Influence of integrated emergency nursing process on rescue effect of acute myocardial infarction patients

doi:10.3877/cma.j.issn.2095-9133.2025.04.004

Abstract

Abstract:

Objective

To investigate the effect of integrated emergency nursing process on the rescue effect of patients with acute myocardial infarction (AMI).

Methods

Ninety AMI patients admitted to Xi'an International Medical Center Hospital from August 2023 to October 2024 were selected as the research subjects, including 48 males and 42 females; The age ranged from 41 to 70 years, with an average of (60.28±7.63) years. According to the random number method, they were divided into an observation group and a control group, with 45 cases in each group. The control group received routine emergency care procedures, while the observation group received integrated medical and nursing emergency care procedures. The time nodes related to emergency treatment, including onset to balloon dilation, first medical contact to balloon dilation, hospital gate to balloon dilation, and onset to hospital gate, pre- and post-emergency cardiac function indicators, including left ventricular ejection fraction (LVEF) and left ventricular end diastolic diameter (LVEDD), major adverse cardiovascular events (MACE) during hospitalization, and nursing satisfaction were compared between two groups of patients.

Results

The time of onset-to-ballooning, first medical contact-to-ballooning, hospital gate-to-ballooning and onset-to-hospital gate in the observation group was shorter than that in the control group (P<0.05). Compared with the same group before first-aid, LVEF was significantly increased and LVEDD was significantly decreased in both groups after first-aid (P<0.05). After first-aid, LVEF in the observation group was significantly higher than that in the control group, and LVEDD was significantly lower in the control group (P<0.05). The incidence of major adverse cardiovascular events (MACE) during hospitalization in the observation group was lower than in the control group, and the nursing satisfaction was higher than the control group (P<0.05).

Conclusion

Integrated emergency nursing is helpful to improve the prognosis of AMI patients, shorten the emergency process, promote the recovery of cardiac function, reduce the incidence of MACE, and improve nursing satisfaction.

Key words: Acute myocardial infarction, Integration of health care, Emergency care, Rescue effect

Junyan Wang, Hua Gao. Influence of integrated emergency nursing process on rescue effect of acute myocardial infarction patients[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2025, 11(04): 204-208.

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Figures/Tables 5

References 11

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组别	例数	年龄（岁）	性别		冠脉病变支数		原发疾病
组别	例数	年龄（岁）	男性	女性	单支	多支	高血压	高脂血症	糖尿病
观察组	45	59.38±8.42	23（51.11）	22（48.89）	27（60.00）	18（40.00）	19（42.22）	10（22.22）	13（28.89）
对照组	45	61.17±6.95	25（55.56）	20（44.44）	24（53.33）	21（46.67）	22（48.89）	12（26.67）	9（20.00）
t/χ²值		1.10	0.18		0.41		0.40	0.24	0.96
P值		>0.05	>0.05		>0.05		>0.05	>0.05	>0.05
组别	例数	发病季节				心功能Killip分级
组别	例数	春季	夏季	秋季	冬季	Ⅰ级	Ⅱ级	Ⅲ级	Ⅳ级
观察组	45	7（15.56）	5（11.11）	13（28.89）	20（44.44）	10（22.22）	15（33.34）	14（31.11）	6（13.33）
对照组	45	7（15.56）	4（8.89）	11（24.44）	23（51.11）	11（24.44）	13（28.89）	13（28.89）	8（17.78）
t/χ²值		0.48				0.51
P值		>0.05				>0.05

组别	例数	年龄（岁）	性别		冠脉病变支数		原发疾病
组别	例数	年龄（岁）	男性	女性	单支	多支	高血压	高脂血症	糖尿病
观察组	45	59.38±8.42	23（51.11）	22（48.89）	27（60.00）	18（40.00）	19（42.22）	10（22.22）	13（28.89）
对照组	45	61.17±6.95	25（55.56）	20（44.44）	24（53.33）	21（46.67）	22（48.89）	12（26.67）	9（20.00）
t/χ²值		1.10	0.18		0.41		0.40	0.24	0.96
P值		>0.05	>0.05		>0.05		>0.05	>0.05	>0.05
组别	例数	发病季节				心功能Killip分级
组别	例数	春季	夏季	秋季	冬季	Ⅰ级	Ⅱ级	Ⅲ级	Ⅳ级
观察组	45	7（15.56）	5（11.11）	13（28.89）	20（44.44）	10（22.22）	15（33.34）	14（31.11）	6（13.33）
对照组	45	7（15.56）	4（8.89）	11（24.44）	23（51.11）	11（24.44）	13（28.89）	13（28.89）	8（17.78）
t/χ²值		0.48				0.51
P值		>0.05				>0.05

组别	例数	发病至球囊扩张	首次医疗接触至球囊扩张	医院大门至球囊扩张	发病至医院大门
观察组	45	167.94±28.63	101.33±13.79	82.15±12.03	136.47±14.37
对照组	45	181.35±30.41	110.35±15.05	89.73±10.31	143.52±15.32
t值		2.15	2.96	3.21	2.25
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	发病至球囊扩张	首次医疗接触至球囊扩张	医院大门至球囊扩张	发病至医院大门
观察组	45	167.94±28.63	101.33±13.79	82.15±12.03	136.47±14.37
对照组	45	181.35±30.41	110.35±15.05	89.73±10.31	143.52±15.32
t值		2.15	2.96	3.21	2.25
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	LVEF（%）		LVEDD（mm）
组别	例数	急救前	急救后	急救前	急救后
观察组	45	47.27±3.96	53.38±4.67^a	59.32±5.63	53.43±4.35^a
对照组	45	47.93±4.04	51.06±4.29^a	59.64±5.22	56.02±4.89^a
t值		0.78	2.45	0.28	2.65
P值		>0.05	<0.05	>0.05	<0.05

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