Developing a case management program and clinical practice for high-risk sudden cardiac death patients through the lens of family systems theory
- 1Nursing Department, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University
Abstract
Objective: To develop a case management plan for patients at high risk of sudden cardiac death (SCD) from the perspective of family systems theory and evaluate its clinical practice effects.
Methods: By using the random sampling method, 100 patients at high risk of SCD who visited our hospital from March 2025 to June 2025 were selected as the research subjects. They were randomly divided into an experimental group ( n = 50) and a control group ( n = 50). The control group received routine care and follow-up, while the experimental group implemented a case management plan based on the family systems theory, with both interventions lasting for one year. Both groups were evaluated at baseline and endpoint using disease cognition assessments, the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), General Self-Efficacy Scale (GSES), Family APGAR, and Major Adverse Cardiac Events (MACE).
Results: There were no statistically significant differences in baseline data between the two groups ( P > 0.05). After the intervention, the experimental group showed significantly better scores in disease cognition, PHQ-9, GAD-7, TSK-SV Heart, GSES, APGAR, and MACE compared to the control group ( P < 0.05).
Conclusion: The case management plan for high-risk SCD patients based on family systems theory is scientifically sound and feasible. It can effectively reduce anxiety and depression, alleviate kinesiophobia, improve disease cognition, and promote family care, thereby improving the patients’ quality of life and prognosis.
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BibTeX
@article{liu2026developing,
title = {{Developing a case management program and clinical practice for high-risk sudden cardiac death patients through the lens of family systems theory}},
author = {Fulan Liu and Caihong Li and Zhaoguo Zhang and Jing Yang and Ke Yuan and Xuewei Jia and Wen Wang and Jiangying Luo and Dan Li and Lingling Chen and Fengli Gao and Ping Zhang},
journal = {Frontiers in Cardiovascular Medicine},
year = {2026},
month = oct,
doi = {10.3389/fcvm.2026.1903575},
url = {https://www.frontiersin.org/articles/10.3389/fcvm.2026.1903575/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Developing a case management program and clinical practice for high-risk sudden cardiac death patients through the lens of family systems theory
AU - Fulan Liu
AU - Caihong Li
AU - Zhaoguo Zhang
AU - Jing Yang
AU - Ke Yuan
AU - Xuewei Jia
AU - Wen Wang
AU - Jiangying Luo
AU - Dan Li
AU - Lingling Chen
AU - Fengli Gao
AU - Ping Zhang
PY - 2026
DA - 2026/10/14
JO - Frontiers in Cardiovascular Medicine
DO - 10.3389/fcvm.2026.1903575
UR - https://www.frontiersin.org/articles/10.3389/fcvm.2026.1903575/full
AB - Objective: To develop a case management plan for patients at high risk of sudden cardiac death (SCD) from the perspective of family systems theory and evaluate its clinical practice effects. Methods: By using the random sampling method, 100 patients at high risk of SCD who visited our hospital from March 2025 to June 2025 were selected as the research subjects. They were randomly divided into an experimental group ( n = 50) and a control group ( n = 50). The control group received routine care and follow-up, while the experimental group implemented a case management plan based on the family systems theory, with both interventions lasting for one year. Both groups were evaluated at baseline and endpoint using disease cognition assessments, the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), General Self-Efficacy Scale (GSES), Family APGAR, and Major Adverse Cardiac Events (MACE). Results: There were no statistically significant differences in baseline data between the two groups ( P > 0.05). After the intervention, the experimental group showed significantly better scores in disease cognition, PHQ-9, GAD-7, TSK-SV Heart, GSES, APGAR, and MACE compared to the control group ( P < 0.05). Conclusion: The case management plan for high-risk SCD patients based on family systems theory is scientifically sound and feasible. It can effectively reduce anxiety and depression, alleviate kinesiophobia, improve disease cognition, and promote family care, thereby improving the patients’ quality of life and prognosis.
SN - 2297-055X
ER -