Acute Coronary Syndrome, Coronary Bypass Graft Stenosis of Native Artery Graft, Heart Failure
Conditions
Keywords
education, risk factors, quality of life, coronary disease, telephone follow up, dedicated nurse
Brief summary
A first therapeutic education is given before patient's discharge at the hospital, then a dedicated nurse follows patients through the phone,regularly according to patients' needs, continues to give advise on risk factors, information on medication and alert symptoms and therapeutic education.
Detailed description
Patients are assigned to an arm accordingly to their needs: class 1 with light therapeutic education, class 2 with moderate education, class 3 with heavy education. Assignement is based on the first education diagnosis during hospitalization time. Quality of life and patient's knowledge are regularly evaluated through questionnaires
Interventions
knowledge of disease, risk factors, diet, medication, alert symptoms
Sponsors
Study design
Eligibility
Inclusion criteria
* hospitalization for acute coronary syndrome (ST-segment elevation myocardial infarction ,no ST-segment elevation myocardial infarction ST , unstable angina) * hospitalization for heart failure * acute coronary syndrome \< 3 months * heart failure \< 3 months * coronary by-pass surgery \< 3 months
Exclusion criteria
* complicated acute coronary syndrome (ventricular arrhythmia, heart failure, mechanical complications, cardiogenic shock) * valvular cardiac pathology * obstructive cardiomyopathy * planned cardiac transplantation * severe neurological or psychiatric troubles * loss of autonomy * other (refusal, language, nursing house, way of life not compatible with follow up, refusal of telephonic contacts)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of patient with a better of quality of life | 1 year | quality of life is evaluated with appropriate questionnaires |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of patients who improve their knowledge of disease | 1 year | Knowledge of disease includes risk factors, symptoms, medication, diet. It is evaluated with appropriate questionnaires. |
| number of hospitalizations during the follow up | 1 year | hospitalizations are recorded during the year of follow up, with cause and duration. |
Countries
France