Examinando por Autor "en behalf of the REccAP Group, (Cardiovascular CareNursing Network in Primary Care)"

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Compliance Behaviour After a Coronary Ischaemic Event:A Quasi-Experimental Study of Adherence to a ProtocolisedFollow-Up in Primary Care
(MDPI, 2024-12-19) Lizcano-Álvarez, Angel; Carretero-Julián, Laura; Talavera-Saez, Ana; Alameda-Cuesta, Almudena; Rodríguez-Vázquez, Rocío; Cristóbal-Zárate, Beatriz; Cid-Expósito, María-Gema; en behalf of the REccAP Group, (Cardiovascular CareNursing Network in Primary Care)
Following a coronary ischaemic event, it is essential to promote empowerment in self-care decision making. Primary care nursing is crucial for intensive follow-up to promote adherence to the therapeutic regimen. Objective: To ascertain whether adherence to a protocolised follow-up programme, with the support of a patient notebook, improves compliance behaviours in terms of physical activity, prescribed diet and medication. This is a quasi-experimental multicentre pre/post study. Population: Individuals aged 40–70 years, diagnosed with cardiac ischaemia in the last 18 months with a follow-up from March 2017 to January 2019, were included in a protocolised followup programme consisting of 11 visits over 12 months. A total of 194 patients started the programme and 132 completed it. Of these, 67.4% exhibited good adherence to follow-up, 31.8% exhibited medium adherence, and 0.8% exhibited poor adherence. Therefore, the patients were recoded into two variables: Medium–Low Adherence and High. The Nursing Outcomes Classification variables were significantly different between the Poor–Medium and Good Adherence groups and were always higher in the Good Adherence group (p-values < 0.05 t-student). There was a significant relationship between level of adherence and compliance behaviour. Good adherence to a follow-up plan led by primary care nurses improves compliance behaviours in terms of prescribed diet, physical activity, and medication. Early, intensive and protocolised follow-up by primary care nurses is essential to improve adherence to the therapeutic regimen and compliance behaviour among individuals with cardiac ischaemia. The use of a cardiovascular self-care notebook promotes adherence.