scholarly journals Intervensi Keperawatan untuk Menurunkan Kecemasan Pasien Dengan Acute Myocardial Infarction

Author(s):  
Tri Wahyuni Ismoyowati ◽  
Bernadeta Kristanti ◽  
Brilian Yudistira Nugraha ◽  
Theresia Rini Yuwanti

Acute Myocardial Infarction (AMI) is also known as a heart attack, coronary occlusion, or just coronary, which is a life-threatening condition characterized by the formation of local necrotic areas within the myocardium. One that is very influential on the psychological state of patients with heart problems that will be able to change the coping patterns of patients in dealing with the disease and live their lives is the emergence of anxiety. This paper is a literature review / literature review from several data bases namely Google Schoolar, ScienceDirect, NCBI and PubMed. Search articles are limited from 2010 to 2020. The author uses the keywords "anxiety" and "Acute myocardial infarction / Myocardial infarction". The results of the research from four data bases obtained 102 articles 43 from Indonesian language articles and 59 English articles. Based on the facts that occur in the condition of patients with AMI, anxiety is one of the conditions that can cause changes in physical, or psychological. Anxiety that appears can have a negative effect on the success of treatment and treatment, it is necessary to have appropriate pharmacological and nonpharmacological therapy. Non-pharmacological therapy, namely psychological therapy and complementary therapy. Complementary therapy has been recognized and accepted as a form of nursing care. The results of the analysis of several studies showed that independent nursing interventions that were proven effective in reducing anxiety were by giving aromatherapy namely aromatherapy Geranium, Lemon, and Lavender. Aromatherapy is a method that uses essential oils to improve physical and emotional health. Aroma therapy has a positive effect because it is known that a fresh, fragrant aroma stimulates sensory, receptors and ultimately affects other organs so that it can have a powerful effect on emotions. The results of this study can be considered giving nursing interventions to reduce anxiety in AMI patients by giving aromatherapy Keywords: anxiety; acute myocardial infarction; aromatherapy ABSTRAK Acute Myocardial Infarction (AMI) juga di kenal sebagai serangan jantung, oklusi koroner, atau hanya koroner, yang merupakan kondisi mengancam jiwa yang ditandai dengan pembentukan area nekrotik lokal di dalam miokardium. Salah satu yang sangat berpengaruh pada keadaan psikologis pasien dengan gangguan jantung sehingga akan dapat merubah pola koping pasien dalam menghadapi penyakit maupun menjalani hidupnya adalah timbulnya kecemasan. Tulisan ini merupakan tinjauan literatur/literature review dari beberapa data base yaitu Google schoolar, ScienceDirect, NCBI dan PubMed. Penelusuran artikel dibatasi dari tahun 2010 sampai dengan tahun 2020. Penulis menggunakan kata kunci “kecemasan” dan “akut miokard infark/ miokard infark”. Hasil penelitian dari empat data base diperoleh 102 artikel 43 dari artikel bahasa Indonesi dan 59 artikel Bahasa Inggris. Berdasarkan fakta-fakta yang terjadi pada kondisi pasien dengan AMI, kecemasan merupakan salah satu keadaan yang dapat menimbulkan adanya perubahan keadaan fisik, maupun psikologis. Kecemasan yang muncul dapat memberikan efek negatif bagi keberhasilan perawatan dan pengobatan, maka diperlukan terapi farmakologi maupun non-farmakologi yang tepat. Terapi non farmakologi yaitu terapi psikologis dan terapi komplementer. Terapi komplementer telah diakui dan diterima sebagai bentuk asuhan keperawatan. Hasil analisis beberapa penelitian menunujukkan intervensi keperawatan mandiri yang terbukti efektif menurunkan kecemasan adalah dengan pemberian aromaterapi yaitu aromaterapi Geranium, Lemon, dan Lavender. Aromaterapi adalah metode yang menggunakan minyak atsiri untuk meningkatkan kesehatan fisik dan emosi. Aroma terapi mempunyai efek positif karena diketahui bahwa aroma yang segar, harum merangsang sensori, reseptor dan pada akhirnya mempengaruhi organ yang lainnya sehingga dapat menimbulkan efek kuat terhadap emosi. Hasil studi ini dapat dipertimbangkan pemberian intervensi keperawatan untuk menurunkan kecemasan pada pasien AMI dengan pemberian aromaterapi Kata kunci: kecemasan; akut miokard infark; aromaterapi

