Young Lynne E, Murray Jackie
University of Victoria School of Nursing, HSD A422, PO Box 1700 STN CSC, Victoria, BC V8W 2Y2.
Can J Cardiovasc Nurs. 2011;21(1):20-30.
Many patients experiencing ST segment elevation myocardial infarction (STEMI) are currently treated with primary percutaneous intervention (PCI). This relatively new procedure has reduced the time patients with the diagnosis of STEMI spend in hospital. In this literature review we explore patients' perceptions of their experience of receiving primary percutaneous intervention (PCI) as a treatment for STEMI. We critiqued and graded for relevance 10 papers that included original research and other sources. Key findings indicate that there is considerable variability in how patients treated for STEMI perceive the experience of PCI. Further, there is a misalignment between some patients' perceptions and health professionals' perceptions of this experience related to the event as well as the language used to speak of it. Thus, we recommend that nurses assess patients' perception of the experience and patients' health literacy level, then tailor the content and language of patient and family education to ensure an effective educative intervention.
许多经历ST段抬高型心肌梗死（STEMI）的患者目前接受的是直接经皮冠状动脉介入治疗（PCI）。这种相对较新的治疗方法缩短了STEMI确诊患者的住院时间。在这篇文献综述中，我们探讨了患者对接受直接经皮冠状动脉介入治疗（PCI）作为STEMI治疗方法的体验的看法。我们对10篇包含原创研究和其他资料来源的论文进行了相关性评估和分级。主要研究结果表明，接受STEMI治疗的患者对PCI体验的认知存在很大差异。此外，一些患者对这一体验的认知与医护人员的认知之间，在与该事件相关的方面以及谈论此事所使用的语言上存在偏差。因此，我们建议护士评估患者对该体验的认知以及患者的健康素养水平，然后调整针对患者及其家属的教育内容和语言，以确保进行有效的教育干预。
