Cardiovascular Diseases, Coronary Artery Disease
Conditions
Keywords
coronary artery disease, cardiovascular diseases, telenursing, digital health, nursing
Brief summary
The aim of this research is to determine whether follow-up through telehealth consultations can enhance adherence to medication and increase knowledge about heart disease in patients with coronary artery disease (CAD) who have undergone coronary angioplasty. It can include individuals of any sex or gender, aged over 18, and with access to communication devices such as a cell phone, tablet, or internet-enabled computer. The main questions to be answered are: * Does follow-up of patients with CAD through telenursing consultations improve adherence to the proposed treatment? * Does the follow-up of patients with CAD, through telenursing consultations, improve knowledge about heart disease? The researchers will compare these patients with others who will be followed up as usual at the hospital to determine which group shows better adherence to drug treatment and greater knowledge about heart disease. The participants will have telenursing consultations at three intervals: one, three, and five months after the initial consultation. After six months from the first interview, both groups will be assessed. They will also be invited to participate in an activity to share their experiences and identify research priorities in the field, with the option to collaborate on future research.
Detailed description
In the face of the global digital transformation, the leadership role of nurses is essential for developing digital health skills and implementing innovative strategies. In the context of coronary artery disease (CAD), telenursing has emerged as a crucial care strategy for monitoring patients, managing risk factors, promoting self-care, and enhancing quality of life. The researchers will examine the prevalence of comorbidities and risk factors for cardiovascular disease (CVD) in the two study groups. They will also compare adherence to the proposed treatment and knowledge about CAD. Finally, they will draw up a protocol for telenursing consultations for patients with CAD undergoing coronary angioplasty. This protocol will be used at the institution.
Interventions
BEHAVIORALTelenursing consultation
Telenursing consultations, which will be carried out via telephone calls, video calls, or messaging platforms, will be held between one, three, and five months after the first consultation. The North American Nursing Diagnosis Association (NANDA-I), the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC) taxonomies will be used to structure these consultations.
Sponsors
Faculdade de Medicina de Botucatu, UNESP, Botucatu, Brasil
Fernanda Maria Alves Lima
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients undergoing coronary angioplasty who have access to communication devices (mobile phone, tablet or computer with internet access).
Exclusion criteria
* Patients with serious comorbidities that prevent remote monitoring, those without access to the necessary technology for remote nursing, and those with a diagnosis that prevents communication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CADE-Q SV score | From the first appointment after coronary angioplasty until six months afterwards. | The knowledge score regarding coronary artery disease (CAD) will be calculated using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV). This consists of 20 questions divided into five categories: clinical condition, risk factors, exercise, nutrition, and psychosocial risk. One point is awarded for each correct answer, with a maximum score of 20 points. The questionnaire aims to identify areas of low knowledge. |
| MTA score | From the first appointment after coronary angioplasty until six months afterwards. | Adherence to the proposed treatment will be calculated using the Measure of Treatment Adherence (MTA) instrument. This consists of seven questions, with answers obtained using a six-point Likert scale. Adherence to treatment is determined by adding the values of each answer and dividing by the total number of items. Patients with an arithmetic mean score between one and four are considered non-adherent. Those with a score between five and six are considered adherent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory rate | At the first consultation after coronary angioplasty, and six months later | Respiratory rate measured in movements per minute |
| Temperature | At the first consultation after coronary angioplasty, and six months later | Temperature measured in degrees Celsius |
| Capillary blood glucose | At the first consultation after coronary angioplasty, and six months later | Capillary blood glucose measured in milligrams per deciliter |
| Weight | At the first consultation after coronary angioplasty, and six months later | Weight measured in kilograms |
| Blood pressure | At the first consultation after coronary angioplasty, and six months later. | Blood pressure measured in millimeters of mercury |
| Body Mass Index | At the first consultation after coronary angioplasty, and six months later | Body mass index measured in kilograms per square meter |
| Waist | At the first consultation after coronary angioplasty, and six months later | Waist circumference measured in centimeters |
| Hip | At the first consultation after coronary angioplasty, and six months later | Hip circumference measured in centimeters |
| Waist-to-Hip Ratio | At the first consultation after coronary angioplasty, and six months later | Waist-to-hip ratio calculated by dividing waist measurement by hip measurement |
| Height | At the first consultation after coronary angioplasty, and six months later | Height measured in meters |
| Heart rate | At the first consultation after coronary angioplasty, and six months later | Heart rate measured in beats per minute |
Countries
Brazil
Contacts
Primary ContactFernanda MA Lima, PhD
Backup ContactMarla AG Avila, Professor
Outcome results
None listed