Contemporary Nursing
Contemporary Nursing. 2026; 7: (2) ; 10.12208/j.cn.20260093 .
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内蒙古呼和浩特市第一医院 内蒙古呼和浩特
*通讯作者： 王江波,单位：内蒙古呼和浩特市第一医院 内蒙古呼和浩特；
目的 探讨应急强化护理在心内科重症监护室（CCU）急性心肌梗死（AMI）患者中的应用效果，为临床护理方案优化提供依据。方法 选取某院心内科CCU 2024年1月至2024年12月收治的80例急性心肌梗死患者作为研究对象，采用随机数字表法分为对照组与实验组，每组40例。对照组实施心内科CCU常规护理，实验组采用应急强化护理模式，比较两组患者的并发症发生率、住院时间、护理满意度及心肌功能恢复指标。结果 实验组并发症发生率为5.0%（2/40），显著低于对照组的25.0%（10/40），差异有统计学意义（P＜0.05）；实验组住院时间为（7.1±1.4）天，短于对照组的（10.5±2.2）天，差异有统计学意义（P＜0.05）；实验组护理满意度评分（93.2±3.5）分，高于对照组的（79.1±5.3）分，差异有统计学意义（P＜0.01）；实验组肌钙蛋白峰值下降时间及左心室射血分数（LVEF）恢复情况均优于对照组（P＜0.05）。结论 对心内科CCU急性心肌梗死患者实施应急强化护理，可有效降低并发症发生风险，缩短住院周期，提升患者护理满意度，促进心肌功能恢复，具有重要的临床应用价值。
Objective To explore the application effect of emergency intensive nursing in patients with acute myocardial infarction (AMI) in the cardiovascular intensive care unit (CCU), providing a basis for optimizing clinical nursing protocols. Methods A total of 80 AMI patients admitted to the CCU of a certain hospital from January 2024 to December 2024 were selected as the study subjects and randomly divided into a control group and an experimental group using a random number table, with 40 cases in each group. The control group received routine CCU nursing care, while the experimental group was managed with an emergency intensive nursing model. The complication rates, hospital stays, nursing satisfaction scores, and myocardial function recovery indicators were compared between the two groups. Results The complication rate in the experimental group was 5.0% (2/40), significantly lower than that in the control group (25.0% [10/40]), with a statistically significant difference (P < 0.05). The hospital stay in the experimental group was (7.1 ± 1.4) days, shorter than that in the control group (10.5 ± 2.2) days, with a statistically significant difference (P < 0.05). The nursing satisfaction score in the experimental group (93.2 ± 3.5) was higher than that in the control group (79.1 ± 5.3), with a statistically significant difference (P < 0.01). The time to peak troponin decline and left ventricular ejection fraction (LVEF) recovery in the experimental group were superior to those in the control group (P < 0.05). Conclusion Implementing emergency intensive nursing for AMI patients in the cardiovascular CCU can effectively reduce the risk of complications, shorten hospital stays, improve patient satisfaction, and promote myocardial function recovery, demonstrating significant clinical value.
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