ORIGINAL RESEARCH article
Front. Physiol.
Sec. Vascular Physiology
Volume 16 - 2025 | doi: 10.3389/fphys.2025.1597416
Impact of evidence-based nursing interventions on psychological status and myocardial injury in patients with myocardial infarction following percutaneous coronary intervention for reperfusion injury
Provisionally accepted- West China Fourth Hospital of Sichuan University, Chengdu, China
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Objective: Percutaneous coronary intervention for myocardial infarction can cause reperfusion injury with both physical and psychological impacts on patients. This study aims to assess how evidence-based nursing affects psychological state and myocardial injury in reperfusion injury in patients with myocardial infarction following percutaneous coronary intervention.Method: Ninety patients with myocardial infarction who underwent percutaneous coronary intervention and were confirmed to have postoperative reperfusion injury were randomly divided into a control group that received conventional care or an intervention group that received evidence-based nursing intervention. The levels of cardiac function indicators (left ventricular ejection fraction and left ventricular end-diastolic diameter), myocardial injury markers (N-terminal pro-b-type natriuretic peptide and cardiac troponin I), psychological status (Self-Rating Anxiety Scale and Self-Rating Depression Scale scores), the incidence of complications, mortality rate, and satisfaction with nursing care were compared before and after the intervention.Results: Compared to pre-intervention, after the intervention, both groups showed reductions in left ventricular end-diastolic diameter, N-terminal pro-b-type natriuretic peptide, cardiac troponin I levels, Self-Rating Anxiety Scale and Self-Rating Depression Scale scores, with an increase in left ventricular ejection fraction. The intervention group demonstrated superior outcomes in all these metrics compared to the control group, with lower rates of complications and mortality, and higher satisfaction levels.Conclusion: Implementing evidence-based nursing in patients with myocardial infarction undergoing percutaneous coronary intervention for reperfusion injury can improve cardiac function, alleviate myocardial injury and psychological status, reduce the incidence of complications, and enhance patient satisfaction.
Keywords: Evidence-Based Nursing, Myocardial Infarction, Percutaneous Coronary Intervention, Reperfusion Injury, Myocardial injury, Psychological status
Received: 21 Mar 2025; Accepted: 20 Jun 2025.
Copyright: © 2025 Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Xi Chen, West China Fourth Hospital of Sichuan University, Chengdu, China
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