Application of Critical Control Point rescue mode in the treatment of patients with acute myocardial infarction
Objective To explore the application effect of key node advanced nursing mode in the treatment of patients with acute myocardial infarction.Methods In October 2020,the hospital established a Critical Control Point rescue mode management team.122 patients with acute myocardial infarction admitted to emergency department of the hospital were enrolled as the objects between October 2020 and October 2021.The healthcare failure mode and effect analysis model was applied to analyze the shortcomings of emergency process,so as to construct critical control point rescue mode in the treatment of patients with acute myocardial infarction and apply it to the clinic in November 2021.After clinical application,emergency nursing and cardiac function recovery were compared between the two groups.The mortality rate within 30 d after surgery and occurrence of complications during hospitalization were recorded.Results The first medical contact to balloon time dropped from(81.9±6.54)min to(56.2±4.23)min.The time from first medical contact to diagnosis of acute myocardial infarction dropped from(47.3±5.68)min to(30.69±5.21)min,the door-balloon dilation time dropped from(49.79±13.84)min to(28.63±15.71)min,producing results time of myocardial injury markers dropped from(28.38±3.79)min to(19.26±2.17)min,reporting time of electrocardiogram dropped from(5.82±2.01)min to(5.14±1.89)min,and hospitalization time dropped from(7.25±2.18)min to(6.14±1.27)min,and the differences were statistically significant(P＜0.05).After treatment,left ventricular ejection fraction in observation group was higher than that in control group,left ventricular end-diastolic diameter and cardiac troponin were lower than those in control group(P＜0.05).The incidence of hypotension and malignant arrhythmia in observation group was lower than that in control group(P＜0.05).Conclusions The critical control point rescue mode can shorten treatment time and hospitalization time in acute myocardial infarction patients,improve cardiac function,and reduce the risk of complications during hospitalization.
Acute myocardial infarctionPercutaneous coronary interventionCritical Control PointRescue modehealthcare failure mode and effect analysis
NETL
NSTL
万方数据
