Application of a programmed emergency nursing model based on Chest Pain Center in elderly patients with acute myocardial infarction
Objective To explore the effect of a programmed emergency nursing model based on a Chest Pain Center(CPC)in the treatment of elderly patients with acute myocardial infarction(AMI)and provide references for clinical practice.Methods Elderly AMI patients who were admitted to our hospital,between January 2020 and July 2021 were assigned to the control group(n=57),while those admitted between August 2021 and February 2023 were assigned to the observation group(n=61).Patients in the control group received conventional emergency care,while those in the observation group were managed with a programmed emergency nursing model based on CPC in addition to conventional care.Rescue efficien-cy was compared between the two groups.Four days after the emergency intervention,heart rate(HR),left ventricular e-jection fraction(LVEF),stroke volume(SV),maximum rate of increase in left ventricular pressure(dp/dt max),Seattle Angina Questionnaire(SAQ)scores,and Herth Hope Index(HHI)scores were compared.The incidence of adverse events within four days after emergency intervention was also assessed.Results The observation group showed significantly shor-ter triage time,emergency treatment time,emergency balloon expansion time,and length of hospital stay compared to the control group(P＜0.05).Four days after emergency treatment,the observation group had a lower HR and higher LVEF,SV,and dp/dt max than the control group,with statistically significant differences(P＜0.05).The subscale(PL,AS,AF,TS,and DS)and total scores in the observation group were significantly higher than those in the control group(P＜0.05).The HHI scores for temporality(T),interconnectedness(I),and positivity(P)dimensions were also significantly higher in the observation group(P＜0.05).The incidence of adverse events within four days after emergency intervention did not differ significantly between the two groups(P＞0.05).Conclusion The programmed emergency nursing model based on CPC effectively shortens emergency response time,improves rescue efficiency,enhances cardiac function,and helps patients maintain a positive mindset,thereby raising their quality of life.This care model is worth promoting in clinical practice.
Programmed emergency care modelChest pain centerElderly myocardial infarction
万方数据
维普
