基于危险分层的个性化护理在急性非ST段抬高型心肌梗死患者中的应用-国际护理学研究-CSCIED科技核心评价数据库-手机版

基于危险分层的个性化护理在急性非ST段抬高型心肌梗死患者中的应用

Application of personalized nursing based on risk stratification in patients with acute non-ST-segment elevation myocardial infarction

ES评分 0 浏览量：65 下载量：0

全文阅读下载引用收藏

DOI	10.12208/j.ijnr.20260269
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2026, 8(5)
作者	徐梦颖,
作者单位	上海长征医院上海;
摘要	目的探讨基于危险分层的个性化护理在急性非ST段抬高型心肌梗死（NSTEMI）患者中的应用价值。方法选取2024年8月至2025年7月在海军军医大学第二附属医院心血管内科住院治疗的急性NSTEMI患者60例，采用随机数字表法分为观察组和对照组各30例。对照组给予心血管内科常规护理，观察组在对照组基础上实施基于危险分层的个性化护理干预。比较两组干预效果。结果干预后，两组患者HAMA、HAMD评分均较干预前明显降低，且观察组评分显著低于对照组（P<0.05）。观察组MACE总发生率为3.33%，显著低于对照组的26.67%（P<0.05）。结论基于危险分层的个性化护理能够显著改善急性NSTEMI患者的焦虑、抑郁情绪，并有效降低不良心血管事件的发生风险。
Abstract	Objective To investigate the application value of personalized nursing based on risk stratification in patients with acute non-ST-segment elevation myocardial infarction (NSTEMI). Methods A total of 60 patients with acute NSTEMI who were hospitalized in the Department of Cardiovascular Medicine, Second Affiliated Hospital of Naval Medical University from August 2024 to July 2025 were selected and randomly divided into an observation group and a control group using a random number table, with 30 cases in each group. The control group received routine cardiovascular nursing, while the observation group received personalized nursing based on risk stratification in addition to the routine nursing. The intervention effects were compared between the two groups. Results After the intervention, the HAMA and HAMD scores in both groups were significantly lower than those before intervention, and the scores in the observation group were significantly lower than those in the control group (P < 0.05). The total incidence of major adverse cardiovascular events (MACE) in the observation group was 3.33%, which was significantly lower than 26.67% in the control group (P < 0.05). Conclusion Personalized nursing based on risk stratification can significantly improve anxiety and depression in patients with acute NSTEMI and effectively reduce the risk of adverse cardiovascular events.
关键词	危险分层；个性化护理；急性非ST段抬高型；心肌梗死
KeyWord	Risk stratification; Personalized nursing; Acute non-ST-segment elevation; Myocardial infarction
基金项目
页码	167-169

参考文献
相关文献

[1] 孙沁瑜,邓毅凡,唐敏佳,等.中青年人群STEMI发生风险的临床预测因素分析
[J].临床心血管病杂志,2026,42(02): 117-123.

[2] 鲁静,潘晔,檀熙静,等.急性ST段抬高型心肌梗死病人急性肾损伤发生风险的列线图预测模型构建
[J].中西医结合心脑血管病杂志,2026,24(03):402-407.

[3] 邵静.基于危险分层的预见性护理对小儿高热惊厥抽搐及复发率的影响
[J].山西医药杂志,2025,54(23):1824-1828.

[4] 王雨婷.叙事护理联合责任制助产护理对初产妇产程时间、HAMA及HAMD评分的影响研究
[J/OL].中国典型病例大全,1-5
[2026-03-02].

[5] 宋晓梅,韩婷婷.急诊科老年急性胸痛患者发生不良心血管事件的危险因素分析
[J].医药前沿,2025,15(31):135-138+142.

[6] 刘晓聪.循证护理在急性ST段抬高型心肌梗死PCI术后患者中的应用效果
[J].中国民康医学,2025,37(19): 171-173.

[7] 白井双,底瑞青,黄峥,等.心脏起搏治疗患者基于运动危险分层康复方案的构建与实施
[J].护理学杂志,2023, 38(11):33-37.

[8] 吕晓春,权耀生.基于GRACE风险评分模型的NSTE-ACS患者分级护理方案的构建
[J].现代医药卫生,2024, 40(16):2780-2784.

引用本文

徐梦颖. 基于危险分层的个性化护理在急性非ST段抬高型心肌梗死患者中的应用 [J]. 国际护理学研究. 2026; 8; (5). 167 - 169.

文献评论

相关学者

相关机构