Thực trạng chăm sóc người bệnh nhồi máu cơ tim được can thiệp động mạch vành tại Bệnh viện Trung ương Huế

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Tác giả: Vãn Khán Võ

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tim mạch học Việt Nam 2023

Mô tả vật lý: 41-49

Bộ sưu tập: Metadata

ID: 407592

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Chủ đề

Khảo sát sự chăm sóc điều dưỡng ở bệnh nhân nhồi máu co tim (NMCT) được can thiệp động mạch vành. Phương pháp nghiên cứu: mô tả cắt ngang. Người bệnh Nhồi máu cơ tim sau can thiệp stent động mạch vành tại Khoa Cấp cứu Tim mạch can thiệp - Trung tâm Tim mạch trong thời gian từ 1/2020 - 06/2020. Kết quả: trong số 36 bệnh nhân NMCT được can thiệp động mạch vành tại Bệnh viện Trung ương Huế từ tháng 01 năm 2020 đến tháng 06 năm 2020, bao gồm 7 bệnh nhân từ 35-55 tuổi, 15 bệnh nhân từ 55-75 tuổi, 15 bệnh nhân trên 75 tuổi. Trong 36 bệnh nhân có 47% do tăng huyết áp, 8% bệnh nhân ĐTĐ và 44% bệnh nhân có hút thuốc lá. Nhịp tim, huyết áp, nước tiểu, tình trạng đau và băng ép là những chỉ số bệnh lý cần được theo dõi sát để điểu chỉnh kịp thời. Ngoài ra, mất ngủ (75%), dinh dưỡng kém (30,6%) và tình trạng hạn chế vận động (41,7%) thường gặp trong 24 giờ đầu, và tuy nhiên giảm đáng kể khi ra viện. Như vậy, nghiên cứu cho thấy sự thành công trong việc đưa bệnh nhân ra viện khỏe mạnh một phần quan trọng đến từ sự theo dõi chặt chê và chăm sóc cẩn thận của nhân viên điểu dưỡng. Kết luận: Sự chăm sóc của nhân viên điều dưỡng đóng vai trò quan trọng góp phần vào sự thành công trong diều trị bệnh nhân NMCT được can thiệp động mạch vành., Tóm tắt tiếng anh, We investigated nurse's care of myocardial infaction (Ml) patients being treated by percutaneous coronary intervention (PCI). Methods: cross - sectional study of patients (pts) with Ml is treated by PCI at Hue Central Hospital from Jan 2020 to Jun 2020. Results: there were 36 pts, consists of 7 pts have age from 35 to 55, 15 pts have age from 55 to 75, and 14 pts have age over 75. In 36 pts, 47% due to hypertension, 8% due to diabetes melitus, 44% due to smoking. Heart rate, blood pressure, urine, pain and compression condition are pathological indicators that need to be closely monitored for timely correction. In addition, insomnia (75%), poor nutrition (30.6%) and limited mobility (41.7%) were common in the first 24 hours, however significantly decreased at the time of hospital discharge. Our study showed that almost successful cases completely discharge with good condition (blood pressure, heart rate, clinical condition) because of good care and carefully following-up. Conclusion: Basic care of nurse is an important thing to participate in the successful of health of myocardial infarction patients who is treated by PCI.

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