Study on the application of a standardized nursing protocol for venous-arterial extracorporeal membrane oxygenation in patients with complex high-risk coronary heart disease

doi:10.3761/j.issn.0254-1769.2026.01.009

Abstract

Abstract:

Objective To evaluate the effectiveness of a standardized nursing protocol for venous-arterial extracorporeal membrane oxygenation（VA-ECMO） in treating complex high-risk coronary heart disease and to provide a reference for clinical nursing practice. Methods Using convenience sampling，we selected 56 complex high-risk intervention patients（CHIP） who underwent interventional treatment with VA-ECMO assistance at a tertiary A hospital in Nanning，Guangxi，from April 2020 to June 2025. The experimental group comprised 26 patients admitted from January 2024 to June 2025 who received a standardized nursing protocol for VA-ECMO-assisted complex high-risk coronary intervention. The control group comprised 30 patients admitted from April 2020 to December 2023 who received conventional nursing protocols. We compared equipment availability time，circuit pre-charging time，catheterization completion time，degree of nurse-physician collaboration，ECMO assistance duration，and complication incidence between groups. Results No sample dropped out. The experimental group demonstrated shorter times for equipment availability，circuit pre-charging，catheterization completion，and ECMO assistance duration compared to the control group. The experimental group also had a lower complication incidence and higher medical-nursing cooperation scores. All differences were statistically significant（P<0.001）. Conclusion The standardized nursing protocol for VA-ECMO-assisted CHIP intervention optimizes the nursing process，improves the timeliness of key VA-ECMO assistance steps and medical-nursing cooperation，and reduces complication incidence.

Key words: Coronary Heart Disease, Percutaneous Coronary Intervention, Extracorporeal Membrane Oxyge-nation, Nursing Process, Complications

摘要：

目的观察静脉-动脉体外膜肺氧合护理标准化方案在复杂高危冠心病治疗中的应用效果，为临床护理实践提供参考。方法采用便利抽样法，选取2020年4月至2025年6月南宁市某三级甲等综合医院体外膜肺氧合培训基地收治的复杂高危冠心病患者（complex high-risk intervention patients，CHIP）作为研究对象，所有患者均在静脉-动脉体外膜肺氧合辅助下进行介入治疗。试验组为2024年1月至2025年6月收治的26例CHIP，采用静脉-动脉体外膜肺氧合护理标准化方案；对照组为2020年4月至2023年12月收治的30例CHIP，采用常规护理方案。比较两组的物品到位时间、管路预充时间、完成置管时间、医护合作程度、体外膜肺氧合辅助时间及并发症发生率。结果两组均无样本脱落。试验组的物品到位时间、管路预充时间、完成置管时间、体外膜肺氧合辅助时间及并发症发生率均低于对照组，医护合作程度分值高于对照组，差异具有统计学意义（均P<0.001）。结论静脉-动脉体外膜肺氧合护理标准化方案可优化CHIP介入治疗的护理流程，提高关键环节的时效性和医护合作程度，降低并发症发生率。

关键词: 冠心病, 经皮冠状动脉介入治疗, 体外膜肺氧合, 护理流程, 并发症

GUO Enhui, LANG Qiuyan, WEN Hanchun, GAN Yanmei, WANG Shulin, LI Gaoye. Study on the application of a standardized nursing protocol for venous-arterial extracorporeal membrane oxygenation in patients with complex high-risk coronary heart disease[J]. Chinese Journal of Nursing, 2026, 61(1): 63-69.

郭恩慧, 朗秋燕, 温汉春, 甘衍梅, 王书林, 李高叶. 静脉-动脉体外膜肺氧合护理标准化方案在复杂高危冠心病患者中的应用研究[J]. 中华护理杂志, 2026, 61(1): 63-69.

Figures/Tables 2

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