Application effect of integrated catheterization lab nursing model in the perioperative period of emergency PCI for Patients with acute myocardial infarction
导管室一体化护理模式在急性心肌梗死患者急诊PCI围手术期的应用效果

摘要

目的 探讨导管室一体化护理模式在急性心肌梗死（AMI）患者急诊经皮冠状动脉介入治疗（PCI）围手术期的应用效果，为临床护理提供参考。方法 选取2024年10月至2025年10月我院330例需急诊PCI治疗的AMI患者，年龄35-75岁，随机分为对照组和实验组各165例。对照组采用常规护理，实验组采用导管室一体化护理。比较两组急诊就诊至球囊扩张时间（D-to-B时间）、围手术期并发症发生率、住院时间及护理满意度，并分析数据差异。结果 实验组D-to-B时间（65.32±9.87）min短于对照组（92.58±11.64）min（P<0.05）；住院时间（6.85±1.42）d短于对照组（9.96±2.03）d（P<0.05）。实验组并发症发生率2.42%（4/165）低于对照组10.30%（17/165）（P<0.05）；护理满意度97.58%（161/165）高于对照组84.24%（139/165）（P<0.05）。结论 导管室一体化护理模式用于AMI患者急诊PCI围手术期，可缩D-to-B时间和住院时间，降低并发症发生率，提高护理满意度，值得推广。

Abstract

Objective To investigate the application effect of the catheterization room integrated nursing model in the perioperative period of emergency percutaneous coronary intervention (PCI) for patients with acute myocardial infarction (AMI), and to provide reference for clinical nursing.
Methods A total of 330 AMI patients requiring emergency PCI in our hospital from October 2024 to October 2025, aged 35–75 years, were randomly divided into a control group and an experimental group, with 165 cases in each group. The control group received conventional nursing, while the experimental group received catheterization room integrated nursing. The comparison was made between the two groups in terms of the time from emergency admission to balloon dilation (D-to-B time), perioperative complication rate, hospital stay, and nursing satisfaction, with data differences analyzed.
Results The D-to-B time in the experimental group (65.32±9.87) min was shorter than that in the control group (92.58±11.64) min (P<0.05); the hospital stay (6.85±1.42) d was shorter than that in the control group (9.96±2.03) d (P<0.05). The complication rate in the experimental group (2.42% [4/165]) was lower than that in the control group (10.30% [17/165]) (P<0.05); the nursing satisfaction rate (97.58% [161/165]) was higher than that in the control group (84.24% [139/165]) (P<0.05).
Conclusion   The catheterization room integrated nursing model for AMI patients undergoing emergency PCI in the perioperative period can reduce D-to-B time and hospital stay, lower the complication rate, and improve nursing satisfaction, making it worthy of promotion.