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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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The development and randomised feasibility trial of a Nurse-led lifestyle modification follow-up programme among

Sonam Yadav1, Nipin Kalal2, Suresh K Sharma3

  • 1Postgraduate Nursing Student, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Journal of Research in Nursing : JRN
|June 19, 2023
PubMed

Insights

A nurse-led program significantly improved health outcomes for post-myocardial infarction patients in India. This lifestyle modification intervention reduced blood pressure and BMI, enhancing overall quality of life.

Area of Science:

  • Cardiology
  • Public Health
  • Nursing Research

Background:

  • Cardiovascular disease is India's leading cause of death, with myocardial infarction being a major contributor.
  • High prevalence of comorbidities and lack of awareness exacerbate cardiovascular disease risk in India.
  • There's a recognized deficit in published research and standardized cardiac rehabilitation programs within India.

Purpose of the Study:

  • To develop and evaluate a Nurse-led lifestyle modification follow-up program for post-myocardial infarction patients.
  • To assess the program's effectiveness on patient health outcomes and quality of life.

Main Methods:

  • A two-arm, single-blinded, randomized feasibility trial was conducted.
  • The intervention utilized the information-motivation-behavioral skill model, including health education, an booklet, and telephone follow-up.
  • 12 patients were randomized (6 per group); the intervention group received the program alongside routine care, while the control group received routine care only.

Main Results:

  • The Nurse-led program was feasible for implementation.
  • Significant improvements were observed in the intervention group for systolic blood pressure (p=0.001), diastolic blood pressure (p=0.016), and Body Mass Index (p=0.004).
  • Quality of life significantly improved across physical, emotional, and social subscales (p<0.001) after 12 weeks.

Conclusions:

  • This study demonstrates the feasibility and effectiveness of a Nurse-led lifestyle modification program for post-myocardial infarction patients.
  • The findings support the design of cost-effective care delivery systems for cardiac patients in India.
  • The program offers a novel approach to enhance preventive, curative, and rehabilitative services for post-myocardial infarction individuals.
Abstract

Keywords:
follow-uphealth outcomesmyocardial infarctionnurse-ledquality of liferandomised controlled trial

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