Nursing Care of ST-Segment Elevation Myocardial Infarction Patients for Smoking Cessation: Case Study

Abstract

This study examines the progression, nursing aspects, and outcomes of acute ST-segment elevation myocardial infarction (STEMI) in two patients at Fahsai Clinic Outpatient Department, Khon Kaen Hospital, from January to August 2023, with a focus on smoking cessation. Utilizing medical records, patient follow-up, and multidisciplinary expert input, the study employs the Gordon Health Model framework. The results found that: Patient 1, a smoker for 30 years (30 cigarettes/day), with acute ST-segment elevation myocardial infarction (STEMI) who was treated with coronary angioplasty and insert a heart stent. The patient and family have knowledge and understanding of the disease and treatment received and how to prevent coronary artery disease from coming back. In contrast, Patient 2, a 29-year smoker (20-30 cigarettes/day), with the same disease. The treatment results are good, but the patient cannot quit smoking. The patient and family have knowledge and understanding of the disease and treatment received and, but quitting smoking is not successful due to the patient's high stress and demand for cigarettes. This is a challenge for nurses who should be able to assess patients physically, mentally, spiritually, and socially to find a motive to plan supervise and give advice by changing behavior and follow up with patients to successfully quit smoking. The family is involved in evaluating and providing encouragement for the patient for a better lives. Recommendations from this study: It should be used to develop nursing standards for cardiovascular disease patients in quitting smoking.