首页|基于时间节点的院内快速急救护理在急性脑梗死溶栓患者中的应用

基于时间节点的院内快速急救护理在急性脑梗死溶栓患者中的应用

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目的 探讨急性脑梗死(ACI)溶栓患者应用基于时间节点的院内快速急救护理的效果.方法 选取 2020年7月—2023 年 6 月于聊城市第二人民医院行溶栓治疗的 78 例ACI患者为研究对象,按护理方法的不同将其分成干预组(n=39)与对照组(n=39).对照组实施常规院内急救护理,干预组实施基于时间节点的院内快速急救护理.比较两组的急救成功率、急救环节时间、神经功能、残障程度、日常生活能力、不良反应发生情况及护理满意度.结果 干预组急救成功率高于对照组,CT检查、开单、办理入院时间均短于对照组,组间差异有统计学意义(P<0.05).出院时,两组美国国立卫生院神经功能缺损评分量表(NIHSS)、改良Rankin修订量表(mRS)评分均较入院时下降,且干预组NIHSS、mRS评分均低于对照组,差异有统计学意义(P<0.05).出院时,两组Barthel指数(BI)均较入院时提高,且干预组BI评分高于对照组,差异有统计学意义(P<0.05).干预组不良反应发生率为 7.69%,低于对照组的 25.64%,差异有统计学意义(P<0.05).干预组护理满意度为 100.00%,高于对照组的 84.62%,差异有统计学意义(P<0.05).结论 基于时间节点的院内快速急救护理应用于ACI溶栓患者干预中,能够缩短急救时间,提高急救成功率,改善神经功能、残障程度,降低不良反应发生风险,促进日常生活能力、护理满意度提升.
Application of Time Node Based Rapid Emergency Nursing in Hospitals for Acute Cerebral Infarction Thrombolysis Patients
Objective To explore the effect of using time node based rapid emergency nursing in hospitals for thrombolysis patients with acute cerebral infarction(ACI).Methods 78 ACI patients who underwent thrombolytic therapy at the Second People's Hospital of Liaocheng City from July 2020 to June 2023 were selected as the research subjects.They were divided into an intervention group(n=39)and a control group(n=39)according to different nursing methods.The control group received routine in-hospital emergency care,while the intervention group received time node based rapid emergency nursing in hospitals.The success rate,time,neurological function,disability level,daily living ability,adverse reactions and nursing satisfaction of the first aid process were compared in both groups.Results The success rate of emergency treatment in the intervention group was higher than that in the control group,and the time for CT examination,billing,and hospitalization were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).At discharge,the scores of the National Institutes of Health Stroke Scale(NIHSS)and the modified Rankin Scale(mRS)decreased in both groups compared to admission,and the NIHSS and mRS scores in the intervention group were lower than those in the control group,with statistical significance(P<0.05).At discharge,the Barthel Index(BI)of both groups increased compared to admission,and the BI score of the intervention group was higher than that of the control group,with a statistically significant difference(P<0.05).The incidence of adverse reactions in the intervention group was 7.69%,lower than 25.64%in the control group,and the differences was statistically significant(P<0.05).The nursing satisfaction rate of the intervention group was 100.00%,higher than 84.62%of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of time node based rapid emergency nursing in hospitals in the intervention of ACI thrombolysis patients can shorten emergency time,increase the success rate of first aid,improve neurological function and disability level,reduce the risk of adverse reactions,and promote the improvement of daily living ability and nursing satisfaction.

Acute cerebral infarctionThrombolysisTime nodeRapid emergency nursing in hospitals

李雪、殷善秀

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聊城市第二人民医院急诊科,山东聊城 252600

急性脑梗死 溶栓 时间节点 院内快速急救护理

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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