Study on the impact of optimizing emergency nursing procedures on the rescue effectiveness of patients with acute ST-segment elevation myocardial infarction
优化急诊护理流程对急性ST段抬高型心肌梗死患者的急救效果的影响研究

摘要

目的 研究急性ST段抬高型心肌梗死（STEMI）患者采用优化急诊护理流程的效果。方法 将本院急诊科2024年6月-2025年10月的48例急性STEMI患者作为样本。通过Excel表格法将患者分为常规组（急诊常规护理）和试验组（优化急诊护理流程）。对比两组的干预效果。结果 试验组抢救时间短于常规组（P < 0.05）；试验组LVESD（50.11±2.09 vs 58.53±3.20）mm、LVEDD（51.03±2.00 vs 56.31±2.24）mm、LVEF（55.60±6.65 vs 50.19±5.11）%均优于常规组（t = 10.792，8.614，3.160，P < 0.05）；试验组并发症少于常规组（P > 0.05）。结论 对急性STEMI患者实施优化急诊护理流程抢救效果好，能缩短抢救时间，促进心功能提高且并发症发生率低。

Abstract

Objective To investigate the effects of an optimized emergency nursing process on patients with acute ST-segment elevation myocardial infarction (STEMI).
Methods A total of 48 patients with acute STEMI admitted to the emergency department of our hospital from June 2024 to October 2025 were selected as the study sample. The patients were divided into a conventional group (receiving standard emergency care) and an experimental group (receiving the optimized emergency nursing process) using an Excel spreadsheet method. The intervention outcomes of the two groups were compared.
Results The rescue time in the experimental group was shorter than that in the conventional group (P < 0.05). The experimental group exhibited superior left ventricular end-systolic diameter (LVESD) (50.11±2.09 vs. 58.53±3.20 mm), left ventricular end-diastolic diameter (LVEDD) (51.03±2.00 vs. 56.31±2.24 mm), and left ventricular ejection fraction (LVEF) (55.60±6.65% vs. 50.19±5.11%) compared to the conventional group (t = 10.792, 8.614, 3.160, P < 0.05). Additionally, the experimental group had fewer complications than the conventional group (P > 0.05).
Conclusion   Implementing an optimized emergency nursing process for acute STEMI patients yields favorable rescue outcomes, reduces rescue time, improves cardiac function, and results in a lower incidence of complications.