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| Name | Class |
|---|---|
| Faculdade de Medicina de Botucatu, UNESP, Botucatu, Brasil | OTHER |
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The aim of this research is to determine whether follow-up through telehealth consultations can enhance adherence to medication and increase knowledge about heart disease in patients with coronary artery disease (CAD) who have undergone coronary angioplasty. It can include individuals of any sex or gender, aged over 18, and with access to communication devices such as a cell phone, tablet, or internet-enabled computer. The main questions to be answered are:
In the face of the global digital transformation, the leadership role of nurses is essential for developing digital health skills and implementing innovative strategies. In the context of coronary artery disease (CAD), telenursing has emerged as a crucial care strategy for monitoring patients, managing risk factors, promoting self-care, and enhancing quality of life.
The researchers will examine the prevalence of comorbidities and risk factors for cardiovascular disease (CVD) in the two study groups. They will also compare adherence to the proposed treatment and knowledge about CAD. Finally, they will draw up a protocol for telenursing consultations for patients with CAD undergoing coronary angioplasty. This protocol will be used at the institution.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telenursing consultation | Experimental | The intervention consists of telenursing appointments held at three points in time: one, three and five months after the first appointment. |
|
| Traditional follow-up | No Intervention | A final face-to-face evaluation will be conducted six months after the angioplasty to assess adherence to treatment and understanding of the coronary artery disease. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telenursing consultation | Behavioral | Telenursing consultations, which will be carried out via telephone calls, video calls, or messaging platforms, will be held between one, three, and five months after the first consultation. The North American Nursing Diagnosis Association (NANDA-I), the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC) taxonomies will be used to structure these consultations. |
| Measure | Description | Time Frame |
|---|---|---|
| CADE-Q SV score | The knowledge score regarding coronary artery disease (CAD) will be calculated using the Coronary Artery Disease Education Questionnaire Short Version (CADE-Q SV). This consists of 20 questions divided into five categories: clinical condition, risk factors, exercise, nutrition, and psychosocial risk. One point is awarded for each correct answer, with a maximum score of 20 points. The questionnaire aims to identify areas of low knowledge. | From the first appointment after coronary angioplasty until six months afterwards. |
| MTA score | Adherence to the proposed treatment will be calculated using the Measure of Treatment Adherence (MTA) instrument. This consists of seven questions, with answers obtained using a six-point Likert scale. Adherence to treatment is determined by adding the values of each answer and dividing by the total number of items. Patients with an arithmetic mean score between one and four are considered non-adherent. Those with a score between five and six are considered adherent. | From the first appointment after coronary angioplasty until six months afterwards. |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure | Blood pressure measured in millimeters of mercury | At the first consultation after coronary angioplasty, and six months later. |
| Heart rate | Heart rate measured in beats per minute |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fernanda MA Lima, PhD | Contact | +55 14 3880-1301 | fma.lima@unesp.br | |
| Marla AG Avila, Professor | Contact | +55 14 3880-1707 | marla.avila@unesp.br |
| Name | Affiliation | Role |
|---|---|---|
| Fernanda MA Lima, PhD | Universidade Estadual Paulista "Júlio de Mesquita Filho" - Unesp | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculdade de Medicina de Botucatu - UNESP | Botucatu | São Paulo | 18618687 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Delgado AB, Lima ML. Contributo para a validação concorrente de uma medida de adesão aos tratamentos. Psicol Saúde Doenças. 2001; 2(2):81-100. Available from: https://scielo.pt/pdf/psd/v2n2/v2n2a06.pdf | ||
| 20464275 | Background | Ghisi GL, Durieux A, Manfroi WC, Herdy AH, Carvalho Td, Andrade A, Benetti M. Construction and validation of the CADE-Q for patient education in cardiac rehabilitation programs. Arq Bras Cardiol. 2010 Jun;94(6):813-22. doi: 10.1590/s0066-782x2010005000045. Epub 2010 May 7. English, Portuguese. | |
| 31473612 |
| Label | URL |
|---|---|
| World Health Organization (WHO). Noncommunicable diseases. | View source |
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The data will be preserved in accordance with the institution's repository policy and will be made available in the open access repository itself and presented at scientific conferences in the field, as well as publications in journals, keeping sensitive data anonymous.
August 2025 - October 2026
Access to research data by external parties will only be authorized upon prior request to the project's managing researcher. Data linked to manuscripts submitted or in the process of being submitted will be shared after acceptance and publication.
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D002318 | Cardiovascular Diseases |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D001161 | Arteriosclerosis |
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| At the first consultation after coronary angioplasty, and six months later |
| Respiratory rate | Respiratory rate measured in movements per minute | At the first consultation after coronary angioplasty, and six months later |
| Temperature | Temperature measured in degrees Celsius | At the first consultation after coronary angioplasty, and six months later |
| Capillary blood glucose | Capillary blood glucose measured in milligrams per deciliter | At the first consultation after coronary angioplasty, and six months later |
| Weight | Weight measured in kilograms | At the first consultation after coronary angioplasty, and six months later |
| Height | Height measured in meters | At the first consultation after coronary angioplasty, and six months later |
| Body Mass Index | Body mass index measured in kilograms per square meter | At the first consultation after coronary angioplasty, and six months later |
| Waist | Waist circumference measured in centimeters | At the first consultation after coronary angioplasty, and six months later |
| Hip | Hip circumference measured in centimeters | At the first consultation after coronary angioplasty, and six months later |
| Waist-to-Hip Ratio | Waist-to-hip ratio calculated by dividing waist measurement by hip measurement | At the first consultation after coronary angioplasty, and six months later |
| Background |
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| Result | Padilha JC, Santos VB, Lopes CT, Lopes JL. Prevalência da adesão farmacológica de pacientes com doença arterial coronariana e fatores associados. Rev Lat Am Enfermagem. 2021; 29: e3464. DOI: http://dx.doi.org/10.1590/1518-8345.4554.3464 |
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| D001157 |
| Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |