Construction and effect observation of acute phase nursing intervention pathway for patients with acute myocardial infarction combined with stroke
急性心肌梗死合并脑卒中患者急性期护理干预路径构建与效果观察

摘要

目的 分析急性心肌梗死合并脑卒中患者急性期护理干预路径构建与效果。方法 收集2024年1月-2024年12月期间，本院收治的30例急性心肌梗死合并脑卒中患者资料，此期间实施常规护理干预，作为对照组；再收集2025年1月-2025年12月期间的30例同类型患者资料，此期间实施护理路径干预，作为观察组。对比两组患者的神经功能缺损情况、心理状态、生活质量。结果 观察组患者的NIHSS评分、SAS、SDS评分，均显著低于对照组患者，且各项生活质量评分均明显更高，差异均有统计学意义（P＜0.05）。结论 在急性心肌梗死合并脑卒中患者急性期，构建并实施护理干预路径，有助于促进患者神经功能恢复、减轻负性情绪，并提升患者生活质量，取得了良好的应用效果。

Abstract

Objective To analyze the construction and effectiveness of acute phase nursing intervention pathways for patients with acute myocardial infarction and stroke.
Methods Data of 30 patients with acute myocardial infarction combined with stroke admitted to our hospital from January 2024 to December 2024 were collected. During this period, routine nursing interventions were implemented as the control group; Collect data from 30 patients of the same type between January 2025 to December 2025, and implement nursing pathway intervention during this period as the observation group. Compare the neurological deficits, psychological status, and quality of life between two groups of patients.
Results The NIHSS score, SAS score, and SDS score of the observation group patients were significantly lower than those of the control group patients, and all quality of life scores were significantly higher, with statistically significant differences (P<0.05).
Conclusion   In the acute phase of patients with acute myocardial infarction and stroke, constructing and implementing a nursing intervention pathway can help promote the recovery of patients' neurological function, reduce negative emotions, and improve their quality of life, achieving good application effects.