EFFECT OF ENHANCED NURSING CARE ON SELF-CARE, COMPLIANCE, AND MENTAL WELL-BEING IN ATHLETES WITH CORONARY HEART DISEASE POST-PERCUTANEOUS CORONARY INTERVENTION: A COHORT STUDY

Abstract

Objective: To assess the impact of a comprehensive nursing program based on Orem's self-care theory on self-care capability, adherence to treatment, and psychological well-being in athletes with coronary heart disease (CHD) following percutaneous coronary intervention (PCI). Methods: From October 2020 to December 2021, 150 athletes diagnosed with CHD and treated with PCI were recruited and randomly divided into a control group (n=75) and a study group (n=75). The study group received a targeted nursing intervention guided by Orem's self-care theory, focusing on enhancing self-care skills, knowledge, and motivation. Measures of nursing satisfaction, self-care ability, treatment adherence, psychological status, and quality of life were compared between groups. Results: The study group showed significantly higher levels of nursing satisfaction compared to the control group, with 100% of the study group expressing satisfaction versus 86.67% in the control group (P<0.05). Improvements in self-care capabilities were significant in the study group across all parameters measured (P<0.05). Compliance rates were also higher in the study group at 92%, compared to 68% in the control group (P<0.05). Psychological assessments using the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) revealed significant reductions in both anxiety and depression scores post-intervention in the study group (P<0.05). Quality of life scores improved significantly post-nursing, with the study group showing greater physical, psychological, and cognitive health improvements (P<0.05). Conclusion: Implementing a comprehensive nursing program based on Orem's self-care theory significantly enhances self-care abilities, treatment compliance, and psychological outcomes in athletes with CHD post-PCI. This approach not only aids in reducing anxiety and depression but also positively affects overall quality of life, advocating for its broader application in clinical practice to support athlete patients recovering from coronary interventions.