Effect of different wayson patients with acute myocardial infarction during defecation

Abstract

：Objective To investigatethe effect of different ways on patients with acute myocardial infarction (AMI) duringdefecation so as to provide references for nurses to direct them to take appropriate andeffective defecation measures and reduce occurrence of complications arising fromdefecation. Methods 50 patients with AMI were randomly divided into experimental group(25) and control group (25); the experimental group adopted a bedside position, while thecontrol group took a traditional prostration position.Throughout the defecation,echocardiogram and blood pressure werecontinuously monitored, and defecation duration,whether or not solved, defecation exertion, level of comfort in two groups were compared.Results There was no significant difference in terms of defecation duration between thecontrol group and the experimental group, while there were significant differencesconcerning whether or not solved, the defecation exertion, level of comfort between thetwo groups (P ＜ 0. 05). Conclusions Taking the prostration position was not the best way andcould not effectively reduce the occurrence of complications; taking the bedside positionduring defecation is proved to be a more appropriate and scientific alternative way forpatients who remained in the early stage of AMI without serious complications and withstable hemodynamics. Key words: Acute myocardial infarction; Defecation; Body position