NURSING INTERVENTIONS FOR CLIENTS WITH ACUTE MYOCARDIAL INFARCTION AFTER PCI

Abstract

Contextualization: During 2019 there were 4 275 deaths due to AMI, having decreased by 7.5% compared to 2018 (INE, 2021). Angioplasty has reduced the morbidity and mortality of this pathology; however it is not risks free. With this literature review, we intend to identify the nursing interventions for patients with postangioplasty AMI in the ICU, focusing on the prevention and treatment of possible complications, on training the patient for self-care; Goal: To identify nursing interventions for patients suffering from AMI after angioplasty in the ICU; Methodology: This narrative literature review was prepared; the survey took place through CINAHL Complete and MEDLINE Complete. The time limit concerns 2016 and 2021, including articles written in Portuguese, English and Spanish. We used gray literature to supplement information; Results: The research resulted in 16 articles, related to nursing interventions for patients suffering from AMI after angioplasty. These interventions include hemodynamic monitoring, prevention of complications, including hemorrhage, hematoma, pain control, anxiety management and teaching to increase health literacy; Final considerations: Through the critical analysis of the literature with clinical practice in the internship, it was possible to infer that the nurse is the intervener in a continuum of care, ranging from the reception, to the intra and post-procedure period, to the clarifications at discharge and the post-discharge follow-up. They determine a set of important interventions that can be divided into 4 central groups of actions with health gains, which are, Prevention of complications and organization of nursing care, Patient satisfaction, Promotion of health, well-being and self-care and functional readaptation.