ArticlePatient preference and adherence2026
Association Between Mind Mapping Combined with Teach-Back and Follow-Up Adherence After Percutaneous Coronary Intervention: An Exploratory Study.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Suboptimal follow-up adherence after percutaneous coronary intervention (PCI) compromises secondary prevention and elevates the risk of major adverse cardiovascular events (MACEs). Conventional health education is often insufficient, necessitating a structured, practical, and evidence-based nursing protocol. Objective: To identify factors influencing post-PCI follow-up adherence and assess the association between a mind mapping combined with teach-back educational intervention and levels of adherence and MACEs. Methods: This single-center retrospective study analyzed data from a real-world nursing quality improvement initiative, including patients undergoing PCI during January, 2024-November, 2024. Patients were divided into mind mapping + teach-back or routine education group. Propensity score matching was employed to balance baseline characteristics. Follow-up adherence (≥ 3 complete visits) and 12-month MACE incidence were compared. Multivariable logistic regression was used to identify adherence factors. Kaplan-Meier and Log rank tests were utilized to compare MACE-free survival. Results: After matching (63 patients per group), baseline characteristics were balanced. High follow-up adherence was observed more frequently in the mind mapping + teach-back group (79.4% vs. 61.9%, Conclusion: In this exploratory study, the mind mapping combined with teach-back method was associated with better follow-up adherence; a lower incidence of MACE was also observed, although this finding is exploratory given the limited sample size and event numbers. It may represent a promising and operable nursing practice tool. These findings suggest a potential benefit that warrants further investigation; our results provide preliminary evidence to inform the design of future prospective randomized controlled trials, rather than immediate integration into clinical practice.
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