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IRCT20220130053882N2 IRCT 2023-08-09 Mashhad University of Medical Sciences Investigating the effect of transitional care pathway on the outcomes of patients with acute coronary syndrome The effect of Transitional Care Pathway on HealthCare Seeking Behaviors, Treatment Adherence, and Care Transition in patients with Acute Coronary Syndrome 2023-08-06 anticipated 70 Complete https://irct.ir/trial/71462 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: In order to prevent the dissemination of information, the method of randomization is time block method. In this way, sampling in the intervention and control groups will be done in the middle of the week. In this way, the first group will be randomly selected by lottery, then the patients who meet the criteria for entering the study will be included in the intervention or control group in the middle of the week. Randomization is such that first a random sequence will be generated for 8 weeks by Randomizer.org and this sequence will be kept in a sealed envelope. At the beginning of each week, the door of the envelope is opened and based on the code in the envelope, all the patients of that week are assigned to the intervention or control group. N/A Condition 1: Angina pectoris. Condition 2: Acute myocardial infarction. Intervention 1: In the intervention group, patients will receive interventions related to the transitional care pathway in addition to routine care after the need for assessment performed by the "Cardiac Disease Need Assessment Form". Interventions of transitional care pathway, which includes care interventions and education, and based on the review of reliable sources and the use of experts' opinions, will begin from the time of admission (emergency/CCU) for the patient after the illness, and according to the time of patient care, during hospitalization (emergency/CCU/I/post-angio). after discharge (telephone or online follow-up at home) will continue. The care and content of this program is provided by the researcher and through oral explanation and presentation of pamphlets, and includes things that use patient hospitalization (such as pain relief, rhythm and hemodynamic monitoring, introduction of the care team, ward and hospital, assessment of patient needs, etc.), treatment of diseases, activity, etc.), discharge time (such as self-care training and monitoring of complications, recognition of danger signs, bathing, prayer, smoking, rest, activity, tests, periodic check-ups, care of devices (such as ICD), coordination with cardiac rehabilitation program, etc.) After discharge, home care is done by phone or online (such as patient status, answering questions, checking side effects, medication side effects, taking medications, observing activity level and diet, rehabilitation status, monitoring ACS side effects, etc.). The frequency of follow-up of patients at home will be once a week by phone and online, and during this period, patients can ask their questions to the researcher. At the time of discharge, the patient will be asked how to communicate online and the communication received (Soroush, Eeta, Gap, Telegram, WhatsApp, etc.). Intervention 2: Control group: Among the control group, the participants will receive standard care designed based on Tuna et al. research in addition to routine care, which includes planned discharge training as well as a manual prepared by the researcher. In the educational program planned for this group, the definition of heart attack, symptoms, treatment goals and risk factors are presented. The training program also contains information about the importance of exercise and nutrition. The training is simple and understandable and the patient is allowed to ask his questions. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Amirreza Jamshidbeigi
No. 96, Fakouri 85, Rezashahr
Mashhad Iran (Islamic Republic of) 9176943314 +98 918 846 0124 jamshidar4001@mums.ac.ir Mashhad University of Medical Sciences scientific Amirreza Jamshidbeigi
No. 96, Fakouri 85, Rezashahr
Mashhad Iran (Islamic Republic of) 9176943314 +98 918 846 0124 jamshidar4001@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Age more than 18 years Consent to participate in the study Hospitalization with diagnosis of acute coronary syndrome (diagnosis confirmed by doctor) Ability to communicate verbally 18 years no limit Both Instability of the patient's clinical condition I20 I21 Angina pectoris ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction N/A N/A In the intervention group, patients will receive interventions related to the transitional care pathway in addition to routine care after the need for assessment performed by the "Cardiac Disease Need Assessment Form". Interventions of transitional care pathway, which includes care interventions and education, and based on the review of reliable sources and the use of experts' opinions, will begin from the time of admission (emergency/CCU) for the patient after the illness, and according to the time of patient care, during hospitalization (emergency/CCU/I/post-angio). after discharge (telephone or online follow-up at home) will continue. The care and content of this program is provided by the researcher and through oral explanation and presentation of pamphlets, and includes things that use patient hospitalization (such as pain relief, rhythm and hemodynamic monitoring, introduction of the care team, ward and hospital, assessment of patient needs, etc.), treatment of diseases, activity, etc.), discharge time (such as self-care training and monitoring of complications, recognition of danger signs, bathing, prayer, smoking, rest, activity, tests, periodic check-ups, care of devices (such as ICD), coordination with cardiac rehabilitation program, etc.) After discharge, home care is done by phone or online (such as patient status, answering questions, checking side effects, medication side effects, taking medications, observing activity level and diet, rehabilitation status, monitoring ACS side effects, etc.). The frequency of follow-up of patients at home will be once a week by phone and online, and during this period, patients can ask their questions to the researcher. At the time of discharge, the patient will be asked how to communicate online and the communication received (Soroush, Eeta, Gap, Telegram, WhatsApp, etc.). Control group: Among the control group, the participants will receive standard care designed based on Tuna et al. research in addition to routine care, which includes planned discharge training as well as a manual prepared by the researcher. In the educational program planned for this group, the definition of heart attack, symptoms, treatment goals and risk factors are presented. The training program also contains information about the importance of exercise and nutrition. The training is simple and understandable and the patient is allowed to ask his questions. Questionnaire score of health care seeking behaviors. Timepoint: At the time of hospitalization and one month later. Method of measurement: A researcher-made questionnaire of health care seeking behaviors. Questionnaire score of treatment adherence. Timepoint: At the time of hospitalization and one month later. Method of measurement: Ziyai et al. treatment adherence questionnaire. Questionnaire score of Care Transition. Timepoint: one week after discharge. Method of measurement: Care Transition Measure (CTM-15). Mashhad University of Medical Sciences Approved 2023-07-11 Research Ethics Committees of School of Nursing & Midwifery, Mashhad University of Medical Sciences Faculty of Nursing and Midwifery, Doctor's Crossroad, Ibn Sina Street, Mashhad University of Medical Sciences , Khorasan Razavi, Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)