急诊护理对心肌梗死患者抢救成功率及预后的影响评估

Q: What is the clinical evidence from this study?

Study design: Review. Population: Acute myocardial infarction. Intervention: Standardized emergency nursing pathway and whole-process quality control system vs. Traditional emergency nursing care without a quality control system. Primary outcome: Rescue success rate.

Q: What does this research mean for the field?

Standardized emergency nursing combined with quality control significantly reduces reperfusion time and improves rescue success rates while lowering complications and readmissions in patients with acute myocardial infarction. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

解 伟; 丁金超; 徐冬梅

doi:10.37155/2661-4766-0807-2

January 1, 2026临床医学前沿Open Access

急诊护理对心肌梗死患者抢救成功率及预后的影响评估

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Why the study?

The timely execution of emergency care processes in acute myocardial infarction directly affects resuscitation success rates and long-term prognosis, motivating the optimization and standardization of emergency nursing systems around a chest pain center model.

Does a standardized emergency nursing pathway and quality control system improve rescue success rate and prognosis in patients with acute myocardial infarction?

Key Points

To evaluate the impact of a standardized emergency nursing workflow and full-process quality control system on rescue success rates and long-term prognosis in patients with acute myocardial infarction.
Constructed a standardized emergency nursing workflow and full-process quality control system aligned with national chest pain center standards.
Optimized critical rescue checkpoints, pre-hospital to in-hospital handover transitions, and multidisciplinary nursing coordination mechanisms.
Implementation of standardized nursing quality control reduced mean reperfusion time from 78 minutes to 42 minutes and increased the rescue success rate from 81.3% to 92.4%.
Postoperative complication rates dropped from 17.6% to 9.4%, 6-month readmission rates decreased from 14.3% to 8.7%, and left ventricular ejection fraction increased by 7.3 percentage points.

Structured PICO

Does a standardized emergency nursing pathway and quality control system improve rescue success rate and prognosis in patients with acute myocardial infarction?

P

Population

Patients with acute myocardial infarction treated at tertiary hospitals in China, followed for up to 6 months post-discharge.

I

Intervention

Standardized emergency nursing pathway and whole-process quality control system based on a chest pain center multidisciplinary collaboration model (incorporating triage within 5 minutes, dynamic vital sign monitoring within 10 minutes, pre-hospital and in-hospital seamless handover, intelligent risk warning, and 7-day post-discharge follow-up)

C

Comparator

Traditional emergency care mode / patients without the nursing quality control system implemented

O

Outcome

Rescue success rate and mean reperfusion time

Main Result

Absolute Event Rate: 92.4% vs 81.3%

Implementing a standardized emergency nursing pathway and quality control system within a chest pain center framework shortens reperfusion time, increases rescue success rates, and reduces complications and 6-month readmissions in acute myocardial infarction patients.

Limitations

Study samples were exclusively from tertiary hospitals, limiting applicability to primary healthcare institutions
Follow-up data had some subjective bias
Data monitoring capabilities remain insufficient
Study samples were all from tertiary hospitals, resulting in poor applicability/generalizability to primary healthcare institutions
Follow-up data had a certain degree of subjective bias

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Answers are grounded in this paper and cite their sources.

Implication

Supports standardized nursing pathways in chest pain centers; leaves open confirmation via randomized trials.

Abstract

急性心肌梗死救治的时效性极强，救治流程的顺利进行直接关系到患者抢救成功率和远期预后等各方面情况，因此优化好急诊护理体系对提高急救质量具有重要意义。结合国家最新心肌梗死诊疗质控标准，围绕胸痛中心救治模式构建标准化的急诊护理流程与全流程质控体系，梳理急救流程中需要处理的关键节点，完善院前院内无缝衔接、多学科协作护理机制。通过临床实践证明规范化急诊护理能够缩短再灌注治疗时间，提升抢救成功率，降低术后并发症及远期再住院率，改善病人心功能和生活质量。

Discussion

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Cite This Study

伟 et al. (2026) conducted a review in Acute myocardial infarction. Standardized emergency nursing pathway and whole-process quality control system vs. Traditional emergency nursing care without a quality control system was evaluated on Rescue success rate.

synapsesocial.com/papers/6af3463ebdf2424ebd04f7f4 https://doi.org/10.37155/2661-4766-0807-2

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急诊护理对心肌梗死患者抢救成功率及预后的影响评估

Key Points

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

急诊护理对心肌梗死患者抢救成功率及预后的影响评估

Key Points

Structured PICO

Main Result

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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