scholarly journals Observation of Comfort Nursing in Patients with Acute Myocardial Infarction

2015 ◽  
Vol 4 (3) ◽  
pp. 1
Author(s):  
Maohong Liu

<p><strong>Objective:</strong> To observe the effect of comfort nursing intervention in bedridden patients with acute myocardial infarction. <strong>Methods:</strong> 96 cases of acute myocardial infarction in our hospital were randomly divided into control group and observation group. In the control group, 48 cases were treated with routine nursing intervention, while bedridden patients in the observation group were given comfort nursing intervention. Comfort index and complications of two groups were observed and compared with the postoperative comfort index and complications. <strong>Results:</strong> The effect of patients with comfort care in observation group obviously interferes with the effect of routine nursing. The incidence of complications and mortality were significantly lower. The two groups had statistical significance (<em>p</em> &lt; 0.05). <strong>Conclusion:</strong> Acute myocardial infarction patients with comfort care have significantly reduced rate of pain, rate of complication and mortality and trial in clinical bed time intervention.</p>

2019 ◽  
Vol 1 (01) ◽  
Author(s):  
Xiongxin Wang ◽  
Man Xu

Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.


2018 ◽  
Vol 1 (1) ◽  
pp. 9
Author(s):  
Dongyan Wei

Objective: To explore the effect of continuous nursing intervention on psychological status and medication compliance of patients with acute myocardial infarction after PCI operation. Methods: from February 2013 to September 2016, 102 patients with acute myocardial infarction treated by PCI were selected and divided into two groups, 51 cases in each group according to the different nursing methods. The observation group was added continuous nursing on the basis of routine nursing, while the control groupwas the usual nursing mode. The mental state of the two groups before and after treatment was evaluated, and the patients were followed up for 6 months after discharge. The compliance of the two groups at 1, 3 and June after discharge was statistically analyzed. Results: before nursing, there was no signifcant difference in the mental state evaluation between the two groups (P > 0.05). After nursing, the mental status of the two groups was improved, while the psychological state of the observation group was better than that of the control group (P < 0.05). After 6 months' follow-up, there was no signifcant difference in the compliance rate between the two groups at 1 months after discharge (P > 0.05). In 3 and June, the compliance of the patients in the observation group was better than that in the control group (P < 0.05). Conclusion: continuous nursing intervention for patients with acute myocardial infarction after PCI can effectively adjust the unhealthy psychological state of patients, improve medication compliance and promote early rehabilitation of patients.


2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Xiongxin Wang ◽  
Man Xu

Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.


2021 ◽  
Vol 7 (6) ◽  
pp. 6445-6452
Author(s):  
Haijuan Hu ◽  
Yishu Zhao ◽  
Jianhua Ma

To analyze the clinical effect of nursing cooperation in transsphenoidal approach microscopic hypophysectomy. From January 2017 to January 2020, 80 patients who underwent transsphenoidal microscopic hypophysectomy in our hospital were selected to participate in the analysis and study. They were divided into two groups according to the randomized allocation, namely the observation group and the control group. Among them, 40 patients in the observation group and 40 patients in the control group were given routine nursing care for the patients in the control group, and comprehensive nursing intervention was adopted for the patients in the observation group, and the overall nursing effect of the two groups of patients was compared. After taking different nursing methods, the condition of patients in both groups was effectively controlled, and the effective rate of patients in the observation group with comprehensive nursing intervention was significantly better than that of patients in the control group with conventional nursing methods, and the difference had certain statistical significance (P < 0.05); The satisfaction degree of patients in the study group was significantly better than that of patients in the control group, and the difference was statistically significant (P < 0.05). The degree of negative emotions of patients in the study group was significantly better than that of patients in the control group after receiving comprehensive nursing intervention, and the difference was statistically significant (P < 0.05), and the difference in the incidence of adverse events between the two groups was not statistically significant (P > 0.05); The scores of each index of SF-36 questionnaire of patients in both groups were higher than those before nursing, and the scores of each index of patients in observation group were higher than those of patients in control group, and the difference was statistically significant (P > 0.05). With adequate preoperative preparation and mastery of the use of mechanical equipment, comprehensive nursing intervention can effectively improve the treatment effect of patients, make patients more satisfied with the nursing work, and can soothe patients’ negative psychological mood, eliminate panic, improve patients' life confidence, enhance intraoperative cooperation, and ensure that the operation can be completed smoothly.


