Volume 7, Issue 6, November 2019, Page: 193-199
Effect of Early Nursing Intervention on Hemodynamics After Emergency PCI in Patients with AMI and Its Clinical Significance
Nana Liu, Department of Respiratory, Binzhou People's Hospital, Binzhou City, China
Dongmei Zhao, Department of Cardiovascular Ultrasound, Binzhou People's Hospital, Binzhou City, China
Rongjun Jiang, Department of Respiratory, Binzhou People's Hospital, Binzhou City, China
Received: Sep. 7, 2019;       Published: Nov. 8, 2019
DOI: 10.11648/j.sjph.20190706.13      View  36      Downloads  9
Abstract
OBJECTIVE: To investigate the effect of early rehabilitation nursing procedures on hemodynamics after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction. METHODS: One hundred patients with acute myocardial infarction who were admitted to our hospital from June 2018 to June 2019 were randomly divided into rehabilitation group and control group, with 50 cases in each group. The control group received routine nursing and guidance on the basis of conventional drug therapy after PCI. The rehabilitation group performed rehabilitation nursing on the basis of conventional drug therapy after PCI, including rehabilitation exercise and health education. The routine parameters of non-invasive hemodynamics were monitored and the incidence of oozing and hematoma at the puncture site and the degree of comfort change of the patients were observed. RESULTS: The preoperative hemodynamic parameters of the two groups were compared. There was no significant difference between the rehabilitation group and the control group before PCI (P>0.05). On the third day after operation, the cardiac output of CO after rehabilitation was significantly increased compared with that before surgery, and the difference between the two groups was statistically significant (P<0.05). The mean arterial pressure MAP was significantly lower than that before surgery. The difference was statistically significant (P < 0.05). In the rehabilitation group, the bed rest and urination were significantly better than the control group (P<0.05). The degree of bloating discomfort was significantly lower than that of the control group (P<0.05), and the reduction of back pain was more significant than the control group. P<0.05)). Conclusion: In patients with acute myocardial infarction (without severe comorbidities), under the strict monitoring of non-invasive hemodynamics, early rehabilitation care does not affect the patient's cardiac function and is a safe nursing measure.
Keywords
AMI Patients, PCI, Hemodynamics, Nursing Intervention
To cite this article
Nana Liu, Dongmei Zhao, Rongjun Jiang, Effect of Early Nursing Intervention on Hemodynamics After Emergency PCI in Patients with AMI and Its Clinical Significance, Science Journal of Public Health. Vol. 7, No. 6, 2019, pp. 193-199. doi: 10.11648/j.sjph.20190706.13
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Kala P. Kanovsky J. et al. Age-related treatment strategy and long-term outcome in acute myocardial infarction patients in the PCI era [J]. BMC Cardiovasc Disord, 2018, 12 (2): 31-3.
[2]
Stone GW. Witzenbichler B. et al. Bivalirudin during primary PCI in acute myocardial infarction [J]. N Engl J Med, 2018, 358 (21): 2218-30.
[3]
Antoniucci D. Valenti R. et al. Thrombectomy during PCI for acute myocardial infarction: are the randomized controlled trial data relevant to the patients who really need this technique? [J]. Catheter Cardiovasc Interv, 2018, 71 (7): 863-9.
[4]
Moscucci M. Public reporting of PCI outcomes and quality of care: one step forward and new questions raised [J]. JAMA, 2017, 308 (14): 1478-9.
[5]
Maier B. Behrens S. et al. Time of admission, quality of PCI care, and outcome of patients with ST-elevation myocardial infarction [J]. Clin Res Cardiol, 2018, 99 (9): 565-72.
[6]
Hassan AK. Liem SS. et al. In-ambulance abciximab administration in STEMI patients prior to primary PCI is associated with smaller infarct size, improved LV function and lower incidence of heart failure: results from the Leiden MISSION! acute myocardial infarction treatment optimization program [J]. Catheter Cardiovasc Interv, 2017, 74 (2): 335-43.
[7]
Shaikh AH. Siddiqui MS. et al. Outcomes of primary percutaneous coronary intervention (PCI) in a tertiary care cardiac centre [J]. J Pak Med Assoc, 2018, 59 (7): 426-9.
[8]
Mills C. Wright C. et al. Care of the post percutaneous coronary intervention patien t [J]. Aust Nurs J, 2019, 19 (7): 26-7.
[9]
Post S. Post MC. et al. Early statin treatment prior to primary PCI for acute myocardial infarction: REPERATOR, a randomized placebo-controlled pilot trial [J]. Catheter Cardiovasc Interv, 2019, 80 (5): 756-65.
[10]
Hofma SH. Brouwer J. et al. Second-generation everolimus-eluting stents versus first-generation sirolimus-eluting stents in acute myocardial infarction. 1-year results of the randomized XAMI (XienceV Stent vs. Cypher Stent in Primary PCI for Acute Myocardial Infarction) trial [J]. J Am Coll Cardiol, 2018, 60 (5): 381-7.
