Discussion
Anxiety, anxiety, depression, acute coronary syndrome, defecation difficulties, intraoperative vomiting or defecation
ADVERSE EVENTS, ADVERSE EVENT, PRESSURE SORE, ACUTE CORONARY SYNDROME
At present, there is no unified standard and consensus on the nursing care process before and after PCI procedures in China, and various medical units have discussed the nursing care methods for patients undergoing PCI procedures from different nursing perspectives [This study showed that the nurses in the intervention group spent significantly less time on preoperative nursing care than those in the control group.The nurses in the intervention groupused a preoperative nursing care checklist and completed the checklist item by item to ensure the continuity of nursing care. Despite interruptions in some special cases, the overall time spent on preoperative nursing care was significantly reduced; thus, nurses could be more consistent in providing care and could devote the time saved to other nursing tasks.Adverse events related to nursing care in patients with CTO before and after surgery were mainly caused by poor instructions and work omissions by nurses. In this study, both groups of patients had a high incidence of preoperative adverse events, which could indirectly lead to corresponding intraoperative and postoperative adverse events. The rates of various adverse events in the intervention groupbefore, during, and after surgery were significantly lower than those in the control group, and none of the patients in theintervention group experienced intraoperative vomiting or defecation, nor did they have any skin problems related to defecation difficulties or pressure sores after surgery, indicating that the adoption of the checklist-based nursing care process resulted in more adequate preoperative preparation and ensured that the nurses did not miss patient care tasks. Moreover, the adoption of the checklist-based nursing care process helped reduce the incidence of nursing-related adverse events in CTO surgery.Anxiety is common in patients undergoing PCI, and several factors can increase the risk of depression in patients [This study also showed that the patients in both groups had different anxiety levels before surgery and that their anxiety scores decreased after surgery. However, compared with the scores of the control group, the scores of the intervention group decreased more significantly. This finding indicates that after the application of the checklist-based nursing care process, the nurses provided holistic preoperative and postoperative nursing care to patients, the nursing care was more consistent, the preoperative preparation was adequate without omission, the education content was complete, and the postoperative health education and psychological nursing care for patients played a certain role in alleviating anxiety.Relevant reports proposed that the whole seamless link nursing intervention can shorten the time of regional collaborative treatment for patients of acute coronary syndrome, improve the prognosis, reduce the economic burden of patients, and improve the efficiency of acute coronary syndrome treatment [Clinicians are the closest and most important partners of nurses, and the evaluation of nursing work by doctors has a strong reference, which is of great significance to improve nursing services, enhance nursing quality, and promote hospital development [