The application and effect evaluation of continuity precision nursing in patients undergoing coronary angiography and stent implantation: A study of clinical outcomes

Le résumé fourni par la source

Coronary artery disease is a major global health burden, with percutaneous coronary intervention (PCI) serving as a key treatment strategy. Despite its efficacy, challenges such as in-stent restenosis, medication nonadherence, unhealthy lifestyles, and psychological distress hinder optimal recovery. Continuity-based precision nursing, which integrates personalized care and multidisciplinary support, offers a potential solution. Therefore, the purpose of this study is to evaluate the effectiveness of continuity-based precision nursing compared to conventional nursing in improving postoperative outcomes for PCI patients. This includes assessing its impact on cardiac function recovery, complication prevention, medication adherence, lifestyle modifications, psychological well-being, and overall quality of life. This study included 112 PCI patients treated from January 2023 to January 2024, divided into an experimental group (continuity-based precision nursing) and a control group (conventional nursing). Propensity score matching resulted in 45 matched pairs. Data collected included demographics, postoperative cardiac function, medication adherence, lifestyle changes, psychological status, complications, satisfaction, and health-related quality of life. Statistical analyses were performed using SPSS, with P < .05 considered significant. Continuity-based precision nursing showed significant benefits over conventional nursing. At 1 month post-PCI, the experimental group had higher left ventricular ejection fraction ≥ 50% rates (86.7% vs 75.6%) and lower in-stent restenosis (6.7% vs 17.8%) and residual stenosis rates (8.9% vs 24.4%, P = .048). Medication adherence was improved (86.7% vs 66.7%, P = .02), with higher rates eof smoking cessation (77.8% vs 55.6%, P = .01), healthy eating (84.4% vs 66.7%, P = .03), and regular exercise (80.0% vs 62.2%, P = .02). Anxiety and depression scores were significantly lower in the experimental group post-intervention. Patient satisfaction (92.5 ± 4.2 vs 85.7 ± 6.1, P < .01) and health-related quality of life (88.4 ± 5.0 vs 81.2 ± 6.0, P < .01) were also markedly higher. Continuity-based precision nursing significantly enhances postoperative outcomes in PCI patients, improving cardiac function, adherence, lifestyle behaviors, and psychological well-being. This model provides a comprehensive framework for coronary artery disease care, with potential for broader clinical application. Further research should evaluate its long-term impact and scalability in diverse settings.

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