Nurse-Led Interventions in the Comprehensive Management of Patients Undergoing Percutaneous Coronary Intervention (PCI): A Systematic Review
DOI:
https://doi.org/10.31674/mjn.2026.v17i05.017Abstract
Background: Nurses play an important role in monitoring and early detection of complications, as well as in managing patients after Percutaneous Coronary Intervention (PCI) to improve clinical outcomes. Previous randomized reviews have mainly focused on physician-led or multidisciplinary PCI care, with limited attention to nurse-led management. Therefore, this review evaluated whether nurse-led interventions across the PCI care continuum provide additional clinical and patient-reported benefits compared with usual care. Methods: This study employed systematic review design and was conducted using four databases: ProQuest, ScienceDirect, EBSCO, and PubMed. The PICO framework was adopted to guide the search strategy, and the PRISMA guidelines were followed. All selected articles were assessed in terms of quality using the Joanna Briggs Institute critical appraisal tools. Results: Based on the search results, 1,412 articles were identified. After removal of duplicates and screening of titles, abstracts, and full texts, 25 articles were included in the final synthesis, comprising 7 articles from ScienceDirect, 14 articles from ProQuest, 2 articles from EBSCO, and 2 articles from PubMed. These articles consisted of randomized controlled trials, cohort studies, and cross-sectional studies. They were categorized into interventions during assessment, pre-PCI procedures, post-PCI procedures, and follow-up care and rehabilitation. Conclusion: This study shows that structured, evidence-based nurse-led interventions significantly improve outcomes in patients undergoing PCI. The findings demonstrated that this model generated was associated with low Major Adverse Cardiovascular Events (MACE) (1.52%) and mortality (0.46%) through structured assessment, reduced anxiety, enhanced procedural readiness (p < 0.05), improved self-care behaviors (p < 0.05), and promotion of recovery and quality of life. Further multicenter studies with long-term follow-up are recommended to validate and generalize these findings across diverse healthcare settings.
Keywords:
Coronary Heart Disease, Nurse-Led, Nursing Practice, Percutaneous Coronary InterventionDownloads
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