首页|改良式护理流程情景模拟演练对老年脑梗死患者护理质量的影响

改良式护理流程情景模拟演练对老年脑梗死患者护理质量的影响

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目的 探讨改良式护理流程情景模拟演练在老年脑梗死患者护理中的应用价值.方法 选取2021年5月—2023年6月于河北北方学院附属第一医院就诊的116例老年脑梗死患者为研究对象.按照改良式护理流程情景模拟演练在本院的推行时间(2022年6月)分为对照组60例(2021年5月—2022年5月)及观察组56例(2022年6月—2023年6月).对照组患者采用常规培训方法及急救护理模式干预.观察组患者在对照组基础上采用改良式护理流程情景模拟演练干预.观察并记录2组患者脑血管再通率、院前死亡率、致残率等临床结局指标;观察并记录2组患者采血送检时间、CT检查时间、从急诊至静脉溶栓治疗时间(DNT);比较2组患者干预2周时美国国立卫生研究院卒中量表(NIHSS)评分;比较2组患者家属护理满意度;于溶栓48 h后比较2组患者不良事件发生情况.结果 观察组患者脑血管再通率高于对照组,差异有统计学意义(P<0.05);院前死亡率、致残率均低于对照组,差异均有统计学意义(P<0.05).观察组患者采血送检时间、CT检查时间、DNT均短于对照组,差异均有统计学意义(P<0.05).观察组患者NIHSS评分为(6.62±1.04)分,低于对照组的(7.70±1.36)分,差异有统计学意义(P<0.05).观察组患者不良事件总发生率低于对照组,差异有统计学意义(P<0.05).结论 改良式护理流程情景模拟演练可有效提高患者急救效率,使患者得到及时的救治,降低患者神经损伤程度,改善患者临床结局.
The impact of improved nursing process scenario simulation on the quality of nursing care for elderly patients with cerebral infarction
Objective To explore the value of improved nursing process scenario simulation in elderly patients with cerebral infarction.Methods A total of 116 elderly cerebral infarction patients treated from May 2021 to June 2023 were selected.According to the implementation time of the improved nursing process scenario simulation (June 2022),patients were allo-cated to a control group of 60 cases (May 2021 to May 2022) and an observation group of 56 cases (June 2022 to June 2023).The control group received conventional training methods and emergency nursing interventions;the observation group,the improved nursing process scenario simulation in addition to the control group's interventions.Clinical outcomes such as cerebral vascular recanalization rate,pre-hospital mortality rate,and disability rate were observed and recorded.Times for blood sampling and testing,CT examination,and door-to-needle time (DNT) were also recorded.NIHSS scores were compared at 2 weeks post-intervention.Family members' degree of satisfaction with nursing and adverse events at 48 hours post-thrombolysis were also compared between the two groups.Results The observation group had a higher cerebral vascular recanalization rate and lower pre-hospital mortality and disability rates compared to the control group,with statisti-cally significant differences (P<0.05).Blood sampling and testing time,CT examination time,and DNT were significantly shorter in the observation group (P<0.05).The National Institutes of Health Stroke Scale (NIHSS) score in the observa-tion group was significantly lower than the control group (6.62±1.04 vs.7.70±1.36;P<0.05).The observation group had a significantly lower overall incidence of adverse events than the control group (P<0.05).Conclusion The improved nursing process scenario simulation intervention model effectively strengthens emergency efficiency,provides timely treat-ment,reduces neurological damage,and promotes clinical outcomes in elderly patients with cerebral infarction.

Elderly cerebral infarctionScenario simulationClinical outcomesNeurological function

李中霞、刘新伟、牛宁宁、李颖、李润杰

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河北北方学院附属第一医院急诊科,河北张家口 075000

老年脑梗死 情景模拟演练模式 临床结局 神经功能

2021年度河北省医学科学研究项目

20211689

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(4)
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