1- Tehran University of Medical Sciences, School of Nursing & Midwifery،Mirkhani ST,tEHRAN , msh.sherafati@gmail.com 2- Tehran University of Medical Sciences, School of Nursing & Midwifery،Mirkhani ST,tEHRAN
Abstract: (13 Views)
Summary Background and aim: Acute myocardial infarction is the most severe type of coronary artery disease that occurs due to the blockage of the coronary arteries of the heart. Considering the priority of treating STEMI patients with Primary PCI procedure, this study examines the role of nurses in managing the treatment of STEMI and Primary PCI patients. Methodology: In this review study, literature search in English with the keywords Primary PCI, Nursing Process, CAD, STEMI, through the electronic databases Google Scholar, Scopus, Cochrane library, PubMed, and with Farsi keywords, emergency angioplasty, Nursing care in acute myocardial infarction was searched in the internal databases of Irandoc, MagiranSID, from 2018 to 2024. In total, out of 120 retrieved articles, 21 were reviewed and analyzed. Findings: ST segment elevation acute myocardial infarction (STEMI) is one of the critical and acute manifestations of CVD. The main treatment of the disease is reestablishing myocardial perfusion with percutaneous coronary intervention or thrombolytic therapy, and coronary angioplasty (PCI) is the preferred method of reperfusion. In line with the successful implementation of the treatment protocol, the cooperation of the medical staff is necessary and the empowerment of nurses regarding emergency nursing and triage of cardiac patients, nursing care before, during and after PCI, the correct implementation of the treatment protocol, prevention of complications, and also the training of patients in the field Self-care methods and lifestyle modification, secondary prevention and medication adherence are important. Conclusion: Nursing measures are very important in managing the treatment of patients with MI and reducing complications and mortality, and the knowledge and practice of nurses should be updated to improve the quality of nursing care and increase patient safety.