Effect of Implementing a Developed Clinical Pathway on the Outcomes of Acute Myocardial Infarction Patients

Abstract

Background: Acute Myocardial Infarction (AMI) was a prevalent and potentially fatal emergency problem that encounters critically ill patients and still a serious medical condition that occurs when there is a lack of blood flow to the myocardial muscle resulting in permanent damage or even death if not treated quickly. Critical care nurses play a crucial role in the implementation of clinical pathway which is a standard of care through recognizing the importance of early and timely management as rapid resuscitation and early PCI that associated with better outcomes. Objective: This is an interventional study aimed to determine the effect of implementing a developed clinical pathway on the outcomes of acute myocardial infarction patients. Settings: This study was conducted in the Coronary Care Unit at Alexandria Main University Hospital, Egypt. Subjects: A convenience sample of 60 newly admitted adult patients with AMI were included in the study. Patients were assigned into two equal groups (30 patients each). Tools: Acute myocardial infarction patients' assessment; Acute Myocardial Infarction Patients’ State-Trait Anxiety Inventory; Satisfaction Scale for Acute Myocardial Infarction Patients; and Clinical Pathway Patients' Variance Checklist were the four tools used to collect the data of this study. Results: There was a statistically significant difference between the study and control groups in relation to Acute Myocardial Infarction Patients’ outcomes concerning their vital signs, ability to rest, activity without significant pain, physiological & psychological factors, anxiety