Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Pimnicha Thepphawan, Nittiya Wongsa and Soisin Siammai
Bumrungrad International Hospital, Thailand
Posters & Accepted Abstracts: J Clin Exp Cardiolog
Background: Percutaneous coronary intervention (PCI) is an increasingly important revascularization strategy in coronary heart disease management. Considering the current frequency of the clinical pathway of the procedure, there are significantly limited useable data or information to sufficiently inform nursing care focusing on describing the nursing management in post PCI. In order to ensure that nurses provide quality care to patients. The study has developed the CCU TEAM�s Care Bundle in order to be able to deliver the safer and more effective cares in both the independent and collaborative contexts of PCI management. Purpose: To compare the effectiveness of the CCU TEAM�s care bundle with usual care as the means of improving nursing care process and reducing the risk of hematoma complications for patients undergoing femoral artery percutaneous intervention. Methods: Historically controlled study was conducted. The intervention group comprised 108 patients who were undergoing femoral artery percutaneous intervention and admitted in cardiac care unit (CCU) of Bumrungrad International Hospital, Bangkok. The control group (usual care) was a group of 124 patients who received femoral artery percutaneous intervention in the past and were selected from the hospital database. After the development CCU TEAM�s care bundle, the content of care bundle was disseminated to all staff nurses who work in CCU. The care bundle was consisted of seven elements: (1) Coagulation checking; (2) Consider skin barrier; (3) Urination; (4) Tightening and compression; (5) Extremity circulatory observation; (6) Activity restriction; and (7) Medication control. The statistics used in the analysis include descriptive statistics. Results: In all, 232 patients were included in the study, with a mean age of 61 years (35-91). Women constituted 75.5%. In the result of the study on nursing outcomes and PCI procedure showed that there was figure between the usual care and the CCU TEAM�s care bundle. In addition, there was the decrease in the number of patients who have hematoma by 0.57 % after applying the care bundle compared to those who were treated by usual care. A review of clinical outcome in patients in cardiac care unit indicated that most patients were in stable enough condition to be on cardiology ward after a PCI procedure. Conclusion & Recommendations: In order to ensure that nurses provide quality care to patients who have PCI procedures. Nurses play a critical role in delivering care in both the independent and collaborative contexts of PCI management.
Email: pimpat@bumrungrad.com