Application value of nursing process optimization in operating room based on evidence-based theory in percutaneous coronary intervention of acute myocardial infarction
Objective To analyze the application value of nursing process optimization in operating room based on evidence-based theory in percutaneous coronary intervention of acute myocardial infarction.Methods A total of 100 patients with acute myocardial infarction undergoing percutaneous coronary intervention treated in our hospital from January 2020 to December 2021 were selected for the study.According to the admission time,the patients were divided into control group and observation group,with 50 cases in each group.The control group received routine operating room nursing,and the observation group received nursing process optimization in operating room based on evidence-based theory on the basis of the control group.The intervention effects of the two groups were compared.Results The TIMI myocardial perfusion grading(TMPG)of the observation group was significantly better than that of the control group(P<0.05).When leaving the operating room,the levels of N-terminal probrain natriuretic peptide(NT-proBNP)and cardiac troponin I(cTnI)in the observation group were lower than those in the control group(P<0.05).At 24 h after operation,the adrenocorticotropic hormone(ACTH)and corticotropin releasing hormone(CRH)levels in the observation group were lower than those in the control group(P<0.05).The total incidence of nursing defects,the total incidence of adverse events and the ICU occupancy rate in the observation group were lower than those in the control group(P<0.05).Conclusion The nursing process optimization in operating room based on evidence-based theory can improve the myocardial perfusion effect of patients with acute myocardial infarction undergoing percutaneous coronary intervention,alleviate myocardial injury and stress response,and reduce the incidences of nursing defects,adverse events and ICU occupancy,which is worthy of promotion.
evidence-based theorynursing process optimization in operating roomacute myocardial infarctionpercutaneous coronary interventionstress responsemyocardial perfusion
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