Development of Emergency Nursing System in Patients with Acute Myocardial Infarction (STEMI), Accident and Emergency Department, Hatyai Hospital
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Abstract
Abstract
This research and development study aimed to (1) develop emergency nursing system in patients with acute myocardial infarction (STEMI), (2) explore knowledge of registered nurses before and after using emergency nursing system, and (3) compare outcomes before and after using emergency nursing system. The sample consisted of 104 patients with acute myocardial infarction (STEMI) and 24 registered nurses working at accident and emergency department. The rese significant arch instrument consisted of (1) the emergency nursing system and (2) the nurses’ knowledge manual for caring of STEMI patients and for centralized ambulance management. Data collection tools consisted of (1) an interview form for caring of patients with acute myocardial infarction: STEMI, (2) STEMI patient questionnaire, (3) STEMI patient outcome record form: Fast track (4) registered nurses’ knowledge questionnaire. The IOC of the 4 data collection tools were 0.8, 0.8, 0.8, and 0.85, respectively. Data were analyzed using frequency, percentage, mean, standard deviation, median, Chi-square, and independent t-test.
The results revealed that the emergency nursing system of the patients with acute myocardial infarction (STEMI), at the accident and emergency department, Hatyai hospital consisted of 3 components: (1) centralized ambulance management system, (2) caring for the patients with acute myocardial infarction (STEMI) in the emergency unit, and (3) evaluating STEMI patients to receive timely reperfusion. The nurses' knowledge after using the emergency nursing system was at a very good level and higher than before using the emergency nursing system; but did not significantly difference (p < .05). The patients had increased access to services and the patients’ deaths significantly decreased (p < .001). The total time spent for caring of the patients decreased from 139.23 minutes (SD 80.41) to 130.23 minutes (SD 79.25).
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