Myocardial Infarction

NCT06948123 | Completed DMC

• 1 other identifier: AMU-HEM-SZ-01
• Study Type: interventional
• Target: 106
• Locations: 1 country
• Sites: 1

Brief Summary

The effect of nursing approach based on Meleis's transition theory on cardiac quality of life and adaptation to disease in patients with acute myocardial infarction. This research was planned with the idea that the approach developed based on Meleis's Transition Theory could facilitate the illness-health transition process in patients, increase their healthy behavioral gains, increase the quality of care, reduce rehospitalizations, reduce the mortality rate due to MI, and contribute to the nursing literature.

Conditions

Acute Coronary Syndromes

Keywords

acute coronary syndrome; transition theory; Nursing Caries

Outcome Measures

Primary Outcomes (2)

• Psychosocial Adjustment-Self-Report Measure (PAIS-SR ),

  Psychosocial Adjustment-Self-Report Measure: PAIS-SR: This scale assesses psychological adjustment to illness. Cronbach's alpha coefficient for the overall scale has been reported to be 0.92. The scale consists of 46 items and seven subscales. A total score of less than 35 indicates "good psychosocial adjustment," a score between 35 and 51 indicates "moderate psychosocial adjustment," and a score greater than 51 indicates "poor psychosocial adjustment."

  3 months for each patient.

• Health-related Quality of Life scale (HEART-QOL)

  HEART-QOL: A tool developed to measure quality of life specific to heart disease. The questionnaire is a scale consisting of 27 items and 7-point Likert type responses, and has 3 sub-dimensions: emotional, physical and social. Scores are calculated by taking the average of the items for each dimension. Scores range from 1 to 7, with a low score indicating poor quality of life and a high score indicating better quality of life.

  3 months for each patient.

Study Arms (2)

Theory-based nursing intervention.

EXPERIMENTAL

This is the group that was trained with educational material prepared by the researcher based on Meleis's Transition Theory.

Other: Educational intervention

Control

OTHER

The control group was visited at home 15 days after discharge and the scales were applied. The final scales were applied to the patient who came to the hospital for 3 months. The patient was told that the study was over and given educational materials.

Other: control group

Interventions

Educational intervention OTHER

The experimental group was trained with educational material prepared by the researcher using a computer at home for 15 days after hospital discharge.

Theory-based nursing intervention.

control group OTHER

The control group was visited at home 15 days after discharge and the scales were applied. The final scales were applied to the patient who came to the hospital for 3 months. The patient was told that the study was over and given educational materials.

Control

Eligibility Criteria

• Age: 17 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Among the patients who were hospitalized in the Cardiology Clinic of Aydın State Hospital and underwent emergency coronary angiography;
• Those who were 18 years of age and older, diagnosed with MI,
• Underwent coronary angiography for the first time,
• Conscious,
• No verbal communication barrier,
• Able to read and write,
• Had their polyclinic check-ups at the relevant hospital,
• Agreed to participate in the study,
• Had a telephone to communicate,
• Living in Aydın city center and districts were included in the study.

You may not qualify if:

• Patients with COPD,
• Chronic renal failure,
• Cancer, arrhythmia,
• Advanced aortic stenosis and pulmonary hypertension,
• Systemic or pulmonary embolism,
• Chronic cognitive and psychiatric diseases,
• Patients scheduled for organ transplantation,
• Ptage 3 and 4 heart failure (according to New York Heart Association standards),
• Patients with a hospital stay longer than 10 days were excluded from the study

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Aydin State Hospital

Aydin, AYDIN/Türkiye, 09100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Acute Coronary Syndrome

Interventions

Early Intervention, Educational; Control Groups

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• RAHŞAN ÇEVİK AKYIL, PROFESSOR

  Aydin Adnan Menderes University Faculty of Nursing

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: internal medicine nursing PhD

Model Details: This research was conducted with two groups as experimental and control groups.

Study Record Dates

• First Submitted: March 17, 2025
• First Posted: April 29, 2025
• Study Start: December 1, 2023
• Primary Completion: June 15, 2024
• Study Completion: December 15, 2024
• Last Updated: April 29, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)