{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:14:33Z","timestamp":1790403273022,"version":"4.1.0"},"reference-count":32,"publisher":"IMR Press","issue":"6","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br. J. Hosp. Med. (Lond)"],"abstract":"<jats:p>Aims\/Background: The transition from hospital to home is a critical period for patients with coronary heart disease (CHD), and inadequate post-discharge care can adversely affect recovery. Continuing care models have been proposed to address these challenges, but their relative effectiveness compared with standard care still requires further evaluation. Therefore, this study evaluated the impact of continuing care on quality of life and recovery of cardiac function in patients with CHD. Methods: This single-center, retrospective cohort study included 135 discharged CHD patients. Based on nursing plans, patients were allocated into two groups: a Continuing Care Group (n = 61) and a Routine Care Group (n = 74). The Continuing Care Group received a structured, nurse-led 3-month program, while the Routine Care Group received standard post-discharge instructions. Various parameters, including cardiac function, quality of life, psychological well-being, self-care capacity, medication adherence, overall comfort, and nursing satisfaction, were compared between groups at 3-month follow-up. Results: At 3 months, the Continuing Care Group showed significantly greater improvement in left ventricular ejection fraction (LVEF, 58.31% vs. 54.88%), six-minute walk distance (6MWD, 399.34 m vs. 382.25 m), 36-Item Short-Form Health Survey Physical Component Summary (SF-36 PCS, 67.94 vs. 63.92), and 36-Item Short-Form Health Survey Mental Component Summary (SF-36 MCS, 71.46 vs. 66.87). Patients in the Continuing Care Group also reported lower Depression Anxiety Stress Scales-21 (DASS-21, 17.24 vs. 18.31) and Perceived Stress Scale-10 (PSS-10) scores (22.01 vs. 23.14), higher Psychological General Well-Being Index (PGWBI, 85.95 vs. 83.47), Exercise of Self-Care Agency Scale (ESCA, 116.03 vs. 113.72), and Post-Traumatic Growth Inventory (PTGI) scores (74.81 vs. 72.31), along with superior medication adherence (84.16 vs. 82.35), comfort (87.06 vs. 84.91) and nursing satisfaction (86.94 vs. 84.89). At 3-month follow-up, Seattle Angina Questionnaire (SAQ) scores improved significantly from baseline in both groups, but no significant between-group difference was observed. Conclusion: Continuing care is associated with potential improvements in cardiac function, quality of life, psychological well-being, self-management, medication adherence, and patient-reported experiences compared with routine care in patients with CHD.<\/jats:p>","DOI":"10.31083\/bjhm54930","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:55:28Z","timestamp":1783421728000},"source":"Crossref","is-referenced-by-count":1,"title":["Investigating the Impact of Continuing Care Model on Quality of Life and Cardiac Function in Patients With Coronary Heart Disease"],"prefix":"10.31083","volume":"87","author":[{"given":"Yuping","family":"Xu","sequence":"first","affiliation":[{"name":"Hypertension, Heart Failure and Cardiac Rehabilitation Department, Central Hospital Affiliated to Shandong First Medical University, 250013 Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hypertension, Heart Failure and Cardiac Rehabilitation Department, Central Hospital Affiliated to Shandong First Medical University, 250013 Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1355-3681","authenticated-orcid":true,"given":"Juanyu","family":"Gao","sequence":"additional","affiliation":[{"name":"Hypertension, Heart Failure and Cardiac Rehabilitation Department, Central Hospital Affiliated to Shandong First Medical University, 250013 Jinan, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Bahit MC, Korjian S, Daaboul Y, Baron S, Bhatt DL, Kalayci A, et al. Patient Adherence to Secondary Prevention Therapies After an Acute Coronary Syndrome: A Scoping Review. Clinical Therapeutics. 2023; 45: 1119\u20131126.","DOI":"10.1016\/j.clinthera.2023.08.011"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Guo J, Ma J, Xu M, Huang X, Ding Y, Zhu L, et al. Exploring challenges to medication adherence aacmong young and middle-aged adults with coronary heart disease in China: a qualitative study. Frontiers in Cardiovascular Medicine. 2025; 12: 1664013.","DOI":"10.3389\/fcvm.2025.1664013"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Syed AA, Adam S, Miller CA, Alkhaffaf B. Obesity Management for Patients with Coronary Artery Disease and Heart Failure. Heart Failure Clinics. 2025; 21: 257\u2013271.","DOI":"10.1016\/j.hfc.2024.12.006"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Patel PN, Poliner MC, Bossone E, Baliga RR. Coronary Artery Disease and Heart Failure: Medical Management and Future Direction. Heart Failure Clinics. 