Effect of modified early warning score combined with clinical nursing pathway on emergency rescue effect of acute myocardial infarction patients

2020 ◽  
Author(s):  
Ping Zhang ◽  
Wenjing Zheng ◽  
Fengting Liu ◽  
Yu Yao ◽  
Xinli Wang
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Early Warning ◽  
Early Warning Score ◽  
Rescue Effect ◽  
Emergency Rescue ◽  
Clinical Nursing

Triage Category and Factors Influencing Priority of Acute Myocardial Infarction Patients at Tikur Anbessa Specialized Hospital

2021 ◽  
Author(s):  
Firaol Birhanu Tola
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Early Warning ◽  
Early Warning Score ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
Triage Category ◽  
Study Participants

Abstract Background: - Acute myocardial infarction (AMI) is the leading cause of morbidity and mortality worldwide. AMI should be treated within a “golden time”, which is < 90 minutes from the onset of the symptom to balloon insertion. Late recognition of diagnosis has increase mortality and long term outcome of the patients in AMI patients. Patients in high priority triage categories were under triage which leads to long waiting time. Determine the associated factors for high priority triage category scale of AMI patients.Result: Among the total of 131 study participants, 91(69.5%) of them were males. The mean age of the study participants were 54 year with the standard deviation of 12.75. Patients who were categorized under high priority triage category accounts 47.3% of the total study participants with 95% CI (38.9-56.5). Among the total study participants 78(59.5%) of them were ST elevation myocardial infarction. Having more than 5 years of triage experience (OR: 13.63, 95% CI (2.32-79.86)) and having Triage early warning score of 5-10 during admission (OR: 65.28, 95% CI (5.39-790.52)) has a significant association on categorizing AMI patients in High priority triage category.Conclusion & Recommendation: Nearly half of the patients at emergency room were categorized under high priority. Triage early warning score and triage nurse experience were the factors which had a significant effect on categorizing AMI patients as high priority triage. Assigning of senior nurses at emergency triage room could improve triage category and early diagnosis and treatment for AMI patients at Tikur Anbessa Specialized Hospital.

Women's early warning symptoms of acute myocardial infarction

2004 ◽  
Vol 13 (3) ◽  
pp. 9 ◽  
Author(s):  
J.C. McSweeney ◽  
M. Cody ◽  
P. O'Sullivan ◽  
K. Elberson ◽  
D.K. Moser ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Early Warning

scholarly journals Analysis of Nursing Care of Acute Myocardial Infarction

2012 ◽  
Vol 1 ◽  
pp. 7
Author(s):  
Xiaoling Zhao
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Retrospective Analysis ◽  
Clinical Improvement ◽  
Nursing Care ◽  
Improvement Rate ◽  
Clinical Nursing ◽  
Hospitalization Time

<p><strong>Objective:</strong> To investigate and improve the clinical nursing care method of acute myocardial infarction. <strong>Methods: </strong>Make a retrospective analysis of the clinical data for 69 cases of acute myocardial infarction from January 2009 to December 2012 in our hospital and summarize the clinical nursing method. <strong>Results:</strong> 63 from 69 patients are improved after being rescued and nursed through the above-mentioned method, and improvement rate was 92.0%. 5 patients were died (all of them were died from the heart failure), which the mortality is 8.0%. Wherein the complicated arrhythmia cases were 24, the complicated cardiogenic shock cases were 12, hospitalization time: 4‒17 days, and the average hospitalization time is 9.2 days.<strong> Conclusion:</strong> The strengthened nursing cooperation of acute myocardial infarction for patients may enhance clinical improvement rate and improve the prognosis.</p>

scholarly journals Clinical nursing care to comfort women with acute myocardial infarction

2014 ◽  
Vol 23 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Keila Maria de Azevedo Ponte ◽  
Lúcia de Fátima da Silva ◽  
Antonia Eliana de Araújo Aragão ◽  
Maria Vilani Cavalcante Guedes ◽  
Ivete Palmira Sanson Zagonel
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Data Collection ◽  
Nursing Care ◽  
Participant Observation ◽  
Clinical Care ◽  
Structured Interviews ◽  
Clinical Nursing ◽  
Care Approach ◽  
Heart Hospital

