Lizcano-Álvarez, AngelCarretero-Julián, LauraTalavera-Saez, AnaAlameda-Cuesta, AlmudenaRodríguez-Vázquez, RocíoCristóbal-Zárate, BeatrizCid-Expósito, María-Gemaen behalf of the REccAP Group, (Cardiovascular CareNursing Network in Primary Care)2024-12-262024-12-262024-12-19Lizcano-Álvarez, Á.; Carretero-Julián, L.; Talavera-Sáez, A.; Alameda-Cuesta, A.; Rodríguez- Vázquez, R.; Cristobal-Zárate, B.; Cid-Expósito, M.-G., on behalf of the REccAP Group (Cardiovascular Care Nursing Network in Primary Care). Compliance Behaviour After a Coronary Ischaemic Event: A Quasi-Experimental Study of Adherence to a Protocolised Follow-Up in Primary Care. J. Cardiovasc. Dev. Dis. 2024, 11, 407.2308-3425EISSN 2308-3425https://hdl.handle.net/10115/46738Following 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.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/cardiovascular diseasesmyocardial infarctionpatient compliancecardiovascular risk factorsprimary health carenursingself careArticle10.3390/jcdd11120407info:eu-repo/semantics/openAccess