A Nursing Intervention Program to Improve Therapeutic Adherence in Elderly People With Acute Myocardial Infarction

Catalan Institute of Health

Status: Completed

Conditions: Medication Adherence; Myocardial Infarction

Treatments: Other: Nursing intervention programme

Study type: Interventional

Funder types: Other

Identifiers

NCT04662762

PR034/16

Details and patient eligibility

About

The objective of this study was to assess the impact of a nursing intervention on therapeutic adherence in elderly patients after acute myocardial infarction compared to a control group

Full description

A comprehensive geriatric assessment was performed during the first admission in all patients. Patients were randomly allocated to a nursing intervention group or a usual care group. In patients from the intervention group, a nursing intervention programme was performed 3 months after admission, based on education, support and patient monitoring to improve therapeutic adherence and a 6 month phone call. The main outcome measured was therapeutic adherence at 12 months, as defined by a combination of adherence measurement tools (Morisky-Green and Hayness-Sacket scales, attendance at visits and withdrawal of medication from the pharmacy). Therapeutic adherence was assessed by nurses blinded to the assignment group.

Enrollment: 160 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with STEMI aged 75 years or older underwent primary percutaneous coronary intervention (PCI)

Exclusion criteria

• Patients who refused to participate in the study
• Patients unable to perform geriatric assessment.
• Patients admitted to nursing homes or social health centres.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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160 participants in 2 patient groups

nursing intervention group

Experimental group

Description:

An educational interview by trained nurses was performed at three months in patients allocated to the intervention group. The visit was carried out at the hospital. Family and caregivers were also asked to attend this visit for instruction. For patients unable to move, the nursing team went to their home to perform the intervention, or it was conducted by phone. The duration of this interview was approximately 40 minutes and was focused on some measures and recommendations to improve or maintain adherence. Then, there is a reminder call at 6 months.

Treatment:

Other: Nursing intervention programme

Usual care group

No Intervention group

Description:

The patient is followed up and regular visits