A, Grobbee D, Maggioni A, Marques-Vidal P, Jennings C, Abreu A, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. Eur J Prev Cardiol. 2019;26:824–835. doi: 10.1177/2047487318825350.
Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney MT, Corrà U, Cosyns B, Deaton C, et al. 2016 European guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts. Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation. G Ital Cardiol (Rome). 2017;18. doi: 10.1714/2729.27821.
Royo-Bordonada MA, Lobos Bejarano JM, Villar Alvarez F, Sans S, Pérez A, Pedro-Botet J, Moreno Carriles RM, Maiques A, Lizcano, Lizarbe V, et al. Statement of the Spanish Interdisciplinary Cardiovascular Prevention Committee (CEIPC for its Spanish acronym) on the 2012 European Cardiovascular Prevention Guidelines. Neurologia. 2016;31. doi: 10.1016/j.nrl.2013.04.011.
Fuster V. An alarming threat to secondary prevention: Low compliance (Lifestyle) and poor adherence (Drugs). Rev Esp Cardiol. 2012;65. doi: 10.1016/j.recesp.2012.07.005.
Delgado CH, Olano MOV, Nieto LMR. El rompecabezas de la adherencia al tratamiento. La mirada de los actores: pacientes, familias–cuidadores y equipo de salud. Enfermería en cardiología: revista científica e informativa de la Asociación Española de Enfermería en Cardiología. 2019;57–68.
Connolly SB, Kotseva K, Jennings C, Atrey A, Jones J, Brown A, Bassett P, Wood DA. Outcomes of an integrated community-based nurse-led cardiovascular disease prevention programme. Heart. 2017;103. doi: 10.1136/heartjnl-2016-310477.
Wood DA, Kotseva K, Connolly S, Jennings C, Mead A, Jones J, Holden A, De Bacquer D, Collier T, De Backer G, et al. Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: A paired, cluster-randomised controlled trial. The Lancet. 2008;371. doi: 10.1016/S0140-6736(08)60868-5.
Jorstad HT, Von Birgelen C, Alings AMW, Liem A, Van Dantzig JM, Jaarsma W, Lok DJA, Kragten HJA, De Vries K, De Milliano PAR, et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after an acute coronary syndrome: Main results of the RESPONSE randomised trial. Heart. 2013;99. doi: 10.1136/heartjnl-2013-303989.
Herring LY, Dallosso H, Chatterjee S, Bodicoat D, Schreder S, Khunti K, Yates T, Seidu S, Hudson I, Davies MJ. Physical Activity after Cardiac EventS (PACES) - A group education programme with subsequent text-message support designed to increase physical activity in individuals with diagnosed coronary heart disease: Study protocol for a randomised controlled trial. Trials. 2018;19. doi: 10.1186/s13063-018-2923-x.
Seidl H, Hunger M, Meisinger C, Kirchberger I, Kuch B, Leidl R, Holle R. The 3-Year Cost-Effectiveness of a Nurse-Based Case Management versus Usual Care for Elderly Patients with Myocardial Infarction: Results from the KORINNA Follow-Up Study. Value in Health. 2017;20. doi: 10.1016/j.jval.2016.10.001.
Lizcano Álvarez ÁMTVEEDRMJPGAOG et al. Cuaderno del Paciente en autocuidados cardiosaludables. 1o. Sociedad de Enfermería Madrileña de Atención Primaria (SEMAP), editor. Madrid (Spain); 2012.
WONCA Classification Committee. International Classification of Primary Care, Second Edition (ICPC-2). Oxford University Press. 1998;
World Medical Association declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA - Journal of the American Medical Association. 2013.
Najafi SS, Shaabani M, Momennassab M, Aghasadeghi K. The nurse-led telephone follow-up on medication and dietary adherence among patients after myocardial infarction: A randomized controlled clinical trial. Int J Community Based Nurs Midwifery. 2016;4.
Zakeri MA, Khoshnood Z, Dehghan M, Abazari F. The effect of the Continuous Care Model on treatment adherence in patients with myocardial infarction: a randomised controlled trial. Journal of Research in Nursing. 2020;25. doi: 10.1177/1744987119890666.
Spaulding EM, Marvel FA, Lee MA, Yang WE, Demo R, Wang J, Xun H, Shah L, Weng D, Fashanu OE, et al. Corrie health digital platform for self-management in secondary prevention after acute myocardial infarction: Micore rationale and design. Circ Cardiovasc Qual Outcomes. 2019;12. doi: 10.1161/CIRCOUTCOMES.119.005509. Cited: in: : PMID: 31043065.
Arrarte V, Campuzano R, Tiedra C de, Manjón T, Alarcón JA, Fernández R, Calderón A, Castro A, Valle A, Meroño O, et al. Expert consensus on the coordination of cardiac rehabilitation between cardiology departments and primary care. The RehaCtivAP project. Revista Espanola de Cardiologia Suplementos. 2020;20. doi: 10.1016/S1131-3587(20)30020-0.
