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.

Medicine
|June 17, 2025
PubMed

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.

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