Results of care and treatment of patients after atrial septal defect intervention and some related factors in 2020-2021

Abstract

The study was conducted on 108 patients with atrial septal defect (ASD) who indicated ASD occlusion by percutaneous instrument at the Vietnam Heart Institute-Bach Mai Hospital, Hanoi Medical University Hospital, Hanoi Heart Hospital. from December 2020 to September 2021.Objectives: Describe the clinical and paraclinical characteristics, analyze the results of care for patients with atrial septal defect after intervention and related factors.Research Methods: A prospective descriptive study, a longitudinal study.Results: The majority of patients had good clinical results after 1 month of discharge (65.74%). The rate of pulmonary arterial hypertension after intervention was lower in the group with good results, statistically significant compared with the group with poor results. The group with good results had a lower percentage of patients with anemia, statistically significant compared with the group with poor results. The group with good results had a lower rate of complications after the procedure, which was statistically significant compared with the group with poor results. The difference in the rate of completing 5 steps of implementing the medicine and the rate of meeting the health education requirements between the two groups of good and bad results is statistically significant (p < 0.05). There are 3 factors: Pulmonary artery pressure after intervention still increases (≥35 mmHg); anemia; Postprocedural complications were independently associated with the risk of poor outcome 1 month after discharge. The group with satisfactory health education has a higher rate of patient adherence to treatment than the group that does not meet the requirements of health education (p<0.05).Conclusion: The long-term outcomes of patients with ASD occlusion with percutaneous instruments are related to the treatment, care, and health education counseling of nurses.