The objective of this article was to describe the contribution of clinical nursing care to the environmental comfort of women with Acute Myocardial Infarction, based on the Comfort Theory and mediated by the research-care approach. Data collection took place from April to June 2011 with nine women admitted with an infarction to the Heart Hospital of Sobral, Ceará, Brazil. Four meetings were held; the first being four starting at the admission to the hospital. The participants were informed about the study objectives and the proposed method, and following care was provided based both on method and theory. Data collection was performed using individual semi-structured interviews, field diary, participant observation and thematic category content analysis. The clinical care implemented in the environmental context aimed at promoting adaptation to the coronary care unit and also providing an enabling environment for comfort and relaxed atmosphere. Clinical care targeted at promoting environmental comfort contributes to the wellbeing of women with infarction.

scholarly journals Elaboration and validation of an ICNP® terminology subset for patients with acute myocardial infarction

2019 ◽  
Vol 53 ◽  
Author(s):  
Renata Soares Passinho ◽  
Cândida Caniçali Primo ◽  
Mirian Fioresi ◽  
Maria Miriam Lima da Nóbrega ◽  
Marcos Antônio Gomes Brandão ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Nursing Practice ◽  
Nursing Interventions ◽  
Methodological Study ◽  
Model Method ◽  
Nursing Outcomes ◽  
Clinical Nursing ◽  
Nursing Diagnosis ◽  
International Nursing

ABSTRACT Objective: To elaborate a terminological subset for the International Classification for Nursing Practice (ICNP®) for patients with acute myocardial infarction using the Activities of Living Model. Method: A methodological study which followed the guidelines of the International Nursing Council and was based on theoretical framework of the Activities of Living Model for its elaboration. Content validation was performed by 22 nursing specialists. Results: Twenty-two (22) diagnoses and 22 nursing outcomes were elaborated. Of these, 17 nursing diagnosis statements and 17 nursing outcome statements presented Content Validity Index (CVI) ≥ 0.80. Of the 113 elaborated nursing interventions, 42 reached a CVI ≥ 0.80, and 51 interventions made up the terminological subset after the expert suggestions. Conclusion: The ICNP® was suitable for use with the Activities of Living Model, having compatible terms with those used in clinical nursing practice, and valid for construction of the terminological subset for patients with acute myocardial infarction and most likely to facilitate clinical nursing judgment.

scholarly journals Women’s Early Warning Symptoms of Acute Myocardial Infarction

Circulation ◽  
2003 ◽  
Vol 108 (21) ◽  
pp. 2619-2623 ◽  
Author(s):  
Jean C. McSweeney ◽  
Marisue Cody ◽  
Patricia O’Sullivan ◽  
Karen Elberson ◽  
Debra K. Moser ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Early Warning

An electron microscopic study of the intra-myocardial lesions in cases of acute myocardial infarction

1978 ◽  
Vol 36 (2) ◽  
pp. 484-485
Author(s):  
Masahiro Ono ◽  
Kaoru Aihara ◽  
Gompachi Yajima
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Vessels ◽  
Vascular Wall ◽  
Vascular Changes ◽  
Electron Microscopic ◽  
Main Trunk ◽  
Mechanical Destruction ◽  
Transmission Electron ◽  
Myocardial Lesions

The pathogenesis of the arteriosclerosis in the acute myocardial infarction is the matter of the extensive survey with the transmission electron microscopy in experimental and clinical materials. In the previous communication,the authors have clarified that the two types of the coronary vascular changes could exist. The first category is the case in which we had failed to observe no occlusive changes of the coronary vessels which eventually form the myocardial infarction. The next category is the case in which occlusive -thrombotic changes are observed in which the myocardial infarction will be taken placed as the final event. The authors incline to designate the former category as the non-occlusive-non thrombotic lesions. The most important findings in both cases are the “mechanical destruction of the vascular wall and imbibition of the serous component” which are most frequently observed at the proximal portion of the coronary main trunk.

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