title: Intensive nursing care by an electronic followup system to promote secondary prevention after percutaneous coronary intervention: a randomized trial.
abstract: OBJECTIVE
  To investigate the effectiveness of an intensive nursing care electronic followup system for cardiovascular risk management after percutaneous coronary intervention (PCI).
  
  
  METHODS
  In total, 840 subjects who underwent PCI in a single hospital in Beijing between January 2010 and January 2012 were enrolled. All subjects were randomized into the control and intensive nursing care groups (n = 420 each group). Both groups received standard secondary prevention according to guidelines. The control group received regular followup while the intensive nursing care group was closely monitored and followed by specific nursing staff with the electronic followup system.
  
  
  RESULTS
  In total, 807 subjects were followed up for 1 year. Compared with subjects in the control group, those in the intensive group had decreased levels of total cholesterol (3.99 ± 1.08 vs 3.76 ± 0.98; P < .05), systolic blood pressure (142.41 ± 11.53 vs 135.71 ± 14.57 mm Hg; P < .05), low-density lipoprotein cholesterol (LDL-C) (2.72 ± 1.01 vs 2.42 ± 0.81; P < .05), and body mass index (25.13 ± 5.12 vs 24.23 ± 6.22; P < .05); a higher percentage with target LDL-C < 2.6 mmol/L (66.99% vs 47.88%; P < .05); increased use of medication including aspirin (96.51% vs 99.26%; P < .05), clopidogrel (87.53% vs 98.77%; P < .05), statins (52.62% vs 93.10%; P < .05), β-blockers (48.63% vs 61.33%; P < .05), and angiotensin-converting enzyme inhibitors (32.92% vs 61.82%; P < .05); and better dietary control and physical exercise (55.66% vs 26.18%, P < .05; 62.56% vs 38.65%, P < .05).
  
  
  CONCLUSIONS
  Intensive nursing care by the electronic followup system may lead to an improvement in quality of secondary prevention after PCI, including risk factor control, the use of medication, and self-management abilities.
authors.affiliation: Institute of Geriatric Cardiology (Xin Hu, Yuqi Liu, and Lei Gao) and Medicine Department (Xiuqin Zhu), Chinese PLA General Hospital, Beijing, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Hu
authors.forename: Xiuqin
authors.initials: X
authors.lastname: Zhu
authors.forename: Lei
authors.initials: L
authors.lastname: Gao
mesh_terms: D000368:Aged; D001794:Blood Pressure; D015992:Body Mass Index; D002681:China; D008078:Cholesterol, LDL; D003327:Coronary Disease / Q000451:nursing* / Q000534:rehabilitation / Q000601:surgery*; D064648:Critical Care Nursing / Q000379:methods*; D003697:Delphi Technique; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011446:Prospective Studies; D012307:Risk Factors; D012308:Risk Management / Q000379:methods; D055502:Secondary Prevention / Q000379:methods*; D012648:Self Care / Q000379:methods
chemical_list: D008078:Cholesterol, LDL