Stratified Nursing Based on ICNSS Score: Study on the Impact of Complications and Rehabilitation Effects in Patients with Acute Myocardial Infarction Complicated by Heart Failure.

OBJECTIVE

To analyze the application effects of stratified nursing based on the ICNSS score and its influence on complications and rehabilitation effects in patients with Acute Myocardial Infarction (AMI) complicated by Heart Failure (HF).

METHODS

A retrospective analysis was conducted on clinical data of 97 patients with AMI complicated by HF admitted to Xingtai Central Hospital between January 2021 and January 2023. All patients met the inclusion and exclusion criteria. Patients were divided into a control group (n=47) and an observation group (n=50) based on different nursing interventions received. The control group received routine nursing interventions, while the observation group received stratified nursing interventions based on the ICNSS score. The comparison between the two groups involved Cardio Care Unit (CCU) treatment duration, psychological status Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), cardiac function indicators Creatine Kinase (CK), Left Ventricular End-Diastolic Diameter (LVEDD), Left Ventricular Ejection Fraction (LVEF), Cardiac Output (CO), quality of life (SF-36), occurrence of nursing complications, and nursing satisfaction.

RESULTS

1. CCU treatment duration and psychological status: After treatment, the SAS and SDS scores and CCU treatment duration in the observation group were significantly lower than those in the control group (P < .05). 2. Cardiac function indicators: After treatment, the CK and LVEDD levels in the observation group were significantly higher than those in the control group, while LVEF and CO levels were significantly lower than those in the control group (P < .05). 3. Quality of life: After treatment, the physiological function, physical function, mental status, and social relationship scores in the observation group were significantly higher than those in the control group (P < .05). 4. Occurrence of nursing complications: The occurrence rate of nursing complications in the control group was 17.02%, while in the observation group, it was 2.00%, significantly lower than that in the control group (P < .05). 5. Nursing satisfaction: The nursing satisfaction in the control group was 78.72%, whereas in the observation group, it was 94.00%, significantly higher than that in the control group (P < .05).

CONCLUSION

Stratified nursing based on the ICNSS score demonstrates significant application effects in patients with AMI complicated by HF. Compared to routine nursing interventions, stratified nursing based on the ICNSS score further reduces CCU treatment duration, alleviates negative psychological emotions, improves cardiac function, and effectively controls and reduces the risk of complications. Moreover, this approach significantly enhances nursing satisfaction for both patients and their families, contributing significantly to promoting harmony in doctor-patient relationships, and deserves clinical promotion and application.