Effects of predictive nursing intervention on acute myocardial infarction patients undergoing temporary preventive cardiac pace maker
10.3760/cma.j.issn.1674-2907.2016.12.025
- VernacularTitle:预见性护理在急性心肌梗死患者接受保护性临时起搏中的应用效果
- Author:
Xiaohua FAN
1
;
Yuerong CAO
;
Hongzhen LIU
;
Judi TANG
Author Information
1. 214400 东南大学医学院附属江阴医院护理部
- Keywords:
Acute myocardial infarction;
Temporary cardiac pace maker;
Predictive nursing
- From:
Chinese Journal of Modern Nursing
2016;22(12):1724-1728
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of predictive nursing intervention on acute myocardial infarction ( AMI ) patients undergoing temporary preventive cardiac pace maker .Methods A total of 130 patients with AMI undergoing emergency percutaneous coronary intervention ( PCI) were enrolled by convenience sampling method and divided into control group (n=65) and observation group(n=65) according to the time of admittion.All patients were received temporary preventive cardiac pace maker before PCI .Routine nursing was applied in patients of the control group , and predictive nursing was applied in patients of the observation group . Malignant arrhythmia , hypotension and serious complications were recorded and analyzed .Results In both groups, the right coronary artery was the main artery of the infarction , accounting for 80.00%(control group, 52/65), 76.92%(observation group, 50/65) respectively, the difference was not statistically significant (P>0.05).Malignant arrhythmia rate in the observation group tended to decrease compared with that of the control group (7.69% vs 18.46%), but there′s no statistically significant difference ( P =0.069 ).Malignant arrhythmia rate of right coronary artery infarction in the observation group was lower than that of the control group (6.00%vs 21.15%) ( P =0.026 ).12.31% of observation group patients developed hypotension versus 26.15% in the control group ( P =0.045 ).Predictive nursing intervention had a tendency to reduce complications occurrence compared with routine nursing intervention (10.77%vs 20.00%), but no statistical significance was achieved(P=0.145).Conclusions Implementation of predictive nursing intervention among AMI patients undergoing temporary preventive cardiac pace maker plays an important role in reducing the risks of malignant arrhythmia and hypotension , which has certain meaning for the clinical nursing .
