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.
Highlights
Long-lasting, and fully open acute myocardial infarction (AMI)-related blood vessels can save more viable myocardium, minimize infarct size, improve heart function, improve patients' quality of life, and provide protection for early rehabilitation of AMI patients after emergency Percutaneous coronary intervention (PCI)
The hemodynamic parameters of the two groups were compared before operation, and there was no significant difference between the rehabilitation group and the control group before the PCI (P>0.05), suggesting that the two groups had no significant preoperative cardiac function
Successful surgery provides favorable conditions for early rehabilitation exercise in patients with acute myocardial infarction, so the rehabilitation of coronary heart disease progresses from the rehabilitation of traditional myocardial infarction to the rehabilitation of coronary heart disease after interventional therapy [11]
Summary
Long-lasting, and fully open AMI-related blood vessels can save more viable myocardium, minimize infarct size, improve heart function, improve patients' quality of life, and provide protection for early rehabilitation of AMI patients after emergency PCI. Percutaneous coronary intervention (PCI) is the preferred method for acute myocardial infarction (AMI)-related arterial revascularization. Perfusion, saving sudden cardiac muscle and maintaining left ventricular function, reducing infarct size, reducing the occurrence of coronary heart disease events, and improving clinical prognosis [1]. This technology has been recognized as one of the main methods of treatment because of its advantages of small trauma, safety, high success rate, rapid recovery, and short hospital stay [2]. Because of the percutaneous femoral artery puncture, it is easy to cause hemorrhage at the puncture site to form subcutaneous
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