The effect of continuous consultation care model on rehospitalization and chest pain in patients with coronary artery disease

¯Abstract Background: Cardiovascular disease is one of the major causes of mortality in the world and chest pain is the most common symptoms of coronary atherosclerotic lesion or myocardial ischemia. This condition is the origin of readmission for coronary clients. Objective: To investigate the effect of the continuous consultation care model on hospitalization (readmission) and chest pain of coronary artery disease clients. Methods: This research was a clinical trial study in which the demographic, self report and check list questionnaires were used before and after the intervention in the two groups of experimental and control cases. A total number of 70 cases were equally divided into two groups and the continuous consultation care model was applied to the experimental group for a period of six months. In the same time, the control group was treated based on routine protocol. Findings: The results showed that the mean score of the hospitalizations or readmission before the study was 0.51 which decreased to 0.11 following the intervention in experimental group. In the control group, the mean scores were 0.57 and 0.34 before and after the study, respectively. The independent T test showed a significant difference between the two groups (P<0.03). The mean score of the chest pain (coronary pain) during the study in the experimental and the control groups were 5 and 8 times, respectively. The independent T test and repeated measurements of ANOVA with (P<0.001) also showed a significant difference between experimental and control groups. Conclusion: The continuous consultation care model showed to affect the two variables of chest pain and readmission rates in coronary artery disease clients