فهرست نشریات علمی دسترسی آزاد ایران

Background: Acute Coronary Syndrome (ACS) is a major global cause of morbidity and mortality, requiring consistent treatment adherence. However, maintaining adherence to diet, physical activity, and medication is challenging. The Transitional Care Pathway (TCP) is a structured intervention that provides personalized education, follow-up calls, and lifestyle planning to support patients during the critical post-discharge period.Aim: This study was conducted with aim to evaluate the effectiveness of TCP in improving treatment adherence among ACS patients.Method: In this randomized controlled trial at Imam Reza Hospital, Mashhad, Iran, 79 patients were randomly assigned to the intervention group (n=39; TCP-based education and follow-up) or the control group (n=40; standard oral instructions and pamphlets) using time-block randomization. The allocation sequence, generated via Randomizer.org, was concealed in eight opaque envelopes, opened weekly. Adherence was assessed using Ziaei’s Treatment Adherence Questionnaire at baseline and one-month post-discharge.Results: In the intervention group, the mean age of patients was 57.43 ± 14.31 years, while in the control group, it was 57.48 ± 12.19 years. Pre-intervention mean adherence scores were 49.56 ± 14.24 (intervention) and 49.63 ± 12.75 (control) (p=0.984). Post-intervention scores increased to 66.97 ± 10.78 and 60.03 ± 12.16, respectively (p=0.009). Both groups showed significant within-group improvements (p<0.001), particularly in dietary (p=0.012) and physical activity adherence (p=0.012), while medication adherence showed no significant between-group difference (p=0.308).Implications for Practice: Integrating TCP into routine care may enhance adherence to non-pharmacologic regimens and improve long-term outcomes in ACS patients. Given the short one-month follow-up, longer-term studies are recommended.