When there is insufficient blood and oxygen supply (ischemia) to the myocardium, decreased tissue perfusion and necrosis (infarction) will develop, requiring immediate intervention. M. Yu, Li Wang, L. Guan, M Qian, J Lv, and M Deng, "Knowledge, attitudes, and barriers related to medication adherence of older patients with coronary heart disease in China, " Geriatric Nursing, vol. This is an NCLEX review for coronary artery disease. Discuss impact of illness on desired lifestyle and activities, including work, driving, sexual activity, and hobbies.
Initiate necessary lifestyle changes. R-software (version 3. When there is infarction, ECG results will reveal ST-elevation MI, non-ST-elevation MI, and an abnormal Q wave. Rationale: Peripheral circulation is reduced when cardiac output falls, giving the skin a pale or gray color (depending on level of hypoxia) and diminishing the strength of peripheral pulses. Diagnostic Evaluation. Coronary Artery Disease Nursing Care Plans Diagnosis and Interventions. References and Sources. Monitor and documents effects or adverse response to medications, noting BP, heart rate, and rhythm. Aspirin: watching for GI bleeding.
134–141, at: Publisher Site | Google Scholar. 2, Cronbach's alpha was 0. Acute coronary syndrome refers to a range of potentially life-threatening conditions that affect the coronary artery blood supply to the heart, and is a common presentation in patients with coronary heart disease. The association between poor sleep quality and anxiety and depression symptoms in Chinese patients with coronary heart disease. 2022;101(14):e29091. Drugs with negative inotropic properties can decrease perfusion to an already ischemic myocardium. Nursing Cheatsheets. The observation group had a lower incidence of postoperative complications compared with the reference group, as shown in Table 1. Paired samples t-test was used to compare quantitative variables. Risk for prone-health behavior—risk factors may include condition requiring long-term therapy/change in lifestyle, multiple stressors, assault to self-concept, and altered locus of control. There were no significant differences of quality of life, alexithymia, depression scale and anxiety between CNISD and usual care group.
The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Efficacy and safety of high potent P2Y12 inhibitors prasugrel and ticagrelor in patients with coronary heart disease treated with dual antiplatelet therapy: a sex-specific systematic review and meta-analysis. Report anxiety is reduced to a manageable level. Explain the cardiac catheterization to the patient. Nursing Clinical Guidelines. Surgical Interventions: - Percutaneous transluminal coronary angioplasty or intracoronary atherectomy, or placement of intracoronarystent. Subscribe for unlimited access. Intracoronary stents may be placed at the time of PTCA to provide structural support within the coronary artery and improve the odds of long-term patency. Rationale: Rapid vasodilator effect lasts 10–30 min and can be used prophylactically to prevent, as well as abort, anginal attacks. Have found that the self-management ability and nursing compliance of such patients decrease with the passage of time after discharge [7, 8]. In: StatPearls [Internet]. Because recurrence and mortality are two pivotal risk factors, our results suggest the importance of CNISD when developing strategies to decrease the recurrence and mortality of CHD patients.
Medications for CAD. Effects of cluster nursing on cardiac function and quality of life in coronary heart disease patients with chronic heart failure: a protocol of randomized controlled trial. These plaques narrow arteries, obstructing blood flow. 516, ) after nursing. The Toronto Alexithymia Scale-20 items (TAS-20) was used to assess alexithymia of CHD patients, which has a three-factor structure based on the subscales differential item functioning (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT) [15]. The teaching content was formulated based on the Chinese Expert Consensus on Coronary Heart Disease Rehabilitation and Secondary Prevention, which mainly included the theoretical knowledge of PCI treatment for CHD, postoperative pain management requirements, medication management requirements, dietary requirements, and precautions for preventing complications. Discuss pathophysiology of condition. Social Science, " Medicine, vol. Comprehensive nursing intervention based on self-disclosure (CNISD) is an interdisciplinary service and an effective approach to care that improves quality of life and alleviates suffering for patients with CHD. Modifiable risk factors include: Several tests are used to diagnose CAD including electrocardiogram (ECG), echocardiogram, chest x-ray, cardiac catheterization, coronary angiogram, stress tests, and coronary artery calcium scan.
Rationale: Hydrochlorothiazide is a diuretic drug that is indicated for hypertension, heart failure, and kidney diseases. Often the incision heals with no home healthcare, but the patient needs to know the signs of infection. The average measure of study quality was 2. The datasets used and/or analyzed during the current study available from the corresponding author on reasonable request.
Patient education about the disease process and progression along with necessary lifestyle changes is important in preventing CAD. Rationale: Bolus, followed by continuous infusion, is recommended to help reduce risk of subsequent MI by reducing the thrombotic complications of plaque rupture for patients diagnosed with intermediate or high-risk unstable angina. The patient is NOT to take more than 3 total doses. Coagulation studies, hemoglobin level, fasting blood sugar as baseline studies. Song G, Chen L, Zhang J, Li Q, Yuan Y, Yin D, Li H. Clinical observation of comprehensive nursing measures in improving angina symptoms in patients with coronary heart disease. The types of postoperative complications were recorded to calculate the incidence of complications. Echocardiograms show how blood moves through the heart and valves and can identify weak areas. 11th Edition, Mariann M. Harding, RN, PhD, FAADN, CNE. Following improved survival rates in patients with CHD, the quality of life and its determinants have become increasingly prominent for obtaining positive patient outcomes [23]. Inclusion criteria: (1) age more than 60 years; (2) CHD patients. Encourage immediate reporting of pain for prompt administration of medications as indicated.
Ischemia may be silent (asymptomatic but evidenced by ST depression of 1 mm or more on electrocardiogram (ECG) or may be manifested by angina pectoris (chest pain). For example, a negative psychological state can reduce the self-efficacy of patients and gradually erode their belief in treatment [16, 17], while a low cognitive level may mislead patients into believing that PCI is a radical cure for CHD and restores their original living habits, which is not conducive to maintaining their nursing compliance [18]. Given that adherence to CHD patients' guidelines in nursing is generally low, even when these guidelines predominantly comprise foundational recommendations, it is important to explore appropriate care plans to improve the quality of life, alexithymia, anxiety, and depression of CHD patients [20, 21]. Rationale: The HMG-CoA reductase inhibitors may cause photosensitivity. The data included in the study were the enumeration data and measurement data, tested by X 2 and t-test. For patients with major GI intolerance, alternative drugs may be indicated.
For example, smoking cessation, alcohol restriction, and a healthy diet are effective behaviors to prevent the recurrence of adverse cardiovascular events after surgery. The Likert's four-level scoring method was used, with a score range of 1 (completely wrong) to 4 (completely correct).