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Evaluation of a postdischarge coronary artery disease management program
Susan D Housholder-Hughes1, Michael J Ranella1, Abiola Dele-Michael2
1Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan.
Journal of the American Association of Nurse Practitioners
|January 13, 2015
Summary
A nurse practitioner-led coronary artery disease management program improved patient health outcomes. Participants showed better physical and mental health and increased adherence to lifestyle recommendations after the intervention.
Area of Science:
- Cardiology
- Nursing Practice
- Public Health
Background:
- Coronary Artery Disease (CAD) management requires comprehensive patient support.
- Acute Coronary Syndrome (ACS) and percutaneous coronary intervention (PCI) necessitate ongoing care.
- Nurse Practitioner (NP)-led programs can enhance chronic disease management.
Purpose of the Study:
- To evaluate the effectiveness of an NP-based Coronary Artery Disease Management (CAD-DM) program.
- To assess the program's impact on patients post-ACS or PCI.
Main Methods:
- A demonstration project involving three monthly 1-hour visits.
- Intervention included clinical assessment, guideline-based treatment, education, lifestyle review, and emergency response planning.
- Patient recruitment with high physician approval (99%).
Main Results:
- 84.5% of patients completed the program.
- Significant reduction in cardiopulmonary symptoms (61% to 30%, p < .001).
- Improved lipid profiles (20% more achieved LDL-C < 70 mg/dL, p = .04), exercise goal attainment (35% more, p < .0001), and SF-12 mental and physical health scores.
Conclusions:
- The NP-based CAD-DM program was well-received by participants.
- The program led to significant improvements in physical and mental health.
- Increased patient compliance with recommended lifestyle changes was observed.
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