Ahmed, S., Helmy, H., Abdel-Aziz., M. (2014). Effect of phase one cardiac rehabilitation on occurrence of early complications Among acute myocardial infarction patients with st segment-elevation. Assiut Scientific Nursing Journal, 2(4.0), 119-135. doi: 10.21608/asnj.2014.148910
Safaa Mahmoud Ahmed; Hatem Abdel Rahman Helmy; Mervat Anwar Abdel-Aziz.. "Effect of phase one cardiac rehabilitation on occurrence of early complications Among acute myocardial infarction patients with st segment-elevation". Assiut Scientific Nursing Journal, 2, 4.0, 2014, 119-135. doi: 10.21608/asnj.2014.148910
Ahmed, S., Helmy, H., Abdel-Aziz., M. (2014). 'Effect of phase one cardiac rehabilitation on occurrence of early complications Among acute myocardial infarction patients with st segment-elevation', Assiut Scientific Nursing Journal, 2(4.0), pp. 119-135. doi: 10.21608/asnj.2014.148910
Ahmed, S., Helmy, H., Abdel-Aziz., M. Effect of phase one cardiac rehabilitation on occurrence of early complications Among acute myocardial infarction patients with st segment-elevation. Assiut Scientific Nursing Journal, 2014; 2(4.0): 119-135. doi: 10.21608/asnj.2014.148910
Effect of phase one cardiac rehabilitation on occurrence of early complications Among acute myocardial infarction patients with st segment-elevation
1A professional Nurse in coronary care unit, Assuit University Hospital Egypt.
2Assistant professor in cardiovascular medicine, Faculty of Medicine, Assuit University, Egypt.
3Lecturer in Critical Care Nursing, Faculty of Nursing, Assiut University, Egypt.
Abstract
Abstract Phase one cardiac rehabilitation is important for patients with acute myocardial infarction .Critical care nurses play an important role on relieving pain, improving respiratory distress , maintaining adequate tissue perfusion by decreasing the heart work load, and early recognition of complications. Aim: to evaluate the effect of phase one cardiac rehabilitation on occurrence of early complications among acute myocardial infarction patients with ST segment- elevation. Patient and methods. Design: a quasi-experimental research design is used in this study. Setting: this study is conducted in the coronary care unit, Assiut University Hospital. Sample: a convenience sample of 60 patients (control and study) 30 each .Tools: Three tools are used for data collection. I –Acute myocardial infarction patient assessment, II- modified Borg's rating perceived exertion Scale , III -Hospital anxiety and depression scale . Methods: training the patient up to a heart rate of 120 beats / minute or peak heart rate, guided by symptoms of chest pain and dyspnea (Borg’s rating of perceived exertion < 10 ) for the study group were performed for 5-days during phase one cardiac rehabilitation, Hospital anxiety and depression scale was applied tool for both groups. Results: findings of the present study show significant difference recurrence of chest pain was between both groups in 4th day .Also the duration of chest pain per hr in the 2 nd day & 3 rd day between both groups indicates highly statistical significant difference ( p < 0.05) ,and improve Heart rate, respiratory rate & decrease anxiety from 3 rd to 5 th day in the study group than control group, also shows Borg's (RPE) scale shows highly significant increased in study group during exercise from admission to 5th day. Conclusion: phase one cardiac rehabilitation is associated with significant improvement of the study group versus control group regarding for dyspnea, heart rate, chest pain, anxiety and depression.
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