Acute Myocardial Infarction
Conditions
Keywords
Acute Myocardial Infarction, case management
Brief summary
Acute Myocardial Infarction (AMI) is a major disease that endangers people's health China. At present, clinical emphasis is given to treatment rather than prevention, and a large number of AMI patients are hospitalized repeatedly without systematic and standardized health management after acute stage, falling into a vicious circle of treatment without recovery. Nurse-led case management based on multidisciplinary collaboration is a new mode of disease management. In 1994, the United States took the lead in applying case management to the acute and chronic care system, providing comprehensive care services and promoting comprehensive recovery through multidisciplinary collaboration led by case managers. At present, the case management model of cardiovascular disease in Europe and the United States has been mature, but it is still in the exploratory stage in China. Through the establishment and application of nurse-led AMI case management program based on multidisciplinary collaboration, this study wants to establish a novel, standardized, and easy to popularize AMI whole-course prevention and control mode, providing theoretical and research basis for AMI disease management.
Detailed description
There are few domestic studies on cardiovascular disease case management in China, and the studies mainly aimed at the application of case management in out-of-hospital follow-up management. At present, there has been no reports on nurse-led the multidisciplinary whole course case management of AMI patients from admission to discharge, diagnosis and treatment, rehabilitation and secondary prevention. This study would apply case management to the whole course management of AMI patients from admission to 6 months after discharge. Pharmacists, nutritionists, rehabilitation specialists and psychiatrists coordinated by nurse would take the initiative to conduct individualized assessment and health guidance, and case managers would participate in the whole process of inpatient diagnosis and treatment. Coordinating multidisciplinary medical resources to jointly implement diagnosis and treatment and rehabilitation for patients can save medical costs and improve the quality of care.
Interventions
OTHERNurse -led case management
This study would apply case management to the whole course management of AMI patients from admission to 6 months after discharge. Pharmacists, nutritionists, rehabilitation specialists and psychiatrists led by nurse would take the initiative to conduct individualized assessment and health guidance, and case managers would participate in the whole process of inpatient diagnosis and treatment. Coordinating multidisciplinary medical resources to jointly implement diagnosis and treatment and rehabilitation for patients can improve the quality of care.
OTHERRoutine inpatient care and post-discharge follow-up management
Patients in the control group will receive routine inpatient care and post-discharge follow-up management
Sponsors
First Affiliated Hospital Xi'an Jiaotong University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* In line with the diagnosis of Chinese 2019 Guidelines for AMI. Age greater than or equal to 18 years old and less than or equal to 75 years old Patients have clear consciousness and agree to participate in this study.
Exclusion criteria
* Verbal communication disorders. Patients have a clear history of allergic constitution, and have allergies or intolerance to the drugs recommended by the guidelines (including antiplatelet drugs, ẞ receptor blockers, statins, various antihypertensive and hypoglycemic drugs, etc.). Patients have severe heart, brain, liver, kidney, motor dysfunction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the numbers of unplanned readmission | Through study completion, within 6 months post discharge | Unplanned readmission |
| the number of deaths from cardiac causes | Through study completion,within 6 months post discharge | Deaths from cardiac causes |
| The 36-item Short Form Health Survey for HRQoL | from baseline to 6 months after discharge | Health-related quality of life |
| Coronary artery disease self-management scale for self-management behaviors | from baseline to 6 months after discharge | Self-management behaviors |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Low-density lipoprotein （mmol/L） | from baseline to 6 months after discharge | Collect fasting venous blood to measure low-density lipoprotein |
| the numbers of no smoking | from baseline to 6 months after discharge | Smoking |
| Exercise time every week （min） | from baseline to 6 months after discharge | Inquire the exercise time per week |
| systolic and diastolic blood pressure （mmHg） | from baseline to 6 months after discharge | Blood Pressure. |
| Glycated hemoglobin A1c （%） | from baseline to 6 months after discharge | Collect fasting venous blood to measure glycosylated hemoglobin A1c |
| Body mass index (BMI)，kg/m2 | from baseline to 6 months after discharge | Measure weight and height，then weight and height will be combined to report BMI in kg/m\^2 |
Countries
China
Outcome results
None listed