Impact of Cardiovascular Specialty Care Based on the Humanistic Concept on Medication Adherence, Glycolipid Metabolism Parameters, and Quality of Life in High‐Risk Cardiovascular Patients With Lipid Management

OBJECTIVE: To investigate the effects of cardiovascular specialty nursing based on the humanistic concept on medication adherence, glycolipid metabolism parameters, psychological status, self-management ability, and quality of life in high-risk cardiovascular patients undergoing lipid management. METHODS: In this retrospective study, 115 high-risk cardiovascular patients admitted between December 2023 and November 2024 were selected from the medical record system and divided into two groups: a control group (n = 55, conventional care) and an observation group (n = 60, humanistic concept-based specialty nursing). Outcomes compared included medication adherence assessed by the Morisky Medication Adherence Scale (MMAS-8), glycolipid metabolism parameters including glycated hemoglobin (HbA1c), fasting plasma glucose (FPG), 2-h postprandial glucose (2hPG), triglycerides (TG), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C), psychological status assessed by the State Anxiety Inventory (S-AI) and Trait Anxiety Inventory (T-AI) of the State-Trait Anxiety Inventory (STAI), self-management ability assessed by the Exercise of Self-Care Agency Scale (ESCA), and quality of life assessed by the Generic Quality of Life Inventory-74 (GQOLI-74). RESULTS: The observation group demonstrated significantly higher total medication adherence (95.00% vs. 81.82%, χ² = 4.973, p < 0.05). Post-intervention, all glycolipid metabolic indicators (HbA1c, FPG, 2hPG, TG, TC, LDL-C), as well as S-AI and T-AI anxiety scores, were significantly lower in the observation group compared with the control group (p < 0.05). Additionally, the observation group showed significantly higher scores in all ESCA self-management domains (self-concept, self-care responsibility, self-care skills, and health knowledge) and across all GQOLI-74 quality of life dimensions (material life, somatic function, social function, and psychological function) (p < 0.05). CONCLUSION: Cardiovascular specialty care based on the humanistic concept was associated with improvements in medication adherence, glycolipid metabolism parameters, psychological status, self-management ability, and quality of life in high-risk cardiovascular patients, suggesting high clinical applicability.