Application of clinical nursing pathway in patients with acute myocardial infarction

Abstract

Objective To explore the implementation effect of the clinical nursing pathway in patients with acute myocardialinfarction （ AMI） under emergency percutaneous coronary intervention .Methods A total of 360 cases of AMI were randomly divided into the control group （ n=180 ） and the observation group （ n=180 ） .The control group was nursed by the traditional method , while the observation group was nursed according to the clinical nursing pathway table .The operation time , the average days of hospitalization , hospitalization expenses, patients’ understanding of disease-related knowledge and satisfaction rate were compared between the two groups .Results The observation group , the time from admission to operation , the overall hospitalization expenses,the average of days of hospitalization ,patients’ satisfaction rate and qualified rate of nursing document writing were （65 ±20）min, （59 284.41 ±18 387.85） ten thousand yuan, （8.50 ±2.54） d,97.22% and 95.59%.While in the control group, the data were （80 ±19） min, （85 569.99 ±12 5324.77）ten thousand yuan,（11.00 ±2.97） d,88.89% and 85.18%, respectively, which showed statistically significant （ t =18.3745,28.829 0,8.5658;χ2 =9.671 6, 11.425 1,respectively;P 〈0.01）.Conclusions Nursing according to the clinical nursing pathway in patients with AMI can reduce the length of hospital stay and hospitalization expenses , improve the satisfaction of patients and the qualified rate of nursing document writing , and avoid the risk of nursing work . Key words: Acute myocardial infarction; Clinical nursing pathway; Patients’ satisfaction rate; Hospitalization expenses; Length of hospital stay