Lizcano-Álvarez, ÁngelCarretero-Julián, LauraTalavera-Saez, AnaCristóbal.Zárate, BeatrizCid-Expósito, María-GemaAlameda-Cuesta, Almudena2023-11-132023-11-132023-08-01Lizcano-Álvarez Á, Carretero-Julián L, Talavera-Saez A, Cristóbal-Zárate B, María |, Cid-Expósito G, et al. Intensive nurse-led follow-up in primary care to improve self-management and compliance behaviour after myocardial infarction. Nurs Open [Internet]. 2023;00:1-14. Disponible en: https://onlinelibrary.wiley.com/doi/10.1002/nop2.17582054-1058https://hdl.handle.net/10115/25923Abstract Aims and objectives To assess the effects of intensive follow-up by primary care nurses on cardiovascular disease self-management and compliance behaviours in post-myocardial infarction patients. Background Although cardiovascular disease prevention and cardiac rehabilitation take place in hospital settings, a nurse-led approach is necessary in primary care during the first few months after a myocardial infarction. Therefore, it is important to assess self-management of cardiovascular disease and levels of compliance with the prescribed diet, physical activity, and medication. To facilitate patients’ self-efficacy, the use of health education tools such as a heart-healthy self-care notebook can be helpful. Design The study used a multicentre, quasi-experimental, pre-post design without a control group. Methods Patients with acute coronary syndrome from 40 healthcare facilities were included in the study. A total of 212 patients and 59 nurses participated in a programme including 11 interventions during the first 12-18 months after myocardial infarction. The following Nursing Outcomes Classification outcomes were assessed at baseline and at the end of the intervention: Self-management: Cardiac Disease (1617) and Compliance Behaviour: Prescribed Diet (1622), Compliance Behaviour: Prescribed Activity (1632), and Compliance Behaviour: Prescribed Medication (1623). Marjory Gordon’s functional health patterns and a self-care notebook were used in each intervention. Pre-post intervention means were compared using Student’s t-tests for related samples. The results of the study are reported in compliance with the TREND Statement. Results A total of 132 patients completed the intervention. Significant improvement in compliance with diet, physical activity, and prescribed medication was observed at pre-post follow-up, as well as in most indicators in the Self-management: Cardiac Disease outcome. Conclusion Intensive, immediate follow-up after myocardial infarction improves compliance behaviours and self-management of heart disease. A combined self-care and family care approach should be encouraged to empower post-myocardial infarction patients.engAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/primary care nursing, treatment adherence and compliance, self-management, myocardial infarction, self-care, aftercare.info:eu-repo/semantics/article10.1002/nop2.1758info:eu-repo/semantics/openAccess