Impact of catheterization laboratory nursing process reengineering under the Chest Pain Center model on patient prognosis and satisfaction

Chen Hui; Ren Zhenqing

doi:10.26939/j.cnki.CN11-9353/R.2025.04.008

Abstract：Objective To investigate the impact of catheterization room process reengineering under the Chest Pain Center model on the prognosis and satisfaction of both medical staff and patients in emergency percutaneous coronary intervention(PCI)for patients with acute ST-segment elevation myocardial infarction(STEMI).Methods STEMI patients who underwent primary PCI through the Chest Pain Center from February 2024 to June 2024 were assigned to experimental group.Patients meeting the same criteria from February 2023 to June 2023 were selected as the control group.Comparisons were made between the two groups regarding the first medical contact-to-Catheterization Lab time(FMC-to-Cath Lab,minutes),Cath Lab call-to-door time,door-to-wire time(D-to-W),physician satisfaction,patient satisfaction,the peak value of NT-proBNP during hospitalization,and LVEF before discharge.Results The experimental and control groups showed no statistically significant differences in baseline characteristics including age,gender distribution,smoking status,and proportions of hypertension,diabetes and hyperlipidemia(P>0.05).However,the experimental group demonstrated significantly shorter time intervals compared with the control group in FMC-to-Catheterization Lab time[(23.13±7.72)min vs.(33.20±6.61)min,P=0.001],Cath Lab call-to-door time[(18.61±6.08)min vs.(28.50±5.65)min,P=0.001],and door-to-wire(D-to-W)time[(49.01±12.14)min vs.(66.26±15.52)min,P=0.001].Additionally,the experimental group achieved significantly higher satisfaction scores in both patient satisfaction[(95.45±3.23)points vs.(88.23±5.12)points,P=0.004]and physician satisfaction[(95.33±3.63)points vs.(90.36±6.21)points,P=0.005],with all observed differences reaching statistical significance(P<0.05).Regarding the peak value of NT-proBNP,the experimental group showed lower median value than the control group.For LVEF,the experimental group demonstrated higher median value than the control group,with statistically significant difference.Conclusion Catheterization room process reengineering can improve the efficiency of the catheterization lab,shorten the activation time for emergency PCI,significantly reduce the Cath Lab call-to-door time and D-to-W time,and enhance both patient and physician satisfaction.This approach is beneficial for improving patient prognosis.