54 A contemporary interprofessional collaboration scheme to support patients undergoing percutaneous coronary intervention for myocardial infarction

N. Nagesh, M. Gandhi
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Abstract

Introduction There is a profound physical and psychological impact on patients presenting with acute ST elevation myocardial infarction (STEMI) during symptom onset, transit to hospital, during primary percutaneous coronary intervention (PPCI), and prior to discharge. There is little multimedia support for patients during this acute phase. To (i) undertake a survey of healthcare professionals about patient support for STEMI, and (ii) develop a high quality mobile application with film, animation and audio as an educational resource, utilizing a novel interprofessional collaboration (IC) utilising experience and thoughts from key health professionals who support STEMI patients during the early phase of an acute admission. Methods A mixed methods questionnaire survey about communication and patient education was prospectively self-administered to members of the IC. Results were utilised to develop multimedia resources hosted on a novel mobile application and website to support patients during acute STEMI. Results A total of 53 members of contributed to the IC (4 cardiologists, 5 ambulance paramedics, 6 coronary care nurses, 5 cardiac rehabilitation nurses, 5 cardiac physiologists, 2 cardiac catheterisation nurses, 8 non cardiology doctors, 15 medical and nursing students and 4 STEMI patients). 51% rated the current education resources for acute MI patients as ‘inadequate’. 74% felt that these education resources should be contained in an online/mobile resource and 79.6% felt it should be delivered via an interactive film. 92.5% felt there was inadequate psychological support for STEMI patients during the admission. A novel mobile application and website was developed with an interactive film, virtual reality and psychological support for STEMI patients during an acute admission (Figure 1). Conclusions This IC survey identified a gap in educational and psychological support resources for patients with STEMI during the acute admission. A novel mobile application and website with interactive multimedia has been developed to enhance patient centered education and support. These resources will be piloted amongst STEMI patients during an acute admission. Conflict of Interest No Conflict of Interest
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54当代跨专业合作方案支持经皮冠状动脉介入治疗心肌梗死患者
急性ST段抬高型心肌梗死(STEMI)患者在症状发作、转院、首次经皮冠状动脉介入治疗(PPCI)期间以及出院前都会产生深刻的生理和心理影响。在这个急性期,患者几乎没有多媒体支持。(i)开展一项关于STEMI患者支持的医疗专业人员调查,(ii)开发一个高质量的移动应用程序,其中包括电影、动画和音频作为教育资源,利用一种新的跨专业协作(IC),利用在急性入院早期阶段支持STEMI患者的主要卫生专业人员的经验和想法。方法对IC成员进行前瞻性的沟通和患者教育的混合方法问卷调查。结果用于开发基于新型移动应用程序和网站的多媒体资源,以支持急性STEMI患者。结果共53人(心内科医生4人、急救护理人员5人、冠状动脉护理护士6人、心脏康复护理护士5人、心脏生理学医生5人、心导管护理护士2人、非心内科医生8人、医护生15人、STEMI患者4人)。51%的人认为目前急性心肌梗死患者的教育资源“不足”。74%的人认为这些教育资源应该包含在在线/移动资源中,79.6%的人认为应该通过互动电影来传递。92.5%认为STEMI患者入院时心理支持不足。通过互动电影、虚拟现实和STEMI患者急性入院期间的心理支持,开发了一个新颖的移动应用程序和网站(图1)。结论:本IC调查发现STEMI患者急性入院期间的教育和心理支持资源存在差距。我们开发了一个具有交互式多媒体的新型移动应用程序和网站,以加强以患者为中心的教育和支持。这些资源将在急性入院的STEMI患者中进行试点。利益冲突无利益冲突
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