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

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.