Implementation of a clinical nursing pathway for percutaneous coronary intervention

Abstract

Background: Acute myocardial infarction is a very common disease in the emergency room. Emergency percutaneous coronary intervention (PCI) is the first choice to open infarct-related artery in time to regain the active blood flow of myocardial tissue. Clinical nursing pathway (CNP), namely clinical project, is an original nursing mode with good quality, outstanding efficiency, and low treatment spending, so it has attracted more and more attention. However, few studies have reported the implementation of a CNP in PCIs. The purpose of the protocol is to assess the impact of CNP on the clinical efficacy of transradial emergency PCI. Methods: This is a randomized controlled, single center trial which will be implemented from January 2021 to June 2021. Hundred samples diagnosed with acute myocardial infarction will be included in this study. It was authorized via the Ethics Committee of Changshan County People's Hospital (CCPH002348). Patients are assigned to the following groups: control group, given normal routine care; CNP group, treated with CNP plan. The time from door to balloon, hospitalization expenses, length of stay, postoperative complications, patients’ satisfaction with treatment are compared and analyzed. All data are collected and analyzed by Social Sciences software version 21.0 (SPSS, Inc., Chicago, IL) program. Results: Differences of clinical outcomes between groups (Table 1 ). Conclusion: This original evidence-based nursing model can be used as the foundation for further research. Trial registration number: researchregistry6030

Clinical Nursing Pathway Improves Therapeutic Efficacy and Quality of Life of Elderly Patients with Acute Myocardial Infarction

“…This may be because the implementation of CNP enables patients to have a higher awareness of the disease and the nursing content, which mobilizes patients to better cooperate with the work of medical staff and consequently effectively improve the ability of medical staff to deal with complications and emergencies, ultimately improving the overall efficacy and prognosis of patients. Zhang et al [ 25 ] found that CNP intervention after PCI can significantly reduce hospital admission time, hospitalization expenses, LOS, and postoperative complications and improve patients' satisfaction with treatment, which was similar to our research results. According to Li and Liu [ 26 ], the implementation of CNP intervention following PCI can significantly relieve patients' bad mood and improve their QOL.…”

Effect Analysis of Clinical Pathway Nursing Combined with Humanized Nursing in Cerebral Infarction

“…At the same time, there are also a series of problems, such as weak pertinence, incoherent time, single mode, and inappropriate method [ 4 ]. As a standard nursing mode of clinical norms, clinical pathway nursing is a relatively mature operation system, which has been clinically used in the nursing of a variety of diseases and achieved quite significant application effects [ 5 , 6 ].…”

Clinical Nursing Paths Benefit Patient Outcomes Undergoing Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

“…Currently, interventional therapy for HCC is the first choice for advanced HCC treatment, and the implementation of effective clinical nursing interventions in interventional therapy can stabilize the condition of patients, reduce the occurrence of treatment complications, and promote better postoperative recovery [ 18 ]. Liao et al pointed out that CNP could improve the cognitive function and quality of life in hypertensive cerebral infarction patients [ 19 ] whereas Zhang et al clarified that CNP had an improved significance for percutaneous coronary intervention [ 20 ]. All these have laid a reliable foundation for implementing CNP in TACE for HCC.…”