Effects of multiple protection model in the operating room on physiological stress and risk events in patients undergoing coronary artery stent implantation

• Published in: Biomedical engineering online Vol. 23; no. 1; pp. 86 - 11
• Main Authors: Wang, Qiaoli, Zhu, Jinfu
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 28.08.2024; BioMed Central; BMC
• Subjects: Aged; Angioplasty; Anxiety; Atherosclerosis; Blood pressure; Blood vessels; Cardiovascular disease; Cardiovascular diseases; Care and treatment; Comparative analysis; Complications; Cooperation; Coronary Artery Disease; Coronary heart disease; Coronary stent implantation; Coronary vessels; Coronary Vessels - physiopathology; Corticosteroids; Endovascular stents; Epinephrine; Female; Health aspects; Heart; Heart beat; Heart diseases; Heart rate; Holistic nursing; Hormones; Humans; Impact analysis; Implantation; Implants; Intervention; Ischemia; Male; Methods; Middle Aged; Multiple protection model in the operating room; Nurse patient relationships; Nurses; Nursing; Operating Rooms; Patient outcomes; Patient Satisfaction; Patients; Perioperative care; Physiological aspects; Physiological effects; Physiological stress; Physiology; Psychological stress; Recovery; Retrospective Studies; Risk events; Risk Factors; Safety and security measures; Stent (Surgery); Stents; Stress (Physiology); Stress (Psychology); Stress response; Stress, Physiological; Stress, Psychological; Surgery; Surgical implants; Surgical outcomes; China; Risk events; Coronary stent implantation; Multiple protection model in the operating room; Physiological stress
• ISSN: 1475-925X; 1475-925X
• DOI: 10.1186/s12938-024-01283-3

To analyze the impact of multiple protection model in the operating room on patients' physiological stress and risk events after coronary artery stent implantation (CASI). During October 2021 to October 2022, 150 patients with coronary heart disease (CHD) were picked as the research subjects, all of whom underwent CASI. The clinical data were retrospectively analyzed, and the patients were divided into two groups according to different nursing methods, with 75 cases in each group. Patients in the intervention group received multiple protection model intervention in the operating room, and the patients in the control group adopted conventional care model. The patient satisfaction with nursing, postoperative recovery, psychological stress scores, physiological stress indicators, and adverse cardiac risk events were recorded. Patients in the intervention group had much higher percentage of the patient satisfaction with nursing than those in the control group (P < 0.05). The time to get out of bed and hospital stay was significantly shorter and the 6-min walking distance was markedly longer in the intervention group than the control (P < 0.05). The Hamilton Anxiety (HAMA) scale and Hamilton Depression (HAMD) scale score of patients in two groups were sharply decreased after the intervention (P < 0.05), which were strongly lower in the intervention group than the control (P < 0.001). After the intervention, the heart rate, cortisol and epinephrine of patients were all sensibly elevated in two groups (P < 0.05), which were all memorably lower in the intervention group than the control (P < 0.001). The incidence of adverse cardiac risk events in the intervention group was 5.33%, which was dramatically lower than 16.00% in the control group (P < 0.05). The application of multiple protection model in the operating room on patients undergoing coronary stent implantation promoted postoperative recovery, reduced patients' psychological and physiological stress, maintained blood pressure and other vital signs, reduced the incidence of adverse cardiac risk events, and improved the patient satisfaction with nursing.