Development of Management model for Acute Myocardial Infarction, Cha Am Hospital, Phetchaburi Province

Abstract

The objectives of this descriptive research were: 1) to analyze the situation of nursing care management for patients with Acute Myocardial Infarction (AMI) at Cha Am Hospital in Phetchaburi Province, 2) to develop the care management model for patients with AMI, and 3) to evaluate the appropriateness of the care management model for patients with AMI. The key indicators were selected by purposive sampling technique and included 2 groups. The first group consisted of 9 health care providers and they analyzed the situation of nursing care management for patients with AMI. The latter consisted of 13 persons. Two research tools were developed as follows. (1) The semi-structure interview was developed based on the concept of Donabedian’s model and Powell’s case management model. The content validity index of the tools were 0.98 and 0.96 respectively. The data was analyzed by percentage, and content analysis. The research findings were as follows. (1) The results of the situation analysis of care management for patients with AMI revealed some problems in terms of structure, process, and outcome, all aspects needed to be improved. (2) The developed model comprised of three components: 1) structure: human resources, instruments and materials, and standards of practice, (2) process: 6 steps of continuing care which needed the case manager for coordinating, monitoring, and evaluating, (3) outcome: satisfaction of health care providers and the patients, as well as quality of hospital and unit services. 3) The model was appropriate for implementation the Cha Am hospital (91.14 %).