[11]
Monhart Z. Grunfeldova H. et al. Pilot register of acute myocardial infarction--a 5-year evaluation of quality of care in non-PCI hospitals [J]. Vnitr Lek, 2018, 56 (1): 21-9.
[12]
Sjauw KD. Stegenga NK. et al. The influence of gender on short- and long-term outcome after primary PCI and delivered medical care for ST-segment elevation myocardial infarction [J]. EuroIntervention, 2019, 5 (7): 780-7.
[13]
Cho MY. Min ES. et al. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units [J]. Evid Based Complement Alternat Med, 2018, 16(2): 381-3.
[14]
Miric D. Novak K. et al. In-hospital mortality of patients with acute myocardial infarction before and after introduction of PCI in Split University Hospital Center, Croatia [J]. Coll Antropol, 2018, 37 (1): 207-12.
[15]
Escarcega R0. Bashir R. et al. Transradial coronary angiography and percutaneous intervention in the era of health care reform, cost containment, and patient-centered care [J]. J Invasive Cardiol, 2017, 23 (9): 383-5.
[16]
Solheim S. Seljeflot I. et al. Prothrombotic markers in patients with acute myocardial infarction and left ventricular thrombus formation treated with pci and dual antiplatelet therapy [J]. Thromb J, 2018, 11 (1):1-3.
[17]
Bagai A. Cantor WJ. et al. Clinical outcomes and cost implications of routine early PCI after fibrinolysis: one-year follow-up of the Trial of Routine Angioplasty and Stenting after Fibrinolysis to Enhance Reperfusion in Acute Myocardial Infarction (TRANSFER-AMI) study [J]. Am Heart J, 2018, 165 (4): 630-637.
[18]
Bauer T. Zeymer U. et al. Use and outcomes of multivessel percutaneous coronary intervention in patients with acute myocardial infarction complicated by cardiogenic shock (from the EHS-PCI Registry) [J]. Am J Cardiol, 2018, 109 (7): 941-6.
[19]
Kawasuji M. Debate over patient-centered care: percutaneous coronary intervention or coronary artery bypass grafting?[J]. Surg Today, 2018, 41 (4): 459-62
[20]
Patterson T. Foale RA. If the radial artery is the new standard of care in primary percutaneous coronary intervention, why is most intervention done by the femoral approach [J]. Heart, 2017, 97 (7): 521-2.
[21]
Zimarino M. Ruggieri B. et al. Patient management and care after primary percutaneous coronary intervention: reinforcing a continuum of care after primary percutaneous coronary intervention [J]. Am Heart J, 2017, 160 (6): 42-7.
[22]
Huang YH. Chen CH. Nursing experience providing care for back pain following percutaneous coronary intervention[J]. Hu Li Za Zhi, 2017, 57 (2): 75-80.
[23]
Amoroso G. Kiemeneij F. Transradial access for primary percutaneous coronary intervention: the next standard of care? [J]. Heart, 2018, 96 (17): 1341-4.
[24]
Zeymer U. Bauer T. et al. Use and impact of intra-aortic balloon pump on mortality in patients with acute myocardial infarction complicated by cardiogenic shock: results of the Euro Heart Survey on PCI [J]. EuroIntervention, 2018, 7 (4): 437-41.
[25]
Jeger RV. Pfisterer ME. et al. Primary PCI in STEMI--dilemmas and controversies: multivessel disease in STEMI patients. Complete versus Culprit Vessel revascularization in acute ST--elevation myocardial infarction [J]. Minerva Cardioangiol, 2018, 59 (3): 225-33.
[26]
Zanchi J. Miric D. et al. Gender differences in in-hospital mortality and angiographic findings of patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI) [J]. Coll Antropol, 2019, 33 (4): 1359-62.
[27]
Mullasari A. Strategy of in ambulance thrombolysis followed by routine PCI in acute myocardial infarction [J]. Indian Heart J, 2019, 61(5): 448-53.
[28]
Rolley JX. Salamonson Y. et al. Nursing care practices following a percutaneous coronary intervention: results of a survey of Australian and New Zealand cardiovascular nurses [J]. J Cardiovasc Nurs, 2018, 25 (1): 75-84.
[29]
Mangiacapra F. Barbato E. et al. Point-of-care assessment of platelet reactivity after clopidogrel to predict myonecrosis in patients undergoing percutaneous coronary intervention [J]. JACC Cardiovasc Interv, 2019, 3 (3): 318-23.
[30]
Rolley JX. Davidson PM. et al. Review of nursing care for patients undergoing percutaneous coronary intervention: a patient journey approach [J]. J Clin Nurs, 2019, 18 (17): 2394-405.
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