IMR Press / RCM / Volume 24 / Issue 1 / DOI: 10.31083/j.rcm2401031
Open Access Original Research
Effect of Nurse-Led Individualised Self-Care Model on Myocardial Infarction Patients with Diabetes: A Randomised Controlled Pilot Trial
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1 Department of Cardiology, Affiliated Hospital of Nantong University, 226000 Nantong, Jiangsu, China
2 School of Medicine, Nantong University, 226019 Nantong, Jiangsu, China
*Correspondence: (Gui-Ling Geng); (Hong-Wu Shen)
Academic Editor: Jerome L. Fleg
Rev. Cardiovasc. Med. 2023, 24(1), 31;
Submitted: 20 August 2022 | Revised: 1 November 2022 | Accepted: 1 November 2022 | Published: 16 January 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Background: To assess the effectiveness of the nurse-led individualised self-care model on myocardial infarction (MI) patients with diabetes. Methods: A total of 120 MI patients were enrolled from May 2020 to December 2021. The intervention group received the nurse-led individualised self-care model (n = 60), whereas the control group only received routine health education (n = 60). The Myocardial Infarction Dimensional Assessment Scale (MIDAS), Coronary Heart Disease Self-Management Behavior Scale (CSMS), Self-Rated Abilities for Health Practices (SRAHP) scale, General Self-Efficacy Scale (GSES), Hospital Anxiety and Depression Scale (HADS), blood glucose and nursing satisfaction in both groups were observed and recorded. Results: The six MIDAS subscales except for insecurity, and all dimensions of the CSMS, SRAHP, GSES and HADS scores, of the intervention group were significantly improved compared to those of the control group (p < 0.05). Compared with the control group (5.69 ± 1.43 mmol/L), the intervention group showed a decrease in the serum levels of fasting blood glucose (4.83 ± 1.57 mmol/L; p < 0.01). Conclusions: Our pilot study provides preliminary evidence supporting the feasibility of implementing nurse-led individualised self-care, suggesting its preliminary effects in improving health-related quality of life, self-care ability, health behaviours, self-efficacy, social support and nursing satisfaction among MI patients with diabetes. However, considering the unblinded and pilot nature of this study, these positive results should be interpreted with caution. Clinical Trial Registration: OSF Registration number: DOI 10.17605/OSF.IO/DVW95 (

myocardial infarction
individualised self-care model
18BSH159/National Social Science Foundation of China
JC2021095/Nantong Science and Technology Bureau Funding
Fig. 1.
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