Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
Korean J Adult Nurs. 2018 Oct;30(5):536-545. English. Original Article. https://doi.org/10.7475/kjan.2018.30.5.536
Ko JU , Lee GJ , Kim HM , Bang HJ .
Resident, Department of Rehabilitation Medicine, Chungbuk National University Hospital, Cheongju, Korea.
Assistant Professor, Department of Rehabilitation Medicine, Chungbuk National University Hospital · Chungbuk Regional Cardiocerebrovascular Center, Cheongju, Korea. gjlee1225@gmail.com
Educational Nurse, Chungbuk Regional Cardiocerebrovascular Center, Cheongju, Korea.
Professor, Department of Rehabilitation Medicine, Chungbuk National University College of Medicine · Chungbuk Regional Cardiocerebrovascular Center, Cheongju, Korea.
Abstract

Purpose

The purpose of this retrospective study was to investigate the effect of revised cardiac rehabilitation Clinical Pathways (CPs) on the Cardiac Rehabilitation (CR) participation rate of patients with Myocardial Infarction (MI) undergoing Percutaneous Coronary Intervention (PCI).

Methods

We reviewed the electronic medical record of patients who were referred for CR after MI from July 2015 to December 2016. In April 2016, the patient groups were divided into 9-month periods: pre- and post-CP revision. We reduced the mean number of hospital visits for CR and the wait times before starting CR and the first Cardio Pulmonary Exercise (CPX) test. We added a home-based CR program and reinforced the CR liaison nurse's role. The changes in the CR wait time, mean number of hospital visits post-discharge, and participation rates at 1 and 3 months were investigated.

Results

Ninety-two patients were recruited from July 2015 to March 2016. Twenty-four (26.1%) participated in CR at 1 month, and 11 (12.0%) were maintained up to 3 months. From April 2016 to December 2016, 107 patients were recruited. Sixty-five (60.7%) participated at 1 month, and 38 (35.5%) were maintained up to 3 months. The mean number of hospital visits was 3.5±0.8 versus 1.9±0.9 in the previous and revised CP groups. The average number of days to the first CPX test after MI was 43.4±17.6 versus 26.3±10.6.

Conclusion

Following CP revision, the CR participation rate significantly improved among patients with PCI post-MI. CP revision in terms of inter-physician communication and additional nursing interventions should be considered.

Copyright © 2019. Korean Association of Medical Journal Editors.