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