None listed
Conditions
Brief summary
This study evaluates the effectiveness of a nurse-led educational clinic offered to patients within 5-7 days after having a procedure on their heart. The main aim of the clinic is to reduce patient anxiety after discharge from hospital. This study also aims to reinforce education on post-operative cares, risk and lifestyle modification, and encouraging medication adherence whilst improving access to secondary prevention programs. Through the provision of nurse-led clinical follow-up, support and education in the early post-discharge period, it is hoped that patients can achieve confidence and independence in their health-management, resulting in improvements in psychosocial and physical well-being.
Interventions
Study Intervention Group (n=110) Intervention: Post-PCI nurse-led educational clinic. Clinic: Post-discharge period education and support tailored to PCI patients including: cardiac rehabilitation [CR] referral and attendance; medication knowledge, education and adherence; post-discharge period cares, complication identification and management, including access site management; chest pain identification and management. Intervention to be administered in a 45-60 minute single visit at day 5-7 post-discharge from hospital. Visit times (i.e. 45-60 minutes) will vary on a case by case basis. For example one participant may have more questions/concerns than others and therefore require slightly more time to have these addressed. Telephone follow-up for intervention group participants will occur at 1 and 3 months post-discharge. Data collection: self-report standardised tools; and salivary cortisol.
Sponsors
Study design
Eligibility
Inclusion criteria
Age of 18 years and above; informed consent for primary or elective PCI signed by patient and cardiologist; undergone a primary or elective PCI; understand or speak English; and post-discharge telephone access (mobile phone and/or landline).
Exclusion criteria
Children and/or young people (i.e. < 18 years); inability to understand or speak English; overseas resident and unable to be followed-up due to return to home country; on vacation in Australia for < 12 months; suffering from a mental illness/cognitive impairment and unable to legally consent; pregnancy; in existing dependent or unequal relationship(s); highly dependent on medical care; and no telephone communication access.