Author(s):  
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Objective: To identify and describe in the current literature nursing interventions for patients affected by acute myocardial infarction. Methods: This is an integrative literature review conducted with materials indexed in the Virtual Health Library (VHL), in the databases: BDENF, LILACS and MEDLINE. Using as descriptors: Assistance, Myocardial Infarction and Nursing, mediated by the Boolean operator AND. The inclusion criteria were: full text, available, free of charge, in Portuguese, published in the chronicity of time from 2015 to 2020 and which responds to the research theme. Results: After crossing the descriptors, 1701 publications were identified, of which were included in review 10 that met the established criteria. 04 on the basis of LILACS, 01 on MEDLINE and 05 on BDENF, with the following percentages: 40%, 10%, 50%, respectively. Conclusion: It is necessary to continually update the team’s chest pain protocol and approaches to patients affected with acute myocardial infarction, as they present constant changes. Thus, aiming at improvements in interventions, quality assistance, minimization of adverse events and maximization of patient safety.


Author(s):  
S. Martínez Font ◽  
G. López Domènech ◽  
S. Juan Esgleas ◽  
C. Ruiz Falqués ◽  
M. Soler Selva

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Jayanth Koneru ◽  
Matthew Cholankeril ◽  
Kunal Patel ◽  
Fadi Alattar ◽  
Ashraf Alqaqa ◽  
...  

Acute myocardial infarction during pregnancy or the postpartum period is rare. We report a case of a 39-year-old postpartum woman who developed non-ST-elevation myocardial infarction due to severe diffuse coronary vasospasm. To our knowledge, this is the first case of angiographically evidenced coronary vasospasm, in a postpartum woman, with resistance to intracoronary nitroglycerin.


2021 ◽  
Vol 2 (1) ◽  
pp. 18-21
Author(s):  
Adrielle Nunes de Andrade Silva ◽  
Orlando Augusto de Morais Miranda ◽  
Dayana Correia de Almeida ◽  
Luciano Lins ◽  
Mateus Henrique Aragão de Sales ◽  
...  

2021 ◽  
Vol 24 (82) ◽  
pp. 34-38
Author(s):  
Marina Đorđević ◽  
Jelica Davidović ◽  
Radmila Resimić ◽  
Dijana Otašević ◽  
Nataša Marković-Nikolić ◽  
...  

Introduction: Acute myocardial infarction (AIM) is ischemic myocardial necrosis and is associated with a number of adverse outcomes that complicate patient health care. Assessment of patient status, risk factors, and adverse outcomes has a significant impact on patient care planning after AIM. The GRACE (Global Registry of Acute Coronary Events) score is of great importance in risk stratification in these patients. Objective: To determine the importance of determining the GRACE score in order to set priorities in the planning of patient care after acute myocardial infarction. Method: A retrospective study examined 50 patients, both sexes, aged 28 to 75 years, with a diagnosis of acute myocardial infarction, undergoing percutaneous coronary intervention (PKI), who were treated at the Zvezdara Clinical Hospital in Belgrade during the research period, from January to March 2020. Data were taken from the medical records of these patients. During the study, AIM type, comorbidities, CVD risk factors, GRACE score and frequency of complex nursing interventions in patients with low, moderate, and high-risk of adverse cardiac events were monitored. Results: Out of a total of 50 examinees with AIM treated with PKI, 74% had STEMI and 26% NSTEMI. 84% of patients had positive family history, 64% hypertension, 2% diabetes, 48% obesity, 52% were smokers and 6% of them were using alcohol. The values of the GRACE score were increased as follows: in four patients more than 140, while in one of them a moderate value was recorded, and in one low value of the GRACE score. In the course of six months, three patients, who had high GRACE scores on hospitalization, had a lethal outcome. Complex nursing interventions in the intensive care unit are more common in patients who have high GRACE score values after AIM. Conclusion: The GRACE score can be used as an important guideline in planning the health care of patients after an acute myocardial infarction.


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