Influence of emergency nursing pathway and postoperative rehabilitation exercise on effect of PCI aor patients with AMI

Abstract

Objective To explore the effect of emergency nursing pathway (ECP) combined with postoperative rehabilitation exercise on PCI and prognosis of patients with AMI. Methods A retrospective study of 124 patients with PCI who underwent PCI at our hospital from January, 2016 to January, 2018 was divided into a control group and an observation gorup according to their intervention methods, 62 for each group. The control group underwent routine emergency nursing intervention. The observation group underwent ECP and postoperative rehabilitation exercise nursing intervention. The time indicators, the incidence of adverse events, cardiac function indicators [LVEF, LVEDVI, and LVESVI], and clinical nursing satisfaction were compared between these two group. Results The rescue time, pain relief time, bed time, and hospital stay were (40.44±11.33) min, (59.82±5.89) min, (43.67±5.38) h, and (8.41±1.01) d in the observation group, which were significantly shorter than those in the control group (all P<0.05). The overall incidence of adverse events was was significantly lower in the observation group than in the control group (6.45% vs. 19.35%, P<0.05). The LVEF was significantly higher and LVEDVI and LVESVI were significantly lower in stage T2 than those in stage T1 in both groups (all P<0.05). In stage T2, the LVEF, LVEDVI, and LVESVI were (53.18±3.30)%, (72.21±4.82) ml/m2, and (33.34±2.91) ml/m2 in the observation group, which were better than those in the control group (all P<0.05). The total satisfaction to clinical nursing was significantly higher in the observation group than in the control group (95.16% vs. 69.35%, P<0.05). Conclusion The nursing intervention of ECP combined with postoperative rehabilitation exercise for patients with AMI undergoing PCI can significantly reduce the intervention time and hospital stay, promote postoperative recovery, reduce the incidence of postoperative adverse events, and significantly improve their cardiac function, prognosis, and care satisfaction, so it is worth for clinical promotion. Key words: Emergency care pathway; Postoperative rehabilitation exercise; AMI; PCI; Effect; Prognosis