2021 ◽  
Vol 11 (1) ◽  
pp. 165-170
Author(s):  
Shasha Lv ◽  
Ling Yang ◽  
Ruifei Wu ◽  
Xiaoxing Feng

This study was established to study the effect of gold nanoparticles combined with high-quality nursing in patients with acute myocardial infarction (AMI). Under the condition of reflux, a nano gold strip was prepared. One hundred patients with AMI who were treated from April to September 2018 at our Hospital were selected for analysis, divided equally between the observation group and the control group. The associated responses of inflammation factors related to myocardial infarction were determined by molecular analysis. The levels of factors in patients with AMI were significantly higher than those in healthy subjects (P < 0.05). These findings suggest that a nano gold strip can be used for diagnosing early myocardial infarction.


2015 ◽  
Vol 4 (3) ◽  
pp. 1
Author(s):  
Jiaming Niu ◽  
Zhaoling Ma

<strong>Objective</strong>: To study influence of cinepazide maleate on vascular endothelial function of patients with acute myocardial infarction. <strong>Methods</strong>: 150 cases of patients with acute myocardial infarction were divided into the observation group and the control group, two groups were treated by conventional therapy about acute myocardial infarction, the observation group added 5%GS250 mL + cinepazide maleate 160 mg IV drip q.d, the control group added 5%GS250 mL IV drip q.d, the treatment course were 3 weeks, changes of vascular endothelial function and the blood serum no level before and after treatment were detected. <strong>Result</strong>: vascular endothelial function after treatment in observation group were obviously improved than that before treatment (<em>p</em> = 0.03) , blood serum no level was obviously increased (<em>p</em> ﹤ 0.05); about 3 weeks after treatment, vascular endothelial function in the observation group was obviously better than that of the control group (<em>p</em> = 0.04), the blood serum no level of the observation group was obviously higher than that of the control group (<em>p</em> ﹤ 0.05).<strong> Conclusion</strong>: Cinepazide maleate remarkably improves vascular endothelial function of patients with acute myocardial infarction.


2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Xiaoyan Zhang ◽  
Lizhen Qi ◽  
Yongxuan Liu

Objective: To investigate the clinical effect of aspirin combined with clopidogrel on acute myocardial infarction after percutaneous coronary intervention (PCI). Methods: One hundred thirty two patients with acute myocardial infarction who were admitted to the hospital between December 2016 and December 2017 were divided into a control group and an observation group according to random number table, 66 each group. Both groups were given emergency PCI and symptomatic treatment. The control group was given aspirin on the basis of conventional treatment before and after operation, while the observation group was given clopidogrel treatment on the basis of the treatment the same as the control group. The treatment lasted for 4 months. The clinical efficacy of the two groups was analyzed, and the cardiac function indicator, coagulation indicator and occurrence of adverse reactions were compared before and after treatment. Results: There was no thrombosis at the infarct site in coronary angiography after treatment in both groups. The efficacy in the observation group and control group were 89.4% and 81.8%, respectively; there was no significant difference between the two groups. The incidence of re-thrombosis in the two groups was 1.5% and 12.1% respectively, which was significantly lower in the observation group than in the control group (P<0.05). The cardiac function indicator of both groups improved after treatment, especially the observation group (P<0.05). There was no significant difference in prothrombin time (PT), activated partial thromboplastin time (APTT), prothrombin activity (PA) and platelet aggregation rate (PAR) in the two groups before treatment (P>0.05). There was also no significant difference in PT and PA before and after treatment (P>0.05). The APTT and PAR were significantly different after treatment (P<0.05), and the PAR of the observation group was significantly higher than that of the control group (P<0.05). The incidence of adverse reactions in the observation group was 7.58%, which was not significantly different with that of the control group (12.12%) (P<0.05). Conclusion: Aspirin combined with clopidogrel can effectively reduce the occurrence of re-thrombosis after PCI and improve the recovery of cardiac function after acute operation, moreover the safety is high. It has important clinical application values. How to cite this:Zhang X, Qi L, Liu Y. Aspirin in combination with clopidogrel in the treatment of acute myocardial infarction patients undergoing percutaneous coronary intervention. Pak J Med Sci. 2019;35(2):---------. doi: https://doi.org/10.12669/pjms.35.2.87 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2015 ◽  
Vol 4 (3) ◽  
pp. 10 ◽  
Author(s):  
Yunjian Liu

