The Development of Management Model for Patients with ST-Elevation Myocardial Infarction (STEMI) Among Nursing Network of Kanchanaburi

Abstract

 The research and development aimed to develop and study the effect of management model for patients with ST-elevation myocardial infarction (STEMI) among nursing network of Kanchanaburi and based on Donabedian system model as a conceptual framework. Select a specific sample. Research tool: the management model for patients with STEMI. Data collection tools: questions used in group discussions, knowledge questionnaire, nursing skill evaluation form, readiness of nursing practice evaluation form, satisfaction assessment form, patient’s outcome form and quality of life questionnaire. Verify the quality of tools by reviewing content validity from experts. Confidence was checked by the Cronbach alpha coefficient. Qualitative data were analyzed by content analysis. The quantitative data were analyzed using descriptive statistics such as frequency distribution, percentage, mean and standard deviation and test statistics. The results were as follows: 1) The management model for patients with STEMI among nursing network of Kanchanaburi consisted of Fast track: Take CCare Model and finally, the model was certified by experts. 2) Nurses had significantly higher mean scores on knowledge, nursing skill and readiness of nursing practice after using the management model (p<.01), and score of satisfaction was the most level. 3) Patients with STEMI received faster diagnosis and treatment, it was found reduce the mortality rate and increase quality of life.