Estado de saúde e saúde mental de pacientes após intervenção coronária percutânea

Mechanisms to facilitate rapid ambulance transport of diagnosed STEMI patients from the community and emergency departments (ED) settings directly to primary percutaneous coronary intervention (PPCI) facilities are well established within NHS Ambulance Services. Direct challenge of inter-hospital transfer requests for non-emergency percutaneous coronary intervention (PCI) patients by a regional NHS Ambulance Service identified disagreement between peripheral feeder hospitals and the NHS Ambulance Service on what level of ambulance transport is most appropriate. To reduce unnecessary peripheral feeder hospital requests for paramedic emergency service transfer and resource utilisation in non-emergency PCI patients and to assess the clinical safety of both non-emergency transport and multi-occupancy conveyance for this patient group. A process was established with a regional cardiothoracic centre to support pre-screening of non-emergency PCI patients for conveyance via non-emergency ambulance resources and multi-occupancy. This included centralisation of all non-emergency PCI ambulance transport booking practices and dissemination of learning materials on the process to all stakeholders. During the three-year period 3172 patients were identified as suitable for conveyance by both non-emergency ambulance transports. Of this, 36% (n=1767) were conveyed as part of a multi-occupancy journey and 56% (n=782) were conveyed by non-emergency resources. Overall, 69% (n=782) of all multi-occupancy conveyances were undertaken by non-emergency resources. Two clinical incidents were noted during this period, both of which were managed via clinical telephone advice. Non-emergency ambulances can be safely used to transport non-emergency PCI patients via multi-occupancy, following appropriate pre-screening by the receiving PCI unit. Further work is needed to understand the feasibility of this across other patient groups in the inter-hospital transfer scenario and its transferability to other NHS Ambulance Services.

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Stay on the ambulance long enough and you'll go full circle: an evaluation of the clinical safety and effectiveness of non-emergency and multi-occupancy ambulance conveyance in non-emergency percutaneous coronary intervention patients

Scholes

Tunn

Newton

et al. 2016

Journal of Paramedic Practice

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Association between Illness Perception and Anxiety Undergoing Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome: A Pilot Study

Achmad

Setiyarini²,

Sutono³

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Patients’ illness perceptions are thought to be associated with anxiety undergoing percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS). AIM: This study aimed to determine the association between illness perception and anxiety undergoing PCI in patients with ACS. METHODS: This study used a cross-sectional design and enrolled 50 hospitalized patients with ACS who underwent elective PCI between December 2019 and March 2020. The study instruments were the Brief-Illness Perception Questionnaire to evaluate illness perception and the Zung Self-Rating Anxiety Scale to evaluate patients’ anxiety. Statistical analysis was performed using the Pearson correlation test with significance set as p < 0.05. RESULTS: This study showed that 56% of respondents had positive perceptions toward their disease. The majority of respondents (94%) also indicated a low level of anxiety undergoing PCI. The Pearson correlation test results revealed a significant association between illness perception and the level of anxiety undergoing PCI in patients with ACS (p = 0.043; r = 0.287). CONCLUSION: There is a significant association between illness perception and anxiety undergoing PCI in patients with ACS. The positive perceptions led to lower patients’ anxiety, and vice versa.

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Estado de saúde e saúde mental de pacientes após intervenção coronária percutânea

Abstract: Participants with no anxiety and depression presented better-perceived health status in comparison with those with anxiety or depression, or both.

Cited by 2 publications

References 15 publications

Stay on the ambulance long enough and you'll go full circle: an evaluation of the clinical safety and effectiveness of non-emergency and multi-occupancy ambulance conveyance in non-emergency percutaneous coronary intervention patients

Stay on the ambulance long enough and you'll go full circle: an evaluation of the clinical safety and effectiveness of non-emergency and multi-occupancy ambulance conveyance in non-emergency percutaneous coronary intervention patients

Association between Illness Perception and Anxiety Undergoing Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome: A Pilot Study

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