Application of medical team resource management mode in patients with acute ischemic stroke
Objective To explore the effect of adopting the medical team resource management mode in first aid green channel for patients with acute ischemic stroke(AIS).Methods A retrospective study was conducted on the clinical data of 72 patients with AIS admitted to Xuchang Central Hospital from January 2020 to February 2022.The 36 patients who took the routine first aid green channel at the emergency from January 2020 to January 2021 were set as a control group,including 17 females and 19 males who were(60.56±3.89)years old.The 36 patients with AIS who took the medical team resource management mode at the emergency department from February 2021 to February 2022 were set as an observation group,including 16 females and 20 males who were(60.59±3.91)years old.The first aid efficiencies,neurological function,daily living ability,disability rates,quality of life,and patients'satisfaction degrees were compared between the two groups.t and x2 tests were applied.Results The emergency triage time,emergency detention time,and time from treatment to thrombolysis in the observation group were shorter than those in the control group[(3.68±1.15)min vs.(5.09±1.23)min,(39.42±3.18)min vs.(46.24±3.25)min,and(55.23±5.40)min vs.(64.79±5.53)min;t=5.024,8.999,and 7.421;all P＜0.001].The scores of National Institutes of Health Stroke Scale(NIHSS)and the Ability of Daily Living Scale(ADL)at discharge in the observation group lower than those in the control group[(6.51±1.50)vs.(8.93±1.54)and(21.35±2.16)vs.(25.50±2.19);t=6.754 and 8.095;both P＜0.001].The disability rate in the observation group was lower than the that in the control group[2.78％(1/36)vs.16.67％(6/36);x2=3.956;P=0.047].The score of stroke quality of life scale(SS-QOL)at discharge in the observation group was higher than that in the control group[(140.84±6.83)vs.(119.92±6.64);t=13.177;P＜0.001].The scores of first aid methods,safety management,humanistic care,and nursing attitude of satisfaction and the total score in the observation group were higher than those in the control group[(21.26±1.18)vs.(18.98±1.13),(21.85±1.23)vs.(19.94±1.20),(21.96±1.25)vs.(18.54±1.16),(21.80±1.43)vs.(19.06±1.30),and(84.43±3.34)vs.(75.54±3.26);t=8.373,6.669,12.033,8.507,and 11.429;all P＜0.001].Conclusion Adopting the medical team resource management mode in the first aid green channel for patients with AIS can improve the efficiency of first aid and their neurological function,daily living ability,prognosis,and satisfaction degree.
Acute ischemic strokeMedical team resource managementFirst aid green channelFirst aid efficiencyNeurological functionDaily living abilityDisability rateQuality of life
万方数据
维普
