Cardiovascular Diseases, Coronary Disease, Myocardial Infarction
Conditions
Keywords
Practise Patterns, Nurses', Directive Counseling, Self Care
Brief summary
The European guidelines of cardiovascular disease prevention recommend treatment modalities, such as lifestyle changes in order to minimize the risk of further cardiac event after a myocardial infarction (MI). However, a considerable gap exists between guidelines and their implementation in clinical practise. Further, less is known about the impact of different interventions on patient's knowledge, skills and confidence necessary for self-management after MI. Aim: To evaluate and compare the short- and long-term effects of an individual nurse-led counselling programme together with usual care for patients early discharged after MI on self-management behaviour.
Interventions
BEHAVIORALNurse-led counselling programme
The intervention is an individual nurse-led counselling programme in addition to usual care. The intervention includes 3 outpatient clinic visits (at weeks 2, 14 and 26) and two telephone calls (at weeks 4 and 16) by a cardiovascular nurse during the first 6 months early discharged. The counselling focuses on cardiac risk reduction behaviour based on guidelines issued by European Society of Cardiology and self-management support.
OTHERUsual care
Sponsors
Helse Nord-Trøndelag HF
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients with documented evidence of myocardial infarction during hospitalisation will be considered for inclusion. * patients over 18 years old * living at home in the local hospital area after hospital discharge * able to receive telephone calls, fill in questionnaire and communicate in Norwegian.
Exclusion criteria
* cognitive impaired/dementia * planning for coronary artery bypass graft surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in self-management | from baseline to 6 and 12 months of follow-up | Patient activation measure (PAM) consists of 13 items. The questionnaire assesses the patients' knowledge, skill and confidence for managing ones' own health care. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changes in health behaviour | from baseline to 6 and 12 months of follow-up | The SmartDiet questionnaire consists of 21 questions registering average use of certain group of food and lifestyle. The questions about physical activity is a questionnaire about frequency, duration and intensity of physical activities. |
Countries
Norway
Outcome results
None listed