Wang A, Pollack T, Kadziel LA, Ross SM, Mchugh M, Jordan N, Kho AN. Impact of Practice Facilitation in Primary Care on Chronic Disease Care Processes and Outcomes: a Systematic Review. J Gen Intern Med. 2018;33:1968–1977. doi: 10.1007/s11606-018-4581-9.
Khalaf K, Johnell K, Austin PC, Tyden P, Midlöv P, Perez-Vicente R, Merlo J. Low adherence to statin treatment during the 1st year after an acute myocardial infarction is associated with increased 2nd-year mortality risk - An inverse probability of treatment weighted study on 54 872 patients. Eur Heart J Cardiovasc Pharmacother. 2021;7. doi: 10.1093/ehjcvp/pvaa010.
Moreno-Palanco MA, Ibáñez-Sanz P, Ciria-de Pablo C, Pizarro-Portillo A, Rodríguez-Salvanés F, Suárez-Fernández C. Impact of Comprehensive and Intensive Treatment of Risk Factors Concerning Cardiovascular Mortality in Secondary Prevention: MIRVAS Study. Revista Española de Cardiología (English Edition). 2011;64. doi: 10.1016/j.rec.2010.07.002.
Brotons C, Soriano N, Moral I, Rodrigo MP, Kloppe P, Rodríguez AI, González ML, Ariño D, Orozco D, Buitrago F, et al. Randomized Clinical Trial to Assess the Efficacy of a Comprehensive Programme of Secondary Prevention of Cardiovascular Disease in General Practice: The PREseAP Study. Revista Española de Cardiología (English Edition). 2011;64. doi: 10.1016/j.rec.2010.06.007.
O’Toole J, Ingram S, Kelly N, Quirke MB, Roberts A, O’Brien F. Patient Satisfaction With Innovative Nurse Practitioner Cardiology Services. Journal for Nurse Practitioners. 2019;15. doi: 10.1016/j.nurpra.2018.12.013.
Minneboo M, Lachman S, Snaterse M, Jørstad HT, ter Riet G, Boekholdt SM, Scholte op Reimer WJM, Peters RJG, Riezebos RK, van Liebergen RAM, et al. Community-Based Lifestyle Intervention in Patients With Coronary Artery Disease: The RESPONSE-2 Trial. J Am Coll Cardiol. 2017;70. doi: 10.1016/j.jacc.2017.05.041.
Lei H, Yang J, Kong L, Liu N, Liu S, Yu N, Peng Y, Wen Y, Tang J. Correlations among Psychological Resilience, Self-Efficacy, and Negative Emotion in Acute Myocardial Infarction Patients after Percutaneous Coronary Intervention. Front. Psychiatry. 2018;9:1. doi: 10.3389/fpsyt.2018.00001.
Polsook R, Aungsuroch Y, Thongvichean T. The effect of self-efficacy enhancement program on medication adherence among post-acute myocardial infarction. Applied Nursing Research. 2016;32:67–72. doi: 10.1016/j.apnr.2016.05.002. Cited: in: : PMID: 27969054.
Oh YH, Hwang SY. Individualized education focusing on self-management improved the knowledge and self-management behaviour of elderly people with atrial fibrillation: A randomized controlled trial. Int J Nurs Pract. 2021;27. doi: 10.1111/ijn.12902.
Kennedy A, Rogers A, Bowen R, Lee V, Blakeman T, Gardner C, Morris R, Protheroe J, Chew-Graham C. Implementing, embedding and integrating self-management support tools for people with long-term conditions in primary care nursing: A qualitative study. Int J Nurs Stud. 2014;51. doi: 10.1016/j.ijnurstu.2013.11.008.
Wang W, Thompson DR, Chow A, Kowitlawakul Y. An education booklet to aid cardiac patients’ recovery at home. Int Nurs Rev. 2014;61. doi: 10.1111/inr.12091.
Hung GSL, Gardiner B, Patel BM. Evaluation of patient information material in the consent process for surgical stabilization of rib fractures. Journal of Trauma Nursing. 2021;28. doi: 10.1097/JTN.0000000000000601.
Daghio MM, Fattori G, Ciardullo A V. Evaluation of easy-to-read information material on healthy life-styles written with the help of citizens’ collaboration through networking. Promot Educ. 2006;13. doi: 10.1177/175797590601300304.
Lönnberg L, Damberg M, Revenäs Å. “It’s up to me”: the experience of patients at high risk of cardiovascular disease of lifestyle change. Scand J Prim Health Care. 2020; doi: 10.1080/02813432.2020.1794414.
Lizcano Álvarez Á, Villar Espejo T, López Köllmer L, Gómez Menor C, Ledesma Rodríguez R, Fernández Zarataín G. The efficacy of an integrated care training program for primary care nurses for the secondary prevention of cardiovascular risk. Enfermería Clínica (English Edition). 2021; doi: 10.1016/j.enfcle.2020.10.009.
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