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Nurse-led peer support improved psychological status and quality of life in patients with acute myocardial infarctionNurse-led support lowers stress and boosts well-being for heart attack patients

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Key Takeaway
Consider nurse-led peer support to improve psychological status and quality of life in patients with acute myocardial infarction.

This randomized controlled trial evaluated a nurse-led peer support intervention among 200 patients with acute myocardial infarction who underwent stent implantation in China. The intervention consisted of weekly 90-minute group sessions facilitated by trained nurses and peer supporters for 12 weeks. The comparator was a standard care control group. Follow-up occurred for 12 weeks.

Primary outcomes included psychological status and quality of life. Secondary outcomes included medication adherence and perceived social support. The intervention group demonstrated significantly lower anxiety scores with a mean difference of -2.5 and a 95% CI of -3.2 to -1.8; P < .001. Depression scores were also significantly lower with a mean difference of -2.1 and a 95% CI of -2.8 to -1.4; P < .001.

Perceived stress was significantly reduced in the intervention group with a mean difference of -3.7 and a 95% CI of -4.5 to -2.9; P < .001. Emotional well-being measured by SF-36 improved with a mean difference of 10.2 and a 95% CI of 7.1 to 13.3; P < .001. Social functioning measured by SF-36 improved with a mean difference of 9.8 and a 95% CI of 6.7 to 12.9; P < .001.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. No limitations were explicitly stated in the provided data. Incorporating such interventions into standard care could enhance postoperative recovery and long-term outcomes for individuals with AMI.

Recovering from a heart attack is hard enough without the added weight of anxiety or depression. A new trial in China offers a glimmer of hope for those facing this difficult path. Researchers gave 200 patients who received stents a special kind of care. They joined weekly 90-minute group sessions led by trained nurses and peer supporters for 12 weeks. The other group received standard care alone.

The results were clear. Patients in the support group reported significantly lower levels of anxiety and depression compared to those who did not receive the extra help. They also felt less stress and reported better emotional well-being and social functioning. These improvements were not just small changes; the differences were statistically significant and meaningful for daily life.

No serious safety issues were reported during the study. The nurses and peer supporters did not cause any harm, and no patients had to stop the program early. The study confirms that adding human connection to medical treatment can make a real difference for people healing from acute myocardial infarction.

What this means for you:
Nurse-led peer support significantly reduced anxiety and depression in heart attack patients.

Study Details

Study typeRct
Sample sizen = 200
EvidenceLevel 2
View Original Abstract ↓
BACKGROUND: Patients with acute myocardial infarction (AMI) often experience psychological distress and reduced quality of life after stent implantation. In this study, our aim was to evaluate the effectiveness of a nurse-led peer support intervention on the psychological status and quality of life of patients with AMI post stent implantation. METHODS: In this randomized controlled trial, 200 patients with AMI who underwent stent implantation were randomly assigned to either a nurse-led peer support intervention group (n = 100) or a standard care control group (n = 100). The intervention consisted of weekly 90-minute group sessions facilitated by trained nurses and peer supporters for 12 weeks. Psychological status was assessed using the Hospital Anxiety and Depression Scale and the Perceived Stress Scale. Quality of life was measured using the Short Form-36 (SF-36) questionnaire. Assessments were conducted at baseline and 12 weeks post intervention. RESULTS: Compared with the control group, individuals in the intervention group showed significantly lower anxiety (mean difference, -2.5; 95% confidence interval [CI], -3.2 to -1.8; P  < .001) and depression (mean difference, -2.1; 95% CI, -2.8 to -1.4; P  < .001) scores at 12 weeks. Perceived stress levels were also significantly reduced in the intervention group (mean difference, -3.7; 95% CI, -4.5 to -2.9; P  < .001). Quality of life scores improved significantly across all domains of the Short Form-36 in the intervention group, with the most notable improvements in emotional well-being (mean difference, 10.2; 95% CI, 7.1-13.3; P  < .001) and social functioning (mean difference, 9.8; 95% CI, 6.7-12.9; P  < .001). Medication adherence and perceived social support also improved significantly in the intervention group. CONCLUSIONS: Nurse-led peer support interventions significantly improve psychological status and quality of life in patients with AMI after stent implantation. These findings suggest that incorporating such interventions into standard care could enhance postoperative recovery and long-term outcomes for individuals with AMI.
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