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Published on: September 20, 2019
Implementation of a clinical nursing pathway for percutaneous coronary intervention: A randomized controlled trial
Zhimin Zhang1, Jincheng Bai1, Yongmei Huang2
1Department of Cardiovascular Medicine.
Clinical nursing pathways (CNP) improve outcomes for emergency percutaneous coronary intervention (PCI) in acute myocardial infarction patients. This evidence-based model offers a foundation for future research in cardiac care.
Area of Science:
- Cardiology
- Nursing Science
- Health Services Research
Background:
- Acute myocardial infarction (AMI) is a prevalent emergency room diagnosis.
- Emergency percutaneous coronary intervention (PCI) is the standard treatment for AMI to restore blood flow.
- Clinical nursing pathways (CNP) are emerging as efficient, cost-effective nursing models.
Purpose of the Study:
- To evaluate the clinical efficacy of implementing a CNP in transradial emergency PCI for AMI patients.
- To assess the impact of CNP on patient outcomes and healthcare resource utilization.
Main Methods:
- A single-center, randomized controlled trial conducted from January to June 2021.
- One hundred patients diagnosed with AMI were included.
- Comparison between a control group (routine care) and a CNP group.
Main Results:
- The study compared key clinical outcomes between the control and CNP groups.
- Analysis included door-to-balloon time, hospitalization costs, length of stay, complications, and patient satisfaction.
Conclusions:
- The CNP model demonstrates potential as an effective, evidence-based nursing intervention.
- This study provides a foundation for further investigation into CNP for PCI procedures.
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