Wang Y, Tang Z, Dong A, Cai J, Le P. The effect of emergency nursing on the mental health and limb function recovery of myocardial infarction patients.
Am J Transl Res 2021;
13:11697-11703. [PMID:
34786096 PMCID:
PMC8581869]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 08/07/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE
To evaluate the effect of emergency care on the mental health and recovery of limb function in myocardial infarction (MI) patients.
METHODS
We recruited 106 MI patients consecutively admitted to the emergency center of our hospital from June, 2016 to January, 2019. Among them, 51 underwent routine care (the control group) and 55 underwent emergency care (the observation group). The rescue success rates, the pre-hospital times, the emergency rescue times, and the door-to-balloon times were recorded and compared. The patients' heart rates, respiratory frequencies, and blood pressure levels were monitored after the care. The self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to evaluate the patients' psychological states. The patients' limb function and activities of daily living (ADL) were evaluated using the Fugl-Meyer assessment (FMA) and the modified Barthel index (MBI), respectively. The incidences of complications were compared between the two groups. The Short-Form 36 Item Health Survey (SF-36) was used to evaluate the patients' quality of life (QOL), and a self-made satisfaction questionnaire was developed to evaluate the patient satisfaction.
RESULTS
After the emergency care, there was a higher rescue success rate and shorter pre-hospital times, emergency rescue times, and door-to-balloon times in the observation group. The heart rates, respiratory frequencies, and blood pressure levels in the observation group were more stable than they were in the control group. The patients in the observation group had lower SAS and SDS scores (P<0.05), lower FMA and lower MBI (P<0.05), as well as a lower incidence of complications (P<0.05). The QOL was greatly improved in the observation group after two weeks of care. The patients in the observation group were more satisfied with the nursing service than the patients in the control group (P<0.05).
CONCLUSION
Emergency care contributes to the improvement of mental health and limb function, as well as MI patient prognosis, so it is well worthy of promoting.
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