Difference in Treatment Outcome according to Oxygen Supply Time in Patients with Myocardial Infarction
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Purpose: The purpose of this study was to compare the effects of oxygen therapy on cardiac status and therapeutic outcomes after percutaneous coronary intervention (PCI) and to reduce unnecessary oxygen supply. Our intervention focused on reducing the six hours of oxygen therapy that was previously available to two hours. Method: A non-equivalent control group non-synchronized design was used. After IRB approval, we started experimental study. Total 42 patients participated in this study, 12 in the experimental group and 30 in the con-trol group. The experimental group received oxygen for 2 hours and the control group was compared to the experimental group by chart review of patients who maintained oxygen for 6 hours. We measured Ejection Fraction (EF) by Echo-cardiogram and Myocardial Condition by Myocardium SPECT. We also checked hospital days by reviewing medical chart. For the analysis, descriptive statistics, X2 test, and t-test were used for statistical analysis with SPSS 23.0 program. Results: The test in Myocardium SPECT showed no significant difference in Myocardial condition between the experimental group and the control group. Especially, ‘stress defect’ among the test items was significantly lower in the experimental group than in the control group (t=2.118, p=.040). In addition, there was no significant dif-ference in the hospital day in the experimental group and the control group(t=-0.341, p=.735). Conclusion: Therefore, it is recommend to maintain oxygen therapy for 2 hours reduced and compared previ-ous oxygen therapy protocol.
Abstract
Purpose: The purpose of this study was to compare the effects of oxygen therapy on cardiac status and therapeutic outcomes after percutaneous coronary intervention (PCI) and to reduce unnecessary oxygen supply. Our intervention focused on reducing the six hours of oxygen therapy that was previously available to two hours. Method: A non-equivalent control group non-synchronized design was used. After IRB approval, we started experimental study. Total 42 patients participated in this study, 12 in the experimental group and 30 in the con-trol group. The experimental group received oxygen for 2 hours and the control group was compared to the experimental group by chart review of patients who maintained oxygen for 6 hours. We measured Ejection Fraction (EF) by Echo-cardiogram and Myocardial Condition by Myocardium SPECT. We also checked hospital days by reviewing medical chart. For the analysis, descriptive statistics, X2 test, and t-test were used for statistical analysis with SPSS 23.0 program. Results: The test in Myocardium SPECT showed no significant difference in Myocardial condition between the experimental group and the control group. Especially, ‘stress defect’ among the test items was significantly lower in the experimental group than in the control group (t=2.118, p=.040). In addition, there was no significant dif-ference in the hospital day in the experimental group and the control group(t=-0.341, p=.735). Conclusion: Therefore, it is recommend to maintain oxygen therapy for 2 hours reduced and compared previ-ous oxygen therapy protocol.
참고문헌 (21)
- National Statistical Office, "Cause of Death in 2020", ~ (2021)
- 이경심, "관상동맥중재술을 받은 중노년 남성의 건강행위이행에 영향을 미치는 요인", 재활간호학회지, 22(2), pp.87~94 (2019), 한국재활간호학회[DOI]
- 강경원, "Six sigma 활동이 STEMI 환자에서 경피적 관상동맥술을 이용한 재 관류 요법을 실 시하는 시간에 미치는 영향", 대한응급의학회지, 21(4), pp.429~436 (2010), 대한응급의학회
- The Korean Society of Cardiology, "Recommendation for Standard Treatment of Coronary Intervention", ~ (2013)
- Smith S, "ACC", AHA Guidelines of Percutaneous Coronary Interventions (Revision of the 1993 PTCS Guidelines) Executive Summary. A Report of the American College of Cardiology, Journal of the American College of Cardiology, pp.2001, 37(8)[DOI]
- Park J, "The Effects of the Slow Stroke Back Massage on Discomfort in Patients Following Percutaneous Transluminal Coronary Angioplasty", Clinical Nursing Research, 45(3), pp.162~171 (2004)
- Shin Hye-sun, "Needs Analysis for Adult Learners at Technical Colleges for the Improvement of Lifelong Education Center Programs in KOREA: with Priority given to Needs, Importance, Requests for Improvement and Requests for Supplementation Includes SAFETY", International Journal of Crisis & Safety, 4(1), pp.37~47 (2019), J-INSTITUTE
- 이명인, "Influencing Factors on Knowledge Attitude and Performance of CPR of Faculty and Staff", International Journal of Crisis & Safety, 6(4), pp.50~63 (2021), J-INSTITUTE
- 이나희, "병원간호사가 지각한 산소요법 간호수행에 관한 연구", 석사, 노인및치매간호전공, pp.2014
- Kang Ki-noh, "Development of ICT-Based Simulation Scenarios against the CRISIS of Dyspnea Patients", International Journal of Crisis & Safety, 4(1), pp.28~36 (2019), J-INSTITUTE
- Akbar F, "Oxygen Therapy in Hospitalized Patients: The Impact of Local Guidelines", Journal of Evaluation in Clinical Practice, 12(1), pp.31~36 (2006)
- Nordberg J, "Reactive Oxygen Species, Antioxidants, and the Mammalian Thioredoxin System", Free Radical Biology Medicine, 31(11), pp.1287~1312 (2001)
- Antman EM, "ACC", AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction-Executive Summary : A Report of the American College of Cardiology, Journal of the American College of Cardiology, pp.2004, 44(3)[DOI]
- Kones R, "Oxygen Therapy for Acute Myocardial Infarction -Then and Now. A Century of Uncertainty", The American Journal of Medicine, 124(11), pp.1000~1005 (2011)
- Rawles J, "Controlled Trial of Oxygen in Uncomplicated Myocardial Infarction", British Medicine Journal, 1, pp.1121~1123 (1976)
- Stub D, "A Randomized Controlled Trial of Oxygen Therapy in Acute Myocardial Infarction Air Verses Oxygen in Myocardial Infarction Study(AVOID Study)", American Heart Journal, 163(3), pp.339~345 (2012)
- Cabello JB, "Oxygen Therapy for Acute Myocardial Infarction", Cochrane Database of Systematic Reviews, 12, pp.n7160~ (2016)
- Borja I, "2017 Esc Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation : The Task Force for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation of the European Society of Cardiology(ESC)", European Heart Journal, 39(2), pp.119~177 (2017)
- Xuefeng Bai, "A Scientometrics Research on Physical Activity and Health RISKS of the Elderly", International Journal of Crisis & Safety, 6(2), pp.46~55 (2021), J-INSTITUTE
- Campbell E, "Subjective Effects of Humidification of Oxygen for Delivery by Nasal Cannula : A Prospective Study", Chest, 93(2), pp.289~293 (1988)
- Kim Won-jeong, "Impact of Oral Care Protocol on the Oral SAFETY & Nutritional Status of Lung-Cancer Patients under Anticancer Chemotherapy", International Journal of Crisis & Safety, 4(1), pp.19~27 (2019), J-INSTITUTE