Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review

Gloria Posadas-Collado, María J. Membrive-Jiménez, José L. Romero-Béjar, José L. Gómez-Urquiza, Luis Albendín-García, Nora Suleiman-Martos and Guillermo A. Cañadas- De La Fuente
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Gloria Posadas-Collado: Neuro-Traumatology and Rehabilitation Hospital, Andalusian Health Service, Av. de Juan Pablo II SN, 18013 Granada, Spain
María J. Membrive-Jiménez: Ceuta University Hospital, National Institute of Health Management, Loma Colmenar SN, 51003 Ceuta, Spain
José L. Romero-Béjar: Statistics and Operational Research Department, University of Granada, Avda. Fuentenueva SN, 18071 Granada, Spain
José L. Gómez-Urquiza: Nursing Department, Faculty of Health Sciences, University of Granada, Avda. de la Ilustración 60, 18016 Granada, Spain
Luis Albendín-García: Granada-Metropolitan Health District, Andalusian Health Service, C/Joaquina Eguaras, 2, 18013 Granada, Spain
Nora Suleiman-Martos: Nursing Department, Faculty of Health Sciences, Campus Universitario de Ceuta, University of Granada, C/Cortadura del Valle SN, 51001 Ceuta, Spain
Guillermo A. Cañadas- De La Fuente: Nursing Department, Faculty of Health Sciences, University of Granada, Avda. de la Ilustración 60, 18016 Granada, Spain

IJERPH, 2022, vol. 19, issue 5, 1-16

Abstract: Coronary artery disease is the leading cause of death worldwide and patient continuity of care is essential. Health professionals can help in the transition stage by providing resources to achieve pharmacological treatment adherence, as well as social and emotional support. The objective was to analyse the effects of nursing interventions based on continuity of care in patients with coronary artery disease after hospital discharge. A systematic review of randomised controlled trials and quasi-experimental studies was carried out. Cochrane, CINAHL, Health & medical collection, Medline, and Scopus databases were consulted in January 2022. PRISMA guidelines were followed with no time limits. In total, 16 articles were included with a total of 2950 patients. Nurse-led continuity of care programs improved the monitoring and control of the disease. Positive effects were found in the quality of life of patients, and in mental health, self-efficacy, and self-care capacity dimensions. Clinical parameters such as blood pressure and lipid levels decreased. The continuity of care provided by nurses had a positive influence on the quality of life of patients with coronary artery disease. Nurse-led care focused on the needs and resources, including continuity of care, plays a key role.

Keywords: continuity of care; coronary artery disease; discharge; nursing care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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