Nursing management for percutaneous coronary intervention in patients with acute coronary syndrome

  Objective  To explore the value of perioperative nursing risk management for percutaneous coronary intervention (PCI) in patients with acute coronary syndrome.

  Methods  The nursing risk management conditions of 152 patients with acute coronary syndrome during PCI was analyzed retrospectively, and they were divided into occurrence group (38 cases with adverse cardiovascular events) and non-occurrence group (114 cases without adverse cardiovascular events) according to incidence of adverse cardiovascular events. The general data of the two groups were compared, the independent factors affecting adverse cardiovascular events were explored by binary Logistic regression analysis, and the predictive value of each independent factor was analyzed by receiver operating characteristic (ROC) curve.

  Results  After implementation of risk management, there were 38 of 152 cases (25.00%) with adverse cardiovascular events. Binary Logistic regression analysis showed that history of hypertension, body mass index (BMI) ≥ 24 kg/m², smoking history, high density lipoprotein cholesterol (HDL-C) ≤ 0.9 mmol/L, low density lipoprotein cholesterol (LDL-C) >2.6 mmol/L and leukocyte count ≥ 10×10⁹/L were the independent factors for adverse cardiac events. The ROC curve analysis showed that the AUCs of leukocyte count, smoking history, history of hypertension, HDL-C, LDL-C and BMI in the early prediction of adverse cardiac events were 0.702, 0.732, 0.667, 0.724, 0.754 and 0.706, respectively.

  Conclusion  The effect of perioperative nursing risk management in patients with acute coronary syndrome during PCI treatment is remarkable, but it is still affected by many factors, so it is necessary to identify and control risk factors in early stage.