Practice and optimization of seamless emergency catheterization lab nursing in patients with acute coronary syndrome
急诊导管室无缝衔接护理在急性冠脉综合征患者中的实践与优化

摘要

目的 探讨急诊导管室无缝衔接护理在急性冠脉综合征（ACS）患者中的应用效果并提出优化策略。方法 选取2024年10月至2025年10月我院328例35-75岁急诊收治的ACS患者，随机分对照组和实验组各164例。对照组用急诊常规护理，实验组用急诊导管室无缝衔接护理。比较两组患者急诊就诊至球囊扩张时间（D - to - B时间）、住院时间、并发症发生率及护理满意度并分析差异。结果 实验组D - to - B时间（68.25±10.36）min短于对照组（95.62±12.45）min（P<0.05）；住院时间（7.12±1.58）d短于对照组（10.35±2.16）d（P<0.05）；并发症发生率3.66%（6/164）低于对照组11.59%（19/164）（P<0.05）；护理满意度96.34%（158/164）高于对照组85.37%（140/164）（P<0.05）。结论 急诊导管室无缝衔接护理可缩短ACS患者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，结合临床实践提出优化措施可提升护理质量。

Abstract

Objective This study explores the application effect of seamless nursing care in the emergency catheterization room for patients with acute coronary syndrome (ACS) and proposes optimization strategies.
Methods A total of 328 ACS patients aged 35–75 years admitted to our hospital from October 2024 to October 2025 were selected and randomly divided into a control group (n=164) and an experimental group (n=164). The control group received routine emergency care, while the experimental group received seamless nursing care in the emergency catheterization room. The two groups were compared in terms of the time from emergency admission to balloon dilation (D-to-B time), hospitalization duration, complication incidence, and nursing satisfaction, with differences analyzed.
Results The D-to-B time in the experimental group (68.25±10.36) min was shorter than that in the control group (95.62±12.45) min (P<0.05); the hospitalization duration (7.12±1.58) d was shorter than that in the control group (10.35±2.16) d (P<0.05); the complication incidence rate was 3.66% (6/164), lower than that in the control group (11.59% (19/164)) (P<0.05); the nursing satisfaction rate was 96.34% (158/164), higher than that in the control group (85.37% (140/164)) (P<0.05).
Conclusion   Seamless nursing care in the emergency catheterization room can shorten the D-to-B time and hospitalization duration of ACS patients, reduce complication incidence, and improve nursing satisfaction. It is worthy of promotion. Optimizing measures based on clinical practice can enhance nursing quality.