Evaluation of the Effect of Using the Quality Control Circle Model to Improve Time Point Attainment in Patients with Acute ST-segment Elevation Myocardial Infarction
Objective:To explore the use of quality control circle model to improve the effect of time node attainment in patients with acute ST-segment elevation myocardial infarction(STEMI),and to provide a basis for clinical emergency treatment.Methods:66 cases of STEMI patients who underwent percutaneous coronary intervention(PCI)admitted to the hospital from January 2018 to June 2020 were selected as the study subjects,and they were divided into the control group and the study group according to the time before and after the implementation of QC management,with 33 cases in each group.The control group was treated with conventional therapy,and the study group implemented the QC circle model of intervention on the basis of conventional therapy.The time and node distribution of emergency care(door-to-cardiogram completion time,troponin acquisition time,door-to-dual-antibody administration time,and resuscitation room stay time),door-to-balloon dilatation(D-to-B)time and attainment rate,nursing care satisfaction,and overall quality scores of the QC circle members were compared between the two groups.Results:The time of troponin acquisition,the time from entry to dual-antibody administration,and the time of stay in the resuscitation room of the patients in the study group were significantly shorter than that of the control group,and the difference was statistically significant(t=14.318,2.284,3.372;P＜0.05).The D-to-B time of patients in the study group was significantly shorter than that of the control group,and the rate of D-to-B time attainment was significantly higher than that of the control group,with a statistically significant difference(t=2.836,χ2=31.630,P＜0.05).Patient care satisfaction in the study group was 96.97%,which was significantly higher than 87.88%in the control group,and the difference was statistically significant(χ2=3.642,P＜0.05).After the implementation of the QC circle model,the scores of the dimensions in the comprehensive quality rating scale of the medical and nursing members in the study group were significantly higher than those before the implementation,and the difference was statistically significant(t=6.582,4.825,2.414,2.869,3.240;P＜0.05).Conclusion:The use of QC circle model management for intervention can greatly shorten the D-to-B time of STEMI patients,win more resuscitation time for emergency patients,and then improve nursing satisfaction and the comprehensive quality of QC circle members.
NETL
NSTL
万方数据
维普
