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Updated: Sep 19, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Research on Internet plus continuing nursing under dual heart medical model after percutaneous coronary intervention
HongXiang Fu1, GuangYu Zhou, MangLi Wang
1Department of Cardiovascular Medicine, The People's Hospital of Wanning, Hainan Province, China.
Insights
Internet-based continuous nursing significantly improved quality of life and cardiac function in patients with coronary heart disease (CHD) after percutaneous coronary intervention. This approach reduced anxiety and depression, enhancing overall recovery.
Area of Science:
- Cardiology
- Digital Health
- Nursing Science
Background:
- Coronary heart disease (CHD) presents a growing global health challenge, increasing incidence and mortality.
- Percutaneous coronary intervention (PCI) is a common treatment, necessitating effective post-procedure care.
- Optimizing cardiac rehabilitation and patient outcomes after PCI is crucial.
Purpose of the Study:
- To evaluate the clinical outcomes of an internet-based continuous nursing intervention for CHD patients post-PCI.
- To assess the impact of a dual-medical model combining internet support and structured nursing on patient recovery.
- To compare psychological distress, quality of life, medication adherence, cardiac function, and adverse events between intervention and standard care groups.
Main Methods:
- A randomized controlled trial involving 60 CHD patients undergoing PCI.
- The observation group received standard care plus an internet-based continuous nursing intervention.
- The control group received only standard care. Outcomes measured included anxiety, depression, SF-36 quality of life, medication adherence, cardiac function, and adverse events.
Main Results:
- The internet-based nursing group showed significant reductions in anxiety and depression scores (P<0.05).
- Superior SF-36 quality of life scores were observed in the intervention group across all domains (P<0.05).
- Improved medication adherence at 2 and 4 months, enhanced cardiac function (left ventricular ejection fraction, diastolic dysfunction), and reduced cardiovascular complications were noted in the intervention group (P<0.05).
Conclusions:
- An integrated dual-medical model with internet-based continuous nursing significantly improves cardiac rehabilitation outcomes for post-PCI CHD patients.
- This intervention effectively alleviates psychological distress, enhances quality of life, and optimizes medication adherence.
- The approach demonstrates potential in reducing cardiovascular complications and improving overall patient recovery post-PCI.
Abstract:
Coronary heart disease (CHD) remains a prevalent and chronic cardiovascular disorder with a persistently rising global incidence and mortality rate. This study evaluates the clinical outcomes of an internet-based continuous nursing intervention for CHD patients following percutaneous coronary intervention. A cohort of 60 CHD patients admitted to our hospital between June 2023 and April 2024 were enrolled as study subjects. Using a randomized number table method, they were allocated into a control group and an observation group, with 30 patients in each. The control group received standard care, whereas the observation group underwent an integrated dual-medical model combining internet-based support with structured continuous nursing. Comparison metrics included anxiety scores (e.g., Hospital Anxiety and Depression Scale), depression scores, SF-36 quality-of-life assessments, medication adherence, cardiac function parameters (left ventricular ejection fraction, left ventricular diastolic dysfunction), and rates of cardiovascular adverse events. Post-intervention, exhibited significant reductions in anxiety and depression scores, with the observation group demonstrating markedly lower scores than the control group (P < .05). The observation group also achieved superior SF-36 scores across all domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health (P < .05). While medication adherence at 1 month showed no statistical difference between groups (P > .05), the observation group displayed significantly higher compliance at 2 and 4 months (P < .05). Cardiac function improved in both groups, with the observation group achieving greater enhancements in left ventricular ejection fraction and left ventricular diastolic dysfunction (P < .05). The dual-medical model integrating internet-based continuous nursing significantly enhances cardiac rehabilitation, optimizes medication adherence, elevates quality of life, alleviates psychological distress, and reduces cardiovascular complications in post-percutaneous coronary intervention patients.
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