Development of a post-acute coronary syndrome care model integrating cardiac-psychological care: Focus on psychological resilience-building in clinical nursing

Abstract

Objective: To develop a specialized cardiac-psychological integrated care model for patients with Acute Coronary Syndrome (ACS) and explore the core components, implementation strategies, and clinical nursing value of integrating psychological resilience-building into routine cardiac care for ACS patients.

Methods A structured literature search adhering to PRISMA guidelines was conducted across PubMed, Web of Science, and the Cochrane Library for studies published from January 2016 to December 2025. Eligible studies focused on ACS cardiac-psychological integrated care, psychological resilience interventions, and clinical nursing practice. A total of 33 peer-reviewed studies, clinical consensus statements, and systematic reviews were included for synthesis, and based on the evidence, a structured ACS cardiac-psychological integrated care model with psychological resilience-building as the core was constructed.

Results This study clarifies the multi-dimensional protective role of psychological resilience in ACS patients (biological, psychological, and social), defines the key structural components of the integrated care model (early screening, family-centered assessment, social support mapping, and digital integration), and identifies the clinical nurse’s core role as a “Resilience Architect” with specific intervention strategies. A nurse-led resilience discharge checklist for inpatient ACS care is proposed, and the main implementation challenges of the model (time/resource constraints, stigma, nurse training gaps, and organizational culture barriers) are also summarized.

Conclusions Psychological resilience-building integrated into routine cardiac care is a pivotal factor in breaking the vicious cycle of physical and mental deterioration in ACS patients. The developed cardiac-psychological integrated care model provides a structured clinical roadmap for ACS management, which is conducive to improving long-term patient prognosis and quality of life in clinical nursing practice.

Keywords

Acute coronary syndrome / Clinical nursing / Integrated care model / Psycho-cardiology / Psychological resilience

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