Neuro-Traumatology and Rehabilitation Hospital, Andalusian Health Service, Av. de Juan Pablo II SN, 18013 Granada, Spain.
Ceuta University Hospital, National Institute of Health Management, Loma Colmenar SN, 51003 Ceuta, Spain.
Int J Environ Res Public Health. 2022 Mar 4;19(5):3000. doi: 10.3390/ijerph19053000.
Coronary artery disease is the leading cause of death worldwide and patient continuity of care is essential. Health professionals can help in the transition stage by providing resources to achieve pharmacological treatment adherence, as well as social and emotional support. The objective was to analyse the effects of nursing interventions based on continuity of care in patients with coronary artery disease after hospital discharge. A systematic review of randomised controlled trials and quasi-experimental studies was carried out. Cochrane, CINAHL, Health & medical collection, Medline, and Scopus databases were consulted in January 2022. PRISMA guidelines were followed with no time limits. In total, 16 articles were included with a total of 2950 patients. Nurse-led continuity of care programs improved the monitoring and control of the disease. Positive effects were found in the quality of life of patients, and in mental health, self-efficacy, and self-care capacity dimensions. Clinical parameters such as blood pressure and lipid levels decreased. The continuity of care provided by nurses had a positive influence on the quality of life of patients with coronary artery disease. Nurse-led care focused on the needs and resources, including continuity of care, plays a key role.
冠心病是全球范围内的主要致死原因，患者的连续性护理至关重要。卫生专业人员可以通过提供资源来帮助患者实现药物治疗依从性，以及提供社会和情感支持，从而在过渡阶段提供帮助。本研究旨在分析基于连续性护理的护理干预对出院后冠心病患者的影响。本研究进行了系统的随机对照试验和准实验研究的综述。2022 年 1 月检索了 Cochrane、CINAHL、健康与医学合集、Medline 和 Scopus 数据库。无时间限制地遵循 PRISMA 指南。共纳入 16 篇文章，共计 2950 名患者。护士主导的连续性护理方案改善了疾病的监测和控制。患者的生活质量以及心理健康、自我效能和自我护理能力维度均有积极影响。临床参数如血压和血脂水平降低。护士提供的连续性护理对冠心病患者的生活质量产生了积极影响。以护士为主导的护理侧重于满足患者的需求和利用资源，包括连续性护理，这发挥了关键作用。
