Medication Adherence and Lipid Management in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention: Application of the Transitional Care Model

Qing Wang

Status: Completed

Conditions: Lipid Profile; Medication Adherence; Coronary Heart Disease; Transitional Care Model; Self-efficacy

Treatments: Other: routine nursing care group; Other: TCM intervention group

Study type: Interventional

Funder types: Other

Identifiers

NCT07346664

No. 20240410

Details and patient eligibility

About

Patients with coronary heart disease (CHD) require long-term medication and lifestyle modification following percutaneous coronary intervention (PCI). However, they often face challenges such as poor medication adherence and inadequate self-management. This study aims to evaluate the effects of the transitional care model (TCM) on CHD patients after PCI, regarding medication adherence, self-efficacy, and lipid levels.

Full description

TCM improved medication adherence, self-efficacy, and lipid profiles in CHD patients after PCI, while enhancing overall patient satisfaction. Compared with routine nursing care, TCM yielded superior clinical benefits and is recommended for broader application in the post-PCI management of CHD patients.

Enrollment: 108 patients

Sex: All

Ages: 47 to 58 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients clinically diagnosed with CHD according to established diagnostic criteria
• patients who met the World Health Organization (WHO) indications for PCI
• complete clinical data available

Exclusion criteria

• Patients with cognitive impairment
• Patients with incomplete follow-up data.
• Patients with comorbid malignancy
• Patients with severe hepatic
• Patients with renal insufficiency

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

108 participants in 2 patient groups

routine nursing care group

Other group

Description:

Patients assigned to the control group underwent routine nursing care based on the standardized medical treatment, including admission health education (PCI postoperative risk management and medication instructions), psychological counseling, dietary and exercise guidance, individualized rehabilitation planning, and discharge instructions. After discharge, patients attended routine outpatient follow-up visits, including laboratory testing of blood lipids, blood pressure, and blood glucose, without structured follow-up or WeChat-based education. Routine outpatient education and guidance were provided only.

Treatment:

Other: routine nursing care group

TCM intervention group

Other group

Description:

Patients in the observation group received a 3-month TCM intervention delivered by specially trained nurses, in addition to routine nursing care.

Treatment:

Other: TCM intervention group