About psychological nursing intervention for the impact of coronary angiography

[Abstract] Objective: To investigate the psychological nursing intervention for patients with coronary angiography. Methods: The 72 patients who underwent coronary angiography were carried out before surgery, postoperative psychological care Results: 72 patients dealt with in a calm mood, good sleep, stable vital signs for surgery. Conclusion: The psychological care of timely and effective intervention can reduce the patient's stress, fear, anxiety and other adverse psychological factors are conducive to the conduct of surgery and reduce complications .

[Keywords:] coronary angiography, psychological nursing intervention

Coronary angiography is the gold standard for evaluation of coronary anatomy, diagnostic coronary angiography has become the basic content of cardiac catheterization in the United States each year there are about two million people to accept the check [1], but the technique is invasive , there has been some complications, so do the nursing intervention in particular psychological intervention can effectively reduce the risk of our department from May 2010 to May 2011, 72 patients underwent a coronary angiography, the patient took psychological care and intervention, and achieved satisfactory results.

1 Clinical data
1.1 General information: May 2010 to May 2011, 72 patients underwent a coronary angiography, 29 males, 43 females, aged 31-72 years, 53 patients had a history of hypertension. Occupation: farmer 23 cases, 34 cases of workers, cadres and 15 cases in which cultural level: college and above in 18 cases, 32 cases of high school, junior high school in 11 cases, primary and secondary schools in 8 cases, illiteracy in 3 cases.

1.2 Procedures: patients undergoing supine to the radial artery or femoral artery puncture site, with 2.0% lidocaine local anesthesia to do with the success of single-wall puncture needle sheath into the radial artery or femoral artery sheath, conventional heparin saline flush, in contrast to multi-function under the guidance of the guide wire catheter (TIG sent to the left main opening, the injection of contrast agent were collected ioversol left anterior oblique, left anterior oblique + foot position, the left anterior oblique + head position, after + anteroposterior head position, right anterior oblique + head position, right anterior oblique position of five feet + camera position, after completion of operations on patients sent to the right coronary angiography catheter into the opening Ioversol contrast agent, take the left anterior oblique, anteroposterior head position after the other two cameras + position, postoperative angiography under the guidance of the guide wire pull catheter, sheath removal conventional compression bandage to stop bleeding.

1.3 Results: 72 patients in one case the femoral artery hematoma occurs, the remaining non-surgical complications.

2 psychological nursing intervention
2.1 Preoperative psychological care: patients with coronary angiography as related to lack of knowledge that the heart is a very important organ, the risk of cardiac surgery in the very large, thus resulting in tension, fear, anxiety, psychological, causing rapid heart rate , blood pressure, poor sleep adverse reactions, affect the operation carried out by competent doctors, nurses and surgical director of the major operators to go to a bed under the patient's age, occupation, education level, in plain language enthusiastically surgical patients and family members the importance of operating procedures and surgery, security, time is short, less trauma, faster postoperative recovery of such knowledge, and then intervene with patients and their families to visit the rooms, including environmental, equipment and operation of the members, if necessary surgery when patients have accepted the preaching coming out, so that patients and their families fully understand the mind so as to reduce negative concerns. surgery last night to give sedatives, before bed, soak enough medicine to allow patients to have a good sleep. Links to Papers Download Center http://www.hi138.com 2.2 Psychological care surgery: the medical staff involved in the patient room and patiently explain the surgery to tie the content, while operating while communicating with patients, asking whether patients discomfort, if not timely and effective manner to lift. medical staff should be skilled to operate, the orderly conduct of Leaving aside and has nothing to do with the operation content, avoid panic, to avoid the fear of patients. interventional room to put light music, to enable patients to feel completely relaxed. In order to avoid puncture in patients with pain caused by tension may be given midazolam with intravenous midazolam and fentanyl, a sedative, anxiety, pain relief effect [2], thereby eliminating patient stress, anxiety.

2.3 Postoperative psychological care: At this point the most urgent patients to understand the results of surgery, the doctor in time to the results of surgery, postoperative notes and inform patients and their families with the content to remove uneasy. Because life can not be bed-ridden self-care, nurses should be caring, patient, to enhance understanding of patient visits in a timely manner to help, so patients with no worries and if required further surgical treatment diagnosis, Health care workers to be patient to explain.

3 Summary
Because coronary angiography patients do not understand or know knowledge is not comprehensive, easy to produce tension, fear, leading to sympathetic nerve activity, causing rapid heart rate, blood pressure, thus affecting the conduct of surgery and surgical quality, and even have serious complications. Therefore, patients with good psychological care intervention to eliminate stress, fear, anxiety is very important.

References
[1] Liang rain. Cardiovascular intervention, Beijing: People's Health Press, 2009:159
[2] Ya-Huei Chang, to Deng Xiaoping, Zhang Qiang, etc. are two different sedation methods of coronary angiography and hemodynamic effects of conscious control study. Practical diagnosis and treatment, 2005,19 (2:159 Share for free download http://www.hi138.com