Table 1 The procedures for implementing the WIKAP nursing program among CAD patients after CABG surgery
Procedures | Contents |
|---|---|
Information collection | • WIKAP nursing team: Create a professional WIKAP continuous nursing team comprising of one emergency medicine physician, one cardiovascular physician, one psychologist, one head nurse, and four senior nurses. This team will be responsible for planning, designing, implementing, and analyzing follow-up data. • Health record establishment: Collect each patient’s health record before discharge: including personal data, such as age, gender, disease condition, disease-related knowledge, medication, diet, and psychological status. • WIKAP intervention implementation: Design a targeted WIKAP nursing program based on each patient’s specific needs and implement it immediately after discharge. |
Knowledge education | • “WeChat and QQ”a Nursing Group establishment: All participants are invited to join the “CABG Recovery Experience Share and Exchange Family” nursing groups on QQ and WeChat for online communication and follow-up. • Knowledge education program: CAD-related knowledge is sent to participants via the WeChat and QQ nursing group at 17: 00 PM every Tuesday and Friday. The updated information includes a basic understanding of coronary disease, guidance on medication usage, precautions regarding potential possible adverse effects, appropriate rehabilitation exercise, daily self-care techniques, dietary interventions, and psychological management. • Our nursing team experts conducted regular educational seminars to encourage patients and their caregivers to attend online meeting and learn professional knowledge about CABG rehabilitation. • Response to patients’ questions: Our nursing staff will be responsible for answering the online questions they ask at 15:00 PM every day. |
Attitudes generation | • Weekly video follow-up: One-to-one weekly video follow-up sessions are conducted after discharge to track the participants’ recovery progress and performance. For patients with poor compliance behavior, one-to-one education is needed to help them understand the potential adverse consequences of incorrect behaviors. • Remind caregivers to constantly consider the patient’s health-related behaviors and instruct them on how to encourage patients to build their confidence. • Successful recovery experience sharing: In order to help patients regain their confidence, we invite previous patients who have successfully recovered to share their self-care experiences via WeChat and Tencent QQ groups every Sunday at 19:00 PM. • Establishment of a stable nurse-patient relationship: Encourage patients to share their inner feelings and provide targeted psychological guidance every Sunday at 19:00 PM. |
Practice formation | • Remind patients to take their daily medication at 9:00 AM every day. • Monitor each patient’s recovery process: All patients are encouraged to record their daily diet, activities, and physical reactions in the WeChat and Tencent QQ group. • Update self-care plan: The responding nurses constantly adjust the nursing plan to better suit each patient’s condition based on their daily behavioral performance and records during the weekly follow-up visits. • Patients’ compliance improvement: If the patients do not adhere to the care plan (including diet, medication, exercise, and psychological well-being), the nursing staff will assist them in promptly modifying their daily behaviors. These patients will be critically focused on by our nursing staff to ensure that their desired goals are achieved during the next follow-up visit. |