Adams D L, Perez S R
Department of Nursing, Henry Ford Hospital, Detroit, MI 48202.
Henry Ford Hosp Med J. 1991;39(3-4):251-5.
Cardiac nursing is nearly 30 years old. Changes in the role of cardiac nursing have directly corresponded to the three distinct medical phases of care for the acute myocardial infarction patient--arrhythmia detection, pump failure, and limiting infarct size. Nursing care delivery in the cardiac setting, the cardiac patient, and the role of the cardiac nurse each have undergone changes over the years, which together has provided a challenge to health care delivery. Future effects of technological and pharmacologic advances, social changes, and nursing professional practice issues on cardiac care delivery are imperative to consider as health care moves into the 1990s.
心脏护理专业已有近30年的历史。心脏护理角色的变化与急性心肌梗死患者护理的三个不同医学阶段直接相关——心律失常检测、泵衰竭以及限制梗死面积。多年来，心脏护理环境中的护理服务、心脏病患者以及心脏护士的角色都发生了变化，这些变化共同给医疗服务带来了挑战。随着医疗保健进入20世纪90年代，必须考虑技术和药理学进步、社会变革以及护理专业实践问题对心脏护理服务的未来影响。
