Effect of QCC activity management on emergency PCI time,cardiac function and prognosis in AMI pa-tients
10.3969/j.issn.1008-0074.2024.03.05
- VernacularTitle:QCC活动管理对AMI患者行急诊PCI手术时间、心功能和预后的影响
- Author:
Na WANG
1
;
Chun-Yun BIAN
;
Xin-Ke ZHANG
Author Information
1. 河北北方学院附属第一医院冠心病重症加强病房,河北张家口 075000
- Keywords:
Myocardial infarction;
Angioplasty,balloon,coronary;
Nursing care
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(3):280-284
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of quality control circle(QCC)activity management on operation time,cardiac function and prognosis in patients with acute myocardial infarction(AMI)undergoing percutaneous coronary intervention(PCI).Methods:A total of 148 AMI patients who admitted to the emergency department of our hospital and underwent PCI from January to June 2021 were selected.According to different hospital manage-ment patterns,patients were divided into control group(n=74)and QCC group(n=74).Emergency detention time,PCI time,cardiac function indexes at 7d and 14d after PCI,patient satisfaction and incidence of adverse car-diovascular events on six months after PCI were compared between two groups.Results:Compared with control group,there were significant reductions in ECG monitoring time[(11.35±2.13)min vs.(9.14±1.86)min],condition evaluation time[(14.78±2.51)min vs.(10.12±2.28)min],drug preparation time[(29.69±5.03)min vs.(22.65±4.52)min]and PCI time[(83.47±10.76)min vs.(62.18±10.03)min]in QCC group,P=0.001 all.Compared with control group on 14d after PCI,there was significant rise in left ventricular ejection frac-tion(LVEF)[(46.42±2.52)％vs.(58.54±1.82)％],and significant reductions in left ventricular end-systolic volume index(LVESVI)[(33.05±3.47)ml/m2 vs.(28.22±2.49)ml/m2]and left ventricular end-diastolic volume index(LVEDVI)[(69.08±4.53)ml/m2 vs.(56.85±2.48)ml/m2]in QCC group,P＜0.01 all.Total satisfaction of QCC group was significantly higher than that of control group(93.24％vs.62.16％),and incidence rate of adverse cardiovascular events on six months after PCI was significantly lower than that of control group(12.16％vs.36.49％),P=0.001 both.Conclusion:QCC activity management intervention can optimize clinical PCI procedure,significantly shorten emergency detention time,operation time,improve cardiac function,reduce postoperative incidence rate of cardiovascular adverse events.It possesses high satisfaction and is worthy of clinical promotion and application.
