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The effect of the Continuous Care Model on treatment adherence in patients with myocardial infarction: a randomised

Mohammad Ali Zakeri1, Zohreh Khoshnood2, Mahlagha Dehghan3

  • 1MSc in Nursing, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Journal of Research in Nursing : JRN
|August 16, 2021
PubMed

Insights

The Continuous Care Model (CCM) significantly improved treatment adherence in myocardial infarction patients. This nursing intervention enhanced adherence to diet, medication, and physical activity post-MI.

Area of Science:

  • Cardiology
  • Nursing
  • Public Health

Background:

  • Treatment adherence is crucial for successful outcomes after myocardial infarction (MI).
  • Effective strategies are needed to improve patient adherence to treatment regimens following MI.

Purpose of the Study:

  • To evaluate the impact of the Continuous Care Model (CCM) on treatment adherence in patients diagnosed with myocardial infarction.
  • To assess the effectiveness of CCM in improving adherence to medication, diet, and physical activity post-MI.

Main Methods:

  • A randomized controlled trial involving 82 myocardial infarction patients.
  • Participants were stratified and randomly assigned to either the intervention group (CCM) or the control group (routine care).
  • The CCM involved 4-6 educational sessions over one month; adherence was measured via questionnaire before, immediately after, and three months post-intervention.

Main Results:

  • Treatment adherence was significantly higher in the CCM intervention group compared to the control group immediately after training and at three-month follow-up (p < 0.001).
  • Adherence to diet, medication, and physical activity was significantly improved in the intervention group versus the control group (p < 0.001).

Conclusions:

  • The Continuous Care Model (CCM) effectively increases treatment adherence in patients recovering from myocardial infarction.
  • CCM is recommended as a valuable nursing intervention for cardiac rehabilitation programs to enhance patient adherence.
Abstract

Keywords:
Continuous Care Modeladherence to treatmentcaremyocardial infarctionnursing

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