Association Between Mind Mapping Combined with Teach-Back and Follow-Up Adherence After Percutaneous Coronary...

Area of Science:

• Cardiovascular Nursing
• Health Education Strategies
• Quality Improvement Initiatives

Background:

• Suboptimal follow-up adherence post-percutaneous coronary intervention (PCI) hinders secondary prevention and increases major adverse cardiovascular events (MACEs).
• Conventional patient education often proves insufficient for ensuring adequate post-PCI follow-up.

Purpose of the Study:

• To identify factors influencing follow-up adherence in patients after PCI.
• To evaluate the effectiveness of a mind mapping combined with teach-back educational intervention on adherence and MACE rates.

Main Methods:

• Retrospective analysis of a nursing quality improvement initiative involving patients undergoing PCI.
• Comparison between a mind mapping + teach-back group and a routine education group, utilizing propensity score matching.
• Assessment of follow-up adherence (≥ 3 visits) and 12-month MACE incidence, with multivariable logistic regression and survival analysis.

Main Results:

• The mind mapping + teach-back group demonstrated significantly higher follow-up adherence (79.4% vs. 61.9%, P=0.031).
• This combined intervention was independently associated with increased adherence (OR=2.658, P=0.041).
• A lower 12-month MACE incidence (11.1% vs. 20.6%, P=0.048) and improved MACE-free survival (log-rank P=0.042) were observed in the intervention group.

Conclusions:

• The mind mapping combined with teach-back method appears to enhance post-PCI follow-up adherence.
• Preliminary findings suggest a potential reduction in MACE, though further research is warranted due to sample size limitations.
• This approach may serve as a valuable nursing tool, informing future prospective studies.