Research on the impact of optimizing emergency nursing processes on patients with acute myocardial infarction
研究优化急诊护理流程对急性心肌梗死患者的影响

摘要

目的 分析优化急诊护理流程对急性心肌梗死（AMI）患者的影响。方法 采用回顾性队列研究方法，选取我院2024年1月至2025年12月期间收治的106例急性心肌梗死患者，依据急诊护理流程优化实施时间节点分为对照组（常规急诊护理流程）和观察组（优化急诊护理流程）。结果 观察组入门至球囊扩张时间、首次医疗接触至心电图完成时间、心电图确诊至导管室激活时间显著短于对照组，再灌注成功率（TIMI 3级）更高，心肌肌钙蛋白I峰值、肌酸激酶同工酶峰值及住院期间主要不良心血管事件发生率更低，住院总天数更短（P＜0.05）。结论 优化急诊护理流程可显著缩短AMI患者救治时间，减轻心肌损伤，降低不良事件风险并缩短住院周期。

Abstract

Objective To analyze the impact of optimizing emergency nursing processes on patients with acute myocardial infarction (AMI).
Methods A retrospective cohort study was conducted. A total of 106 patients with acute myocardial infarction admitted to our hospital from January 2024 to December 2025 were selected. Based on the implementation time node of the optimized emergency nursing process, they were divided into a control group (conventional emergency nursing process) and an observation group (optimized emergency nursing process).
Results The time from arrival to balloon dilation, from first medical contact to ECG completion, and from ECG diagnosis to catheterization laboratory activation in the observation group were significantly shorter than those in the control group. The reperfusion success rate (TIMI 3 grade) was higher, while the peak levels of troponin I and creatine kinase isoenzyme, as well as the incidence of major adverse cardiovascular events during hospitalization, were lower. The total length of hospital stay was also shorter (P < 0.05).
Conclusion   Optimizing emergency nursing processes can significantly shorten the treatment time for AMI patients, reduce myocardial injury, lower the risk of adverse events, and shorten the hospitalization period.