Effect of Early Educational Intervention on Cardiovascular Risk Factors After Acute Coronary Syndrome

Обзор

Early Education After a Heart Attack What is the purpose of this study? The main goal is to evaluate if a special nursing education and support program helps patients who have suffered a heart attack feel more confident in managing their own health. Researchers want to see if this extra support improves how patients care for their hearts through diet, physical activity, and quitting smoking. The study compares this new nursing strategy against the standard care patients usually receive. Who can participate? Participants must be 18 years of age or older. People who have recently had a heart attack requiring an urgent heart catheterization at the Complejo Hospitalario Universitario Insular Materno Infantil. Exclusions: People with significant language barriers (Spanish), mental incapacity to follow recommendations, or those unable to attend in-person consultations cannot participate. What will happen during the study? Participants will be divided into two groups: Standard Care Group (Control): These participants will receive the usual medical follow-up and standard cardiac rehabilitation sessions (an average of 17 sessions focused on exercise and group education). Special Support Group (Experimental): In addition to standard care, these participants will have a specific nursing consultation consisting of 4 scheduled visits. These visits are a mix of in-person and telephone appointments.Nurses will provide personalized educational materials, such as infographics, and teach techniques to control blood pressure, improve diet, exercise safely, and manage emotions after a heart attack. Duration and Follow-up Each participant will be followed for approximately 8 months. During this time, they will be asked to complete several surveys about their lifestyle. Researchers will also review blood test results (cholesterol levels) from their medical records to track progress.

Вмешательства

• Поведенческое Motivational and Individualized Interviewing
  Used to verify the patient's understanding of their condition and to motivate behavioral changes.
• Поведенческое Heart-Healthy Dietary Education
  Specific counseling to improve adherence to the Mediterranean diet and address overweight or obesity
• Поведенческое Tobacco Cessation Approach
  Interventions aimed at increasing motivation to quit smoking and reducing nicotine dependence
• Поведенческое Physical Activity Promotion
  Personalized exercise recommendations tailored to the patient's clinical status
• Поведенческое Emotional Health Management
  Professional support to address emotional well-being, detecting potential states of anxiety or depression following the acute event.
• Поведенческое Therapeutic Adherence Reinforcement
  Continuous education and monitoring to ensure compliance with the prescribed pharmacological plan
• Поведенческое Self-Control Training
  Training the patient for autonomous monitoring of risk factors, such as blood pressure
• Поведенческое Use of Educational Resources
  Provision of adapted materials (infographics and written documents) to permanently reinforce healthy knowledge and behaviors
• Другое Cardiac Rehabilitation Program
  Upon hospital discharge, all patients are referred to a cardiac rehabilitation unit. The program consists of an average of 17 sessions focused primarily on the physical rehabilitation of the patient. Patients receive group-based health education provided by nursing professionals during these sessions.These rehabilitation sessions are typically completed within three months following the coronary event. Patients continue to receive medical and nursing attention through specialized care centers or

Первичные конечные точки

• Cardiac Self-Efficacy [Срок оценки: Experimental Group: measured at two time points: baseline (during hospitalization) and 8 months (post-coronary event). Control Group: measured only at the 8-month mark post-coronary event to evaluate the level of self-efficacy after receiving standard]

Вторичные конечные точки (7)

• Adherence to the Mediterranean Diet [Срок оценки: Experimental Group: baseline and 8 months Control Group: 8 months only]
• Nicotine Dependence [Срок оценки: Experimental Group: baseline and 8 months Control Group: 8 months only]
• Motivation to Quit Smoking [Срок оценки: Experimental Group: Baseline and 8 months . Control Group: 8 months only.]
• Physical Activity Level [Срок оценки: Experimental Group: Baseline and 8 months Control Group: 8 months only.]
• Affective State (Anxiety and Depression) [Срок оценки: Experimental Group: Baseline and 8 months Control Group: 8 months only]
• Lipid Profile [Срок оценки: Experimental Group: Baseline and 8 months Control Group: 8 months only]
• Cardiac Rehabilitation Adherence [Срок оценки: 8 months (for both groups)]

Критерии участия

Критерии включения

• Patients must have suffered an Acute Myocardial Infarction.
• Participants must have undergone an urgent cardiac catheterization.
• Specifically, this includes patients who received coronary reperfusion strategies following the activation of the CODICAN protocol (assistance for ST-segment elevation myocardial infarction) within the study environment.

Критерии исключения

• Patients with little or no knowledge of the Spanish language that prevents effective communication or reading of educational resources.
• Patients unable to understand their participation or follow health recommendations independently.
• Patients with an unfavorable clinical prognosis or those requiring hospitalization for a period exceeding established limits.
• Patients unable to attend in-person nursing consultations due to personal reasons or place of residence

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

Испания · 1 центр

• Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria — Las Palmas de Gran Canaria

Идентификаторы

NCT: NCT07402642 · 2025-519-1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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