فاصله زماني ورود بيمار مبتلا به سكته حاد قلبي به بيمارستان و تزريق استرپتوكيناز توسط پرستاران

Time period between entrance of acute heart stroke patient to hospital and streptokinase injection by nurses

Aims: Increasing of acute myocardial infarction is a main cause of importance of emergency management for these patients. Streptokinase is a standard drug suggested by several international associations. This study was to evaluate the time period between entrance of acute heart stroke patient to hospital and streptokinase injection by nurses. Methods: This is a cross-sectional study performed on 150 consecutive patients admitted in CCU of Ostad Motahari Hospital of Jahrom during 2006 to 2008 with acute myocardial infarction diagnosis that took streptokinase according to Braimwald. A researcher-made questionnaire used gathering data. Data analyzed by parametric and non-parametric tests used SPSS 13 software. Results: 12 patient (8%) expired in first day and 18 (12%) suffered from pulmonary edema. Mean of ejection fraction was 46.15+8.81 and mean of door to needle time was 190.33+420.35 minutes. Relation between "confined day/door to needle time" variables (p<0/01; Sig=0.001) and "ejection fraction/door to needle time" variables (p<0/05, Sig=0.007) was significant by Pearson test. Conclusion: Mean of door to needle time was 2 hours and 40 minutes more than standard time (30 minute). Nursing managers must pay more attention to this difference