Abstract
Purposes To clarify the impacts of clinical nursing pathway (CNP) on therapeutic efficacy and quality of life (QOL) of senile acute myocardial infarction (AMI) patients. Methods The clinical records of 177 elderly AMI patients who received treatment in the First Hospital of Quanzhou Affiliated to Fujian Medical University were retrospectively studied. They were assigned into the control group (the Con; n = 79; from June 2019 to January 2020) and the research group (the Res; n = 98; from February 2020 to July 2020). Emergency percutaneous coronary intervention (PCI) was performed in all the cases. Additionally, the Con and the Res were given routine care and CNP, respectively. The two groups were compared in total emergency treatment time, hospital stay, medical expenses, recurrence rate of myocardial infarction (MI), overall response rate (ORR), incidence of complications, cardiac function indexes, negative mood scores, QOL, and nursing satisfaction. Results The ORR was higher, and the incidence of complications was lower in the Res versus the Con; the Res presented significantly less emergency treatment time and hospitalization and statistically lower medical expenses and recurrence rate of MI; the Res outperformed the Con in cardiac function indexes, alleviation of negative mood, QOL, and nursing satisfaction. Conclusions While effectively improving clinical efficacy and reducing the incidence of complications, CNP can relieve the bad mood of elderly patients with AMI and improve their cardiac function, QOL, and nursing satisfaction, which is worthy of clinical promotion.
Highlights
As a severe cardiovascular disease, acute myocardial infarction (AMI) refers to the sharp decrease or disturbance of coronary artery blood supply triggered by coronary artery diseases, resulting in severe and persistent acute myocardial ischemia leading to myocardial necrosis [1]
79 patients recruited between June 2019 and January 2020 were assigned to the control group and given routine nursing, while 98 enrolled from February 2020 to July 2020 were included in the research group and given clinical nursing pathway (CNP)
The two groups were similar in general clinical baseline data like gender, age, body mass index (BMI), Killip classification, marital status, residence, educational background, and smoking, drinking, hypertension, and diabetes history (P > 0:05) (Table 1)
Summary
As a severe cardiovascular disease, acute myocardial infarction (AMI) refers to the sharp decrease or disturbance of coronary artery blood supply triggered by coronary artery diseases, resulting in severe and persistent acute myocardial ischemia leading to myocardial necrosis [1]. Emergency percutaneous coronary intervention (PCI) is currently the preferred treatment for AMI, which can open and dredge blood vessels as soon as possible to restore blood flow, limiting the range of infarcted myocardium and significantly improving the prognosis of patients [4, 5]. Emergency patients may still experience coronary restenosis and ischemia after PCI [6]. It is shown that perioperative nursing care of patients with AMI undergoing interventional therapy directly affects the success of surgery and is the key to reducing complications and improving the success rate of rescue; it carries huge clinical implications for seeking a safe and efficient care mode to improve the outcome and curative effect of AMI patients [7]
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