การพยาบาลผู้ป่วยโรคกล้ามเนื้อหัวใจตายเฉียบพลันชนิด STEMI ที่ได้รับการขยายหลอดเลือดหัวใจด้วยบอลลูน และใส่ขดลวดค้ำยันแบบฉุกเฉิน

Abstract

          ST elevation myocardial infarction (STEMI) is perceived in general as male-specific disease, resulting in women especially young women to have a chance of being misdiagnosed and risk of sudden death. Nurses have important role of care because they are the first who meet the patients. If they have skills and ability of getting patients’ information, evaluating medical conditions and correctly interpreting electrocardiogram, and then quickly report to clinicians, they can help the patients to be early diagnosed and correctly treated on time. This case report demonstrates nursing management of a female patient with STEMI who underwent primary percutaneous coronary intervention. At the first period, nurses had to relieve patient’s chest pain by rapid coronary dilatation and reduce her fear and anxiety. In the continuing period, nurses had to monitor the patient to prevent any complications. At discharge, nurses played an important role as educator to raise awareness of self-care, encourage patients to cardiac rehabilitation, including search and modify risk factors to prevent disease recurrence and re-stenosis. The gender perspective indicated that the two main issues of interest; first, sex and age of the patients were not matched by previous knowledge. Second, the patient had delayed treatment-seeking behavior despite obvious symptoms and had been misdiagnosed in the early stages. The gender sensitive care needed to be developed to suit women and to help them access gender equality and equity services.