The Development of Care Management Model for Patients with Acute Myocardial Infarction, Ban Laem Hospital, Phetchaburi Province

Abstract

The purposes of this research and development were 1) to study the situation of problem management for acute myocardial infarction patients at Ban Laem hospital, 2) to develop the care model for patients with acute myocardial infarction, and 3) to study the effects of using the care model for acute myocardial infarction. The research process was divided into 4 phases: 1) Studying the situation of problems management for acute myocardial infarction patients 2) Developing care models for acute myocardial infarction patients 3) Implementing care models and 4) Evaluating based on care indicators. The sample consisted of 28 professional nurses selecting by purposive sampling. The research instrument was a questionnaire about nursing knowledge for acute myocardial infarction patients and the assessment form for fibrinolytic therapy skills “Streptokinase”. The KR-20 test was equal to .715 and the Cronbach's alpha reliability coefficient was .841, respectively. Data were analyzed using descriptive statistics and paired t-test. This research found that:

1. The important problems of care management for acute myocardial infarction patients at Ban Laem hospital, Phetchaburi province were acute myocardial infarction screening mistake, sending patients to the wrong department, patients getting worse and die, and lack of confidence in fibrinolytic therapy and knowledge about nursing care for patients with acute myocardial infarction among professional nurses.


2. The level of knowledge and skills among professional nurses after the implementation of the care management model for patients with acute myocardial infarction was significantly higher than before.


3. Goal achievement after the implementing of the care model for patients with acute myocardial infarction patients was higher than before.

          The results of this research point out that the development model should be used to manage care for patients with acute myocardial infarction, follow-up, and needs to continue developing.