Application of Critical Control Point rescue mode in the treatment of patients with acute myocardial infarction
10.3760/cma.j.issn.1671-0282.2024.08.015
- VernacularTitle:关键节点控制救护模式在急性心肌梗死患者救治中的应用
- Author:
Jinjin GUO
1
;
Lijie QIN
;
Shuting ZANG
;
Juan ZHANG
;
Dong CAO
Author Information
1. 河南省人民医院急诊医学科，郑州 450003
- Keywords:
Acute myocardial infarction;
Percutaneous coronary intervention;
Critical Control Point;
Rescue mode;
healthcare failure mode and effect analysis
- From:
Chinese Journal of Emergency Medicine
2024;33(8):1166-1171
- CountryChina
- Language:Chinese
-
Abstract:
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.
