Compliance Behaviour After a Coronary Ischaemic Event: A Quasi-Experimental Study of Adherence to a Protocolised Follow-Up in Primary Care
2024

Improving Patient Compliance After Heart Issues

Sample size: 194 publication Evidence: moderate

Author Information

Author(s): Ángel Lizcano-Álvarez, Laura Carretero-Julián, Ana Talavera-Sáez, Almudena Alameda-Cuesta, Rocío Rodríguez-Vázquez, Beatriz Cristobal-Zárate, María-Gema Cid-Expósito

Primary Institution: Rey Juan Carlos University

Hypothesis

Does adherence to a structured follow-up program improve compliance behaviors in patients after a coronary ischaemic event?

Conclusion

Good adherence to a follow-up plan led by primary care nurses improves compliance with self-care in terms of diet, physical activity, and medication.

Supporting Evidence

  • 67.4% of patients exhibited good adherence to follow-up.
  • Patients with good adherence showed significantly better compliance behaviors.
  • Early and intensive follow-up by nurses is essential for improving adherence.

Takeaway

After heart problems, it's important for patients to follow a care plan. This study found that when nurses help patients stick to their plans, they do better with their diet, exercise, and taking medicine.

Methodology

This was a quasi-experimental multicentre pre/post study involving 11 visits over 12 months.

Potential Biases

Potential inter- and intra-observer variability and drop-out bias due to patient abandonment of the follow-up program.

Limitations

The study may be biased towards healthier patients due to exclusion criteria and lacked a control group.

Participant Demographics

132 patients completed the study, with 73.5% male and a mean age of 58.2 years.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jcdd11120407

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