Comprehensive nursing intervention for fatigue in a patient undergoing maintenance hemodialysis after percutaneous coronary intervention

This report presents the case of a 60-year-old woman who had stage 5 chronic kidney disease, had undergone a percutaneous coronary intervention (PCI), and was treated for 20 days using integrated traditional Chinese and Western medicine (TCM/WM) nursing because of fatigue. The TCM nursing interventions used were TCM foot baths, acupoint massage, moxibustion, and phased diet adjustment; and the WM interventions were fluid management and pharmacotherapy. After the intervention, the patient’s fatigue rating on a Visual Analog Scale decreased from 8 to 4, her blood pressure had stabilized at 110–120/60–70 mmHg, and her hemoglobin and thyroid function had improved. In addition, improvements in her tongue coating and pulse were maintained 2 weeks later. Thus, integrated TCM/WM nursing may relieve post-PCI fatigue in patients.