在初级皮肤冠状动脉干预后的患者中,与逗留时间增加相关的因素:范围审查
Firman Sugiharto1, Yanny Trisyani2, Aan Nuraeni2
1Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.
Vascular health and risk management
|June 12, 2023
概括
初级后皮肤穿透冠状动脉干预 (PPCI) 停留时间 (LOS) 不同,并发症显著增加住院时间. 医疗保健专业人员可以减轻这些因素,以改善患者的治疗结果和医院的效率.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 护理 护理 护理
背景情况:
- 在初级皮肤穿冠状动脉干预 (PPCI) 后增加停留时间 (LOS) 是一个令人担忧的问题.
- 现有的研究确定了影响LOS的各种因素,但缺乏综合性审查.
研究的目的:
- 描述PPCI后ST升高心肌梗塞 (STEMI) 患者的LOS持续时间.
- 为了确定与这些患者的LOS增加相关的因素.
主要方法:
- 使用多个学术数据库 (EBSCO-host,PubMed,Scopus,泰勒和弗朗西斯,谷歌学者) 进行了范围审查.
- 在成年人群中,关键词包括"停留时间"",初级皮肤穿冠状动脉干预"和"心肌梗塞".
- 纳入标准集中在接受PPCI的STEMI患者的全文英语文章上,这些文章讨论了LOS.
主要成果:
- 综述中包括了13篇文章.
- LOS持续时间从48小时到10.2天不等.
- 术后并发症被确定为影响长期LOS的最重要因素.
结论:
- 后PPCI并发症是STEMI患者长期住院的主要驱动因素.
- 识别和管理可修改因素可以优化LOS并改善患者的预后.
- 护士和医疗保健专业人员在预防并发症和提高LOS效率方面发挥着至关重要的作用.
相关概念视频
Acute Coronary Syndrome IV: Interprofessional Care
13
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
13
Acute Coronary Syndrome III: Diagnostic Studies
11
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
11
Peripheral Artery Disease III: Interprofessional Care
13
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
13
Coronary Artery Disease V: Interprofessional Care
11
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
11
Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
Coronary Artery Disease I: Introduction
33
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
33


