Research Unit of Health Sciences and Technology, Oulu University, Oulu, Finland.
Research Services, Oulu University Hospital, Oulu, Finland.
Nurs Open. 2023 Aug;10(8):5541-5549. doi: 10.1002/nop2.1793. Epub 2023 Apr 28.
To compare the long-term counselling quality among the patients visited and not visited at cardiac nurse after percutaneous coronary intervention (PCI) and related factors one to two years after PCI.
An explorative, register-based cross-sectional study.
A sample was drawn from the one university hospital's procedure register consisted of the patients undergone a PCI (n = 977). The data was collected by Counselling Quality Instrument (CQI) questionnaire by mail, and analysed by basic and multivariate methods.
Of the respondents (n = 459), less than half the patients (48.4%) visited at cardiac nurse one to two years after PCI as instructed in the national current care guidelines. Patients, who visited the nurse (n = 194) had higher satisfaction for counselling than the ones not visited (n = 70). Nevertheless, patients, especially those who had no dyslipidemia, had Unstable Angina Pectoris or Non-ST-elevated myocardial infarction or were out of the workforce, were unsatisfied with counselling, and needed more social support, patient-centred counselling and goal orientating implementation from the cardiac nurse. A half of the PCI patients (51.6%) did not visit the cardiac nurse at the primary health care.
Cardiac nurses assisted the members of research group by assessing the questionnaire prior sending it to the patients and patients contributed by completing the questionnaires. We thank both parties for their contribution.
This study demonstrated, that patients out of the workforce and having emergency PCI are in need for better quality counselling, concentrating on social support, patient-centred counselling and goal orientating implementation from the cardiac nurse. Those patients, who did not visit the cardiac nurse, should be offered easier access to cardiac nurse for example, by novel digital solutions.
比较经皮冠状动脉介入治疗（PCI）后就诊和未就诊于心脏护士的患者的长期咨询质量，并分析相关因素。
探索性、基于登记的横断面研究。
从一所大学医院的程序登记处抽取了一个样本，该样本由接受过 PCI（n=977）的患者组成。通过邮件向患者发送咨询质量量表（CQI）问卷进行数据收集，并采用基本和多变量方法进行分析。
在应答者（n=459）中，不到一半的患者（48.4%）按照国家现行护理指南的要求，在 PCI 后一到两年内就诊于心脏护士。与未就诊的患者（n=70）相比，就诊于护士的患者（n=194）对咨询的满意度更高。然而，特别是那些没有血脂异常、不稳定型心绞痛或非 ST 段抬高型心肌梗死或没有工作的患者，对咨询不满意，需要更多的社会支持、以患者为中心的咨询和目标导向的实施，由心脏护士提供。一半的 PCI 患者（51.6%）没有在初级保健中心就诊于心脏护士。
心脏护士通过在将问卷发送给患者之前评估问卷，以及患者通过完成问卷为研究做出了贡献。我们感谢双方的贡献。
本研究表明，没有工作的患者和接受紧急 PCI 的患者需要更好的咨询质量，重点是社会支持、以患者为中心的咨询和目标导向的实施，由心脏护士提供。那些没有就诊于心脏护士的患者，应该为他们提供更容易获得心脏护士的途径，例如通过新的数字解决方案。
