Research Progress in Perioperative Nursing for Preventing Gastrointestinal Bleeding Post-Coronary Intervention in Diabetic Patients with Coronary Heart Disease

Q: What is the clinical evidence from this study?

Study design: Review. Population: Diabetes mellitus combined with coronary heart disease undergoing percutaneous coronary intervention (PCI). Intervention: Perioperative nursing care and preventive strategies. Primary outcome: Post-PCI gastrointestinal bleeding.

冬青 许

doi:10.12677/acm.2026.16103486

January 1, 2026Advances in Clinical Medicine

Research Progress in Perioperative Nursing for Preventing Gastrointestinal Bleeding Post-Coronary Intervention in Diabetic Patients with Coronary Heart Disease

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Key result

Structured perioperative nursing targets post-PCI gastrointestinal bleeding rates of ~0.4% to 3.3% in diabetes.

Why the study?

Does systematic perioperative nursing care prevent postoperative gastrointestinal bleeding in diabetic patients with coronary heart disease undergoing percutaneous coronary intervention?

Key Points

To review the risk factors, perioperative nursing prevention strategies, emergency management, and future prospects regarding gastrointestinal bleeding in diabetic patients undergoing percutaneous coronary intervention.
Narrative review summarizing clinical literature and nursing protocols regarding risk factors, perioperative monitoring, and emergency intervention for gastrointestinal bleeding in patients with comorbid diabetes and coronary heart disease undergoing percutaneous coronary intervention.
Literature indicates gastrointestinal bleeding occurs in 0.4% to 3.3% of patients following percutaneous coronary intervention, with the peak incidence occurring 24 h to 48 h postoperatively.
Key risk factors include dual antiplatelet therapy, glycoprotein IIb/IIIa receptor antagonist use, unmonitored heparin anticoagulation, procedural hemodynamic hypoperfusion, and microvascular lesions driven by persistent hyperglycemia.
Critical warning indicators include platelet counts below 20 × 109 L−1, activated partial thromboplastin time exceeding 180 s, and positive fecal occult blood tests, necessitating immediate antithrombotic cessation and fluid resuscitation.

Structured PICO

Does systematic perioperative nursing care prevent postoperative gastrointestinal bleeding in diabetic patients with coronary heart disease undergoing percutaneous coronary intervention?

P

Population

Narrative review examining patients with diabetes mellitus and coronary heart disease undergoing percutaneous coronary intervention who are at high risk for postoperative gastrointestinal bleeding.

I

Intervention

Perioperative preventive and emergency nursing care (including preoperative bleeding risk screening via CRUSADE score, proton pump inhibitor administration, intraoperative hemodynamic maintenance, heparin/ACT monitoring, contrast hydration, glycoprotein IIb/IIIa receptor antagonist monitoring, anti-stress nursing, and postoperative early warning, glycemic-cardiac management, and individualized diet/activity care)

O

Outcome

Postoperative gastrointestinal bleedingsafety

This narrative review synthesizes the risk factors and outlines a comprehensive perioperative nursing framework to prevent and manage gastrointestinal bleeding following percutaneous coronary intervention in high-risk patients with comorbid diabetes and coronary heart disease.

Limitations

Lack of a diabetes-specific perioperative bleeding risk assessment tool that incorporates HbA1c and diabetes duration
Intraoperative nursing practices in the catheterization laboratory rely heavily on individual experience rather than standardized protocols
Insufficient standardized training and assessment of nursing staff regarding bleeding risk management
Lack of dedicated perioperative bleeding risk assessment tools specifically for diabetic patients (existing tools like CRUSADE and ARC-HBR do not include HbA1c or diabetes duration)
Intraoperative nursing practices in the catheterization laboratory (such as bleeding observation, ACT feedback, warming, and hydration) rely heavily on personal experience and lack standardized protocols
Insufficient standardized training and assessment on bleeding risk for nursing staff, restricting the homogenization of nursing quality

Implication

Supports perioperative nursing frameworks in diabetic PCI; leaves open randomized confirmation of bleeding prevention.

Abstract

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Discussion

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Cite This Study

冬青许 (2026) conducted a review in Diabetes mellitus combined with coronary heart disease undergoing percutaneous coronary intervention (PCI). Perioperative nursing care and preventive strategies was evaluated on Post-PCI gastrointestinal bleeding. Perioperative nursing care for diabetic PCI patients targets a 0.4%-3.3% gastrointestinal bleeding incidence through CRUSADE screening, ACT monitoring, and 24-48h postoperative surveillance.

synapsesocial.com/papers/6ae231f26d9a4448d81ca735 https://doi.org/10.12677/acm.2026.16103486

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Research Progress in Perioperative Nursing for Preventing Gastrointestinal Bleeding Post-Coronary Intervention in Diabetic Patients with Coronary Heart Disease

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Research Progress in Perioperative Nursing for Preventing Gastrointestinal Bleeding Post-Coronary Intervention in Diabetic Patients with Coronary Heart Disease

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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