2025; 21: 241\u2013256.","DOI":"10.1016\/j.hfc.2025.01.003"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Yang Y, Gong J, Yang B, Chen C, Deng X, Chen K, et al. Post-discharge nutritional management for patients with coronary heart disease and frailty: a qualitative study. BMC Geriatrics. 2024; 24: 268.","DOI":"10.1186\/s12877-024-04885-7"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Levine GN, Carney RM, Cohen BE, Dunn SL, Gaffey AE, Kronish IM, et al. Post-Myocardial Infarction Psychological Distress: A Scientific Statement From the American Heart Association. Circulation. 2025; 152: e298\u2013e310.","DOI":"10.1161\/CIR.0000000000001381"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Mason CK, Adie SK, Shea MJ, Konerman MC, Thomas MP, McSparron JI, et al. Post-intensive cardiac care outpatient long-term outreach clinic (PICCOLO clinic): Defining health care needs and outcomes among coronary care unit survivors. American Heart Journal Plus: Cardiology Research and Practice. 2024; 38: 100363.","DOI":"10.1016\/j.ahjo.2024.100363"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Huang C, Liu D, Lin J. Effectiveness of the continuing care model for improving quality of life, cardiac function and outcomes in patients with coronary heart disease combined with heart failure after percutaneous coronary intervention: A retrospective study. Pakistan Journal of Medical Sciences. 2025; 41: 2815\u20132823.","DOI":"10.12669\/pjms.41.10.12538"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Fu H, Zhou G, Wang M, Chen Y. Research on Internet plus continuing nursing under dual heart medical model after percutaneous coronary intervention. Medicine. 2025; 104: e42778.","DOI":"10.1097\/MD.0000000000042778"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Cao S, You G. Influence of Music Relaxation Therapy Combined with 4C Care on the Recovery of Patients with Coronary Heart Disease after Percutaneous Coronary Intervention. Noise & Health. 2025; 27: 375\u2013385.","DOI":"10.4103\/nah.nah_53_25"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Zhou M, Lai ZK, Tao F, Ni HX, Hu XZ. The effect of Wenyang Huoxue decoction combined with Baduanjin exercise on the cardiac function and quality of life of patients with Yang deficiency coronary heart disease complicated with chronic heart failure. Medicine. 2024; 103: e39876.","DOI":"10.1097\/MD.0000000000039876"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Dewar A, Kass L, Stephens RCM, Tetlow N, Desai T. Heart Rate Recovery Assessed by Cardiopulmonary Exercise Testing in Patients with Cardiovascular Disease: Relationship with Prognosis. International Journal of Environmental Research and Public Health. 2023; 20: 4678.","DOI":"10.3390\/ijerph20064678"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Wei J, Li BWX, Han SJ, Zhuang HJ, Cao WH. Effect of continuous nursing on treatment compliance and side effect management of coronary heart disease. World Journal of Clinical Cases. 2024; 12: 3701\u20133707.","DOI":"10.12998\/wjcc.v12.i19.3701"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal. 2020; 41: 407\u2013477.","DOI":"10.1093\/eurheartj\/ehz425"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Schleder Goncalves L, Picanco GS, Dipp HM, da Silva CS. Omaha System: An Integrative Literature Review from 2012 to 2022. Studies in Health Technology and Informatics. 2024; 315: 600\u2013601.","DOI":"10.3233\/SHTI240235"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Ren XS, Amick B, 3rd, Zhou L, Gandek B. Translation and psychometric evaluation of a Chinese version of the SF-36 Health Survey in the United States. Journal of Clinical Epidemiology. 1998; 51: 1129\u20131138.","DOI":"10.1016\/s0895-4356(98)00104-8"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Grossi E, Compare A. Psychological General Well\u2011Being Index (PGWB). In Michalos AC (ed.) Encyclopedia of Quality of Life and Well\u2011Being Research (pp. 5152\u20135156). Springer: Dordrecht. 2014.","DOI":"10.1007\/978-94-007-0753-5_2309"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Oliveira HC, Hayashi D, Carvalho SDL, Barros RCL, Neves MLDS, Andrechuk CRS, et al. Quality of measurement properties of medication adherence instruments in cardiovascular diseases and type 2 diabetes mellitus: a systematic review and meta-analysis. Systematic Reviews. 2023; 12: 222.","DOI":"10.1186\/s13643-023-02340-z"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"Zhong W, Liu R, Cheng H, Xu L, Wang L, He C, et al. Longer-Term Effects of Cardiac Telerehabilitation on Patients With Coronary Artery Disease: Systematic Review and Meta-Analysis. JMIR MHealth and UHealth. 