Evaluation of a nurse-led educational clinic for patients within 5-7 days post-discharge from hospital following percutaneous coronary intervention (PCI).

INTERVENTION: Study Intervention Group (n=110) Intervention: Post‐PCI nurse‐led educational clinic. Clinic: Post‐discharge period education and support tailored to PCI patients including: cardiac rehabilitation [CR] referral and attendance; medication knowledge, education and adherence; post‐discharge period cares, complication identification and management, including access site management; chest pain identification and management. Intervention to be administered in a 45‐60 minute single visit at day 5‐7 post‐discharge from hospital. Visit times (i.e. 45‐60 minutes) will vary on a case by case basis. For example one participant may have more questions/concerns than others and therefore require slightly more time to have these addressed. Telephone follow‐up for intervention group participants will occur at 1 and 3 months post‐discharge. Data collection: self‐report standardised tools; and salivary cortisol. CONDITION: Anxiety Coronary heart disease PRIMARY OUTCOME: To enhance Self‐Efficacy as measured by the Cardiac Self‐Efficacy Questionnaire (CSE). To reduce anxiety as measured by salivary cortisol levels. To reduce anxiety as measured by the State Trait Anxiety Inventory (STAI). SECONDARY OUTCOME: Early identification and prevention of post‐discharge complications. ; ; Post‐operative complications and methods of assessment are identified below: ; ; 1. Chest pain/discomfort: Chest pain assessment pathway, clinical assessment and Electrocardiogram ; 2. Haematoma: Clinical assessment ; 3. Bleeding: Clinical assessment ; 4. Bruising: Clinical assessment (Documentation on wound ; care pathway) ; 5. Wound site infection: Wound care assessment pathway and clinical assessment ; 6. Psudoaneurysm: Clinical assessment (auscultation for bruit using stethoscope) ; 7. Neurovascular complications: Neurovascular assessment tool and clinical assessment ; 8. Suspected medication complications/interactions/ ; allergies: Clinical assessment, participant interview ; 9. Contrast induced pyrexia: Clinical assessment using thermometer. To achieve one‐hundred percent referral and attendance to a cardiac rehabilitation (CR) program as measured by participant self‐report and CR clinic follow‐up. To identify depression in participants in the early post‐discharge period as measured by the Cardiac Depression Scale (CDS). To reduce symptoms of depression in PCI patients in the early post‐discharge period as measured by the Cardiac Depression Scale (CDS). INCLUSION CRITERIA: Age of 18 years and above; informed consent for primary or elective PCI signed by patient and cardiologist; undergone a primary or elective PCI; understand or speak English; and post‐discharge telephone access (mobile phone and/or landline).