1.Influence of telephone follow-up on treatment compliance behavior of patients with coronary heart disease:a Meta analysis
Juan LIU ; Fang CHEN ; Wei LIU ; Ji′ning ZHOU ; Dajun PEI ; Yaqi DAI
Chinese Journal of Modern Nursing 2015;(24):2881-2884,2885
Objective To evaluate the influence of telephone follow-up on treatment compliance behavior of patients with coronary heart disease by conducting a Meta-analysis. Methods Data collection, which was relevant RCTs and experimental study about telephone follow-up on treatment compliance behavior of patients with coronary heart disease, were selected from CNKI, VIP, Wan-Fang databases and PubMed from January 2006 to October 2014. The quality of studies was critically appraised, and data were extracted by two reviewers independently. Meta-analysis was performed by the Review Manager 5. 2 software (RevMan 5. 2). Results Totally 11 studies, which involved 2 717 patients ( the intervention group concluded 1 360 patients and the control group concluded 1 357 patients ) , were analyzed. Meta-analysis showed that telephone follow-up could enhance compliance behavior of patients with coronary heart disease, including reasonable diet [ OR =4.43,95%CI(2.60,7. 53),P <0. 000 01], functional exercise [OR =5. 28,95%CI(2. 92,9. 55),P <0. 000 01], medicine taking as doctors′ suggestions [OR=8. 44,95%CI(3. 82,18. 61),P<0. 000 01] and regular reexamination [OR =6. 79,95%CI(3. 20,14. 41),P <0. 000 01]. Conclusions The education conducted in patients with coronary heart disease through telephone follow-up can help to improve treatment compliance at a certain extent. However, because the low quality of methodology for studies and insufficient evidence, the summary should be check by large sampling, multicenter and high quality RCTs.
2.Effects of home-based exercise rehabilitation on anxiety in coronary heart disease patients after PCI
Jingjing TAO ; Juan LIU ; Yaqi DAI ; Dajun PEI ; Fang CHEN
Chinese Journal of Modern Nursing 2017;23(7):960-965
Objective To explore the effects of home-based exercise rehabilitation on anxiety in patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI),and to improve both mental health and heart rehabilitation of the patients.Methods Totals of 108 patients who were diagnosed with CHD in Renmin hospital of Wuhan university and should have received PCI were recruited into the study from December 2013 to December 2015. The participants were randomly divided into two groups:intervention group (n=54) and control group (n=54). Based on the routine nursing care and discharged education,the intervention group also received home-based exercise rehabilitation with regular follow-up and supervision for exercise. The basic information,self-rating anxiety scale (SAS) and exercise situation were documented and assessed before the intervention,as well as three months and six months after the intervention.Results 48 patients in the experimental group and 46 patients in the control group completed the study. Within the group effect:the SAS had a significant difference (P<0.05) but exercise related indicators (i.e. heart rate,SBP,DBP,sports days) showed no difference between the two groups (P>0.05). Within the time effect:both SAS and exercise related indicators demonstrated statistical differences between each time point (P<0.05). The interaction effects between time and group existed in SAS,SBP,DBP,and sports days (P<0.05),except for heart rate (P>0.05). The intervention group patients performed better exercise compliance (i.e. frequency,duration,intensity,self-protection,warm-up and relaxation exercise) after a six-month intervention,compared with the compliance before the intervention (P<0.05).Conclusions Home-based exercise rehabilitation can effectively alleviate patients' anxiety,and can also improve patients' cardiovascular function and reduce their blood pressure. The regular telephone follow-up and health education can better improve patients' adherence to the home-based exercise rehabilitation.