Impact of an emergency department predictive nursing model on the improvement of cardiac function and rescue efficiency in patients with acute myocardial infarction and arrhythmia
急诊科预见性护理模式对急性心肌梗死伴心律失常患者心功能改善及抢救效率的影响

摘要

目的 本研究旨在分析急性心肌梗死（Acute myocardial infarction,AMI）伴心律失常患者采取急诊科预见性护理的综合价值。方法 病例选自2025年1月至2025年10月因AMI伴心律失常收治于我院急诊科的60例患者，基于随机数字表法均分至对照组及观察组，分别采取常规护理服务，以及预见性护理服务。对比各组患者心功能改善效果及抢救效率有关指标差异性。结果 观察组经护理后的心功能指标改善幅度较对照组更为理想，差异有统计学显著性（P＜0.05）；观察组心电图检查时间、分诊评估时间、总抢救时间均短于对照组，差异有统计学显著性（P＜0.05）；观察组心绞痛、再梗死不良事件发生率（3.33% vs 13.33%）低于对照组，差异有统计学显著性（P＜0.05）。结论 急诊科预见性护理模式显著提高了AMI伴心律失常患者抢救效率，在改善心功能、规避不良事件风险方面亦发挥着确切优势，患者整体受益度高。

Abstract

Objective To analyze the comprehensive value of an emergency department predictive nursing model for patients with acute myocardial infarction (AMI) complicated by arrhythmia.
Methods Sixty patients with AMI and arrhythmia admitted to the emergency department of our hospital from January 2025 to October 2025 were selected and equally divided into a control group and an observation group using a random number table. The control group received routine nursing care, while the observation group received predictive nursing care. Differences in cardiac function improvement indicators and rescue efficiency-related indicators were compared between the two groups.
Results After nursing, the improvement in cardiac function indicators in the observation group was more favorable than that in the control group, with a statistically significant difference (P<0.05). The electrocardiogram (ECG) examination time, triage assessment time, and total rescue time in the observation group were all shorter than those in the control group, with statistically significant differences (P<0.05). The incidence of adverse events, including angina pectoris and re-infarction, was lower in the observation group (3.33% vs. 13.33%) than in the control group, showing a statistically significant difference (P<0.05).
Conclusion   The emergency department predictive nursing model significantly improves the rescue efficiency of patients with AMI and arrhythmia, plays a definite role in improving cardiac function and reducing the risk of adverse events, and leads to high overall patient benefit.