The Role of Nurses in Providing Pre-Discharge Education for Patients Undergoing Cardiac Catheterization: A Systematic Approach and Nursing Practice Guidelines

Abstract

         Cardiac catheterization is a critical procedure for the diagnosis and treatment of coronary artery disease, particularly among patients with coronary stenosis or those at high risk of cardiovascular complications. Although advancements in medical technology have enhanced the safety and effectiveness of the procedure, the transition from hospital to home remains a crucial phase that requires systematic discharge planning. In particular, pre-discharge education plays a significant role in improving patients’ self-care abilities, preventing complications, and reducing hospital readmission rates.

         Nurses serve as key professionals in the discharge preparation process, undertaking roles as assessors, educators, coordinators, supporters, and follow-up providers. This article aims to describe the nursing roles in providing pre-discharge education for patients undergoing cardiac catheterization, using a systems-based approach in conjunction with appropriate clinical guidelines. The content encompasses readiness assessment, patient education, promotion of self-care skills, wound care, medication management, physical activity regulation, dietary modification, and post-discharge follow-up. Current evidence indicates that the use of teach-back communication and transitional care or telehealth programs enhances self-care capacity and discharge readiness.

         A systematic and continuous nursing approach contributes to improved knowledge, understanding, and confidence among patients and their families in managing care at home, reduces the risk of post-procedural complications, and promotes favorable long-term health outcomes. Therefore, it is essential for nurses to strengthen their competencies in communication, patient-centered education techniques, and the integration of digital technologies for ongoing follow-up care after discharge. These approaches are aligned with the core components of cardiac rehabilitation and contemporary guidelines for the management of chronic coronary disease.