2023; 11: e46359.","DOI":"10.2196\/46359"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Zhang S, Wang Y, Wu J, Ma C, Meng X. Effectiveness of Smartwatch Device on Adherence to Home-Based Cardiac Rehabilitation in Patients With Coronary Heart Disease: Randomized Controlled Trial. JMIR MHealth and UHealth. 2025; 13: e70848.","DOI":"10.2196\/70848"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Yang Z, Xu L, Gao Y, Zhang C, Wang A. Tailored personas for self-management in home-based cardiac rehabilitation for patients with coronary heart disease: A qualitative study. International Journal of Nursing Studies. 2025; 163: 105000.","DOI":"10.1016\/j.ijnurstu.2025.105000"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Xu D, Xu D, Wei L, Bao Z, Liao S, Zhang X. The Effectiveness of Remote Exercise Rehabilitation Based on the \u201cSCeiP\u201d Model in Homebound Patients With Coronary Heart Disease: Randomized Controlled Trial. Journal of Medical Internet Research. 2024; 26: e56552.","DOI":"10.2196\/56552"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"Tao S, Yu L, Li J, Huang L, Huang X, Zhang W, et al. Association between the triglyceride-glucose index and 1-year major adverse cardiovascular events in patients with coronary heart disease and hypertension. Cardiovascular Diabetology. 2023; 22: 305.","DOI":"10.1186\/s12933-023-02018-9"},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"Engebretsen I, Bugge C, St\u00f8vring H, Husebye E, Sverre E, Dammen T, et al. Treatment patterns and adherence to lipid-lowering drugs during eight-year follow-up after a coronary heart disease event. Atherosclerosis. 2024; 393: 117550.","DOI":"10.1016\/j.atherosclerosis.2024.117550"},{"key":"ref25","doi-asserted-by":"publisher","unstructured":"Weeda E, Gilbert RE, Kolo SJ, Haney JS, Hazard LT, Taber DJ, et al. Impact of Pharmacist-Driven Transitions of Care Interventions on Post-hospital Outcomes Among Patients With Coronary Artery Disease: A Systematic Review. Journal of Pharmacy Practice. 2023; 36: 668\u2013678.","DOI":"10.1177\/08971900211064155"},{"key":"ref26","doi-asserted-by":"publisher","unstructured":"Spatola CAM, Rapelli G, Giusti EM, Cattivelli R, Goodwin CL, Pietrabissa G, et al. Effects of a brief intervention based on Acceptance and Commitment Therapy versus usual care for cardiac rehabilitation patients with coronary heart disease (ACTonHEART): a randomised controlled trial. BMJ Open. 2024; 14: e084070.","DOI":"10.1136\/bmjopen-2024-084070"},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"Su JJ, Paguio J, Baratedi WM, Abu-Odah H, Batalik L. Experience of coronary heart disease patients with a nurse-led eHealth cardiac rehabilitation: Qualitative process evaluation of a randomized controlled trial. Heart & Lung. 2023; 57: 214\u2013221.","DOI":"10.1016\/j.hrtlng.2022.10.005"},{"key":"ref28","doi-asserted-by":"publisher","unstructured":"Pagliari C, Isernia S, Rapisarda L, Borgnis F, Lazzeroni D, Bini M, et al. Different Models of Cardiac Telerehabilitation for People with Coronary Artery Disease: Features and Effectiveness: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2024; 13: 3396.","DOI":"10.3390\/jcm13123396"},{"key":"ref29","doi-asserted-by":"publisher","unstructured":"Kotseva K, De Bacquer D, Jennings C, McEvoy JW, Ryden L, Ray KK, et al. Cardiac Rehabilitation in Patients with Coronary Heart Disease - Provision, Attendance, and Outcomes: Results from the INTERASPIRE Survey from Fourteen Countries Across Six WHO Regions. Global Heart. 2025; 20: 75.","DOI":"10.5334\/gh.1458"},{"key":"ref30","doi-asserted-by":"publisher","unstructured":"Daliri S, Kooij MJ, Scholte Op Reimer WJM, Ter Riet G, Jepma P, Verweij L, et al. Effects of a transitional care programme on medication adherence in an older cardiac population: A randomized clinical trial. British Journal of Clinical Pharmacology. 2022; 88: 965\u2013982.","DOI":"10.1111\/bcp.15044"},{"key":"ref31","doi-asserted-by":"publisher","unstructured":"Dwiputra B, Santoso A, Purwowiyoto BS, Radi B, Ambari AM, Desandri DR, et al. Smartphone-Based Cardiac Rehabilitation Program Improves Functional Capacity in Coronary Heart Disease Patients: A Systematic Review and Meta-Analysis. Global Heart. 2023; 18: 42.","DOI":"10.5334\/gh.1253"},{"key":"ref32","doi-asserted-by":"publisher","unstructured":"Dibben GO, Faulkner J, Oldridge N, Rees K, Thompson DR, Zwisler AD, et al. Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis. European Heart Journal. 2023; 44: 452\u2013469.","DOI":"10.1093\/eurheartj\/ehac747"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/87\/6\/10.31083\/BJHM54930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:58:55Z","timestamp":1783421935000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/87\/6\/10.31083\/BJHM54930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"alternative-id":["S1750-8460(26)03003-0"],"URL":"https:\/\/doi.org\/10.31083\/bjhm54930","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"article-number":"54930"}}