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Effect of Early Nursing Intervention on Hemodynamics After Emergency PCI in Patients with AMI and Its Clinical Significance

OBJECTIVE: To investigate the effect of early rehabilitation nursing procedures on hemodynamics after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction. METHODS: One hundred patients with acute myocardial infarction who were admitted to our hospital from June 2018 to June 2019 were randomly divided into rehabilitation group and control group, with 50 cases in each group. The control group received routine nursing and guidance on the basis of conventional drug therapy after PCI. The rehabilitation group performed rehabilitation nursing on the basis of conventional drug therapy after PCI, including rehabilitation exercise and health education. The routine parameters of non-invasive hemodynamics were monitored and the incidence of oozing and hematoma at the puncture site and the degree of comfort change of the patients were observed. RESULTS: The preoperative hemodynamic parameters of the two groups were compared. There was no significant difference between the rehabilitation group and the control group before PCI (P>0.05). On the third day after operation, the cardiac output of CO after rehabilitation was significantly increased compared with that before surgery, and the difference between the two groups was statistically significant (P<0.05). The mean arterial pressure MAP was significantly lower than that before surgery. The difference was statistically significant (P < 0.05). In the rehabilitation group, the bed rest and urination were significantly better than the control group (P<0.05). The degree of bloating discomfort was significantly lower than that of the control group (P<0.05), and the reduction of back pain was more significant than the control group. P<0.05)). Conclusion: In patients with acute myocardial infarction (without severe comorbidities), under the strict monitoring of non-invasive hemodynamics, early rehabilitation care does not affect the patient's cardiac function and is a safe nursing measure.