<strong>Objective: </strong>To explore the effectiveness of the early nursing intervention in preventing postoperative deep vein thrombosis (DVT) of patients with lower limb fractures in the mining area. <strong>Methods</strong>: One hundred (100) patients with lower limb fracture in our hospital were evenly and randomly divided into two groups, namely the observation group and the control group respectively. The early nursing intervention was applied on patients in the observation group, and conventional orthopedic postoperative nursing was applied on patients in the control group.<strong> Results</strong>: Among 100 patients selected, 15 patients were elderly, accounting for 15%, 26 patients suffered from the obesity, accounting 26%, there were 25 patients with hypertension, accounting for 25%, 16 patients suffered from diabetes, accounting for 16%, 8 patients suffered from anemia, accounting for 8%, 38 patients had hobbies on the alcohol and tobacco, accounting for 38%, 9 patients had lower limb varicose veins, accounting for 9%, and 35 patients suffered from lower extremity edema, accounting for 35%. The incidence of DVT of patients in the observation group was obviously lower than that of patients in the control group, and the difference was of statistical significance.<strong> Conclusions</strong>: Early nursing intervention can effectively reduce the incidence of postoperative DVT of patients with lower limb fractures, and it contributes to early recovery of patients.


2017 ◽  
Vol 3 (4) ◽  
pp. 360-369 ◽  
Author(s):  
Eko Rustamaji Wiyatno ◽  
Rr. Sri Endang Pujiastuti ◽  
Titin Suheri ◽  
Djenta Saha

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes.Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction.Methods: This study employed a quasi-experiment study with non randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Accupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test.Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05).Conclusion: Accupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that accupressure could be one of the nursing intervention for AMI patients to increase sleep quality and decrease of pulse rate.


2021 ◽  
Vol 7 (5) ◽  
pp. 3379-3383
Author(s):  
Wen Bian ◽  
Na Zhu ◽  
Xing Lu ◽  
Li Ding ◽  
Fang Gu ◽  
...  

Objective: Study on the effect of nursing management in different levels and areas in emergency treatment of patients with acute ST segment elevation myocardial infarction. Methods: 200 patients with acute ST segment elevation myocardial infarction admitted by our hospital from January 2018 to October 2019 were divided into observation group and control group according to the nursing mode of patients, with 100 cases in each group. The patients in the control group were given routine emergency care, and the patients in the observation group were given graded and partitioned nursing management. Result: The time of emergency treatment, coronary angiography and stent placement were compared between the two groups. The results showed that the time of observation group was significantly shorter than that of control group (P < 0.05). The results showed that the time of the observation group was significantly shorter than that of the control group (P < 0.05). The incidence of complications was 11.00% in the control group and 1.00% in the observation group. There was statistical significance between the two groups (P < 0.05). The nursing satisfaction of the control group was 80.00%, and that of the observation group was 96.00%. There was statistical significance between the two groups (P < 0.05). Conclusion: The application effect of grading and zoning nursing management in the first aid of patients with acute ST segment elevation myocardial infarction is better. It can effectively shorten the waiting time of patients, reduce nursing complications, improve nursing satisfaction, and effectively improve the effect of first aid, which is worth popularizing.


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