河北医药2024，Vol.46Issue(4) ：634-636,640.DOI:10.3969/j.issn.1002-7386.2024.04.036

基于结局导向的零缺陷干预对急性脑梗死患者急诊救治效果及病情判断准确率的影响

Effect of outcome-oriented zero-defect intervention on emergency treatment and diagnosis accuracy of acute cerebral infarction

李文娟 黄蓓蓓 夏梦雪
河北医药2024，Vol.46Issue(4) ：634-636,640.DOI:10.3969/j.issn.1002-7386.2024.04.036
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基于结局导向的零缺陷干预对急性脑梗死患者急诊救治效果及病情判断准确率的影响

Effect of outcome-oriented zero-defect intervention on emergency treatment and diagnosis accuracy of acute cerebral infarction

李文娟 1黄蓓蓓 1夏梦雪1
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作者信息

  • 1. 210024 南京市,南京医科大学附属脑科医院急诊科
  • 折叠

摘要

目的 分析基于结局导向的零缺陷干预对急性脑梗死患者急诊救治效果及病情判断准确率的影响.方法 采取便利抽样的方法选取 2021 年 1 月至 2023 年 1 月急诊科收治的急性脑梗死患者 76 例,按数字随机表法分为 2 组,每组 38 例.对照组予以常规干预,观察组予以基于结局导向的零缺陷干预,比较 2 组患者的急诊救治时间、急诊救治效果与病情判断准确率、护理缺陷发生情况、认知功能与神经功能.结果 观察组患者的入院至接诊、分诊评估、采血、转诊、抢救及入住脑血管病中心的时间均短于对照组(P<0.05);观察组患者的急诊救治成功率为94.74%,病情判断准确率为 100%,高于对照组的 78.95%、89.47%(P<0.05);观察组患者中护理缺陷事件的发生率为 2.63%低于对照组的 15.79%(P<0.05);出脑血管病中心时,观察组患者的美国国立卫生院卒中量表(NIHSS)分数低于对照组,而观察组患者的蒙特利尔认知量表(MoCA)分数高于对照组(P<0.05).结论 基于结局导向的零缺陷干预在急性脑梗死患者中的应用可取得显著效果,不仅能缩短其急诊救治时间,提高急诊救治效果与病情判断准确率,还能控制护理缺陷事件发生,促进患者认知功能与神经功能恢复.

Abstract

Objective To analyze the effect of outcome-oriented zero-defect intervention on emergency treatment and diagnosis accuracy of acute cerebral infarction.Methods A total of 76 cases of patients with acute cerebral infarction admitted to the emergency department of our hospital from January 2021 to January 2023 were selected by convenience sampling method.They were randomly divided into two groups,with 38 cases per group.Patients in the control group were given a routine intervention,and those of the observation group were given an outcome-oriented zero-defect intervention.The time of emergency treatment,effect of emergency treatment,accuracy of diagnosis,occurrence of nursing defects,cognitive function and neurological function were compared between the two groups.Results The time from admission to reception,triage and evaluation,blood collection time,referral time,rescue time and length in the Cerebrovascular Disease Center in the observation group were significantly shorter than those of the control group(P<0.05).The success rate of emergency treatment(94.74%vs 78.95%)and the accuracy rate of disease diagnosis(100.00%vs 89.47%)were significantly higher in the observation group than those of control group(P<0.05).The incidence of nursing defect events in the observation group was significantly lower than that of control group(2.63%vs 15.79%,P<0.05).At the time of leaving the Cerebrovascular Disease Center,the National Institutes of Health Stroke Scale(NIHSS)score of the observation group was significantly lower than that of control group,while the Montreal Cognitive Scale(MoCA)score was significantly higher(P<0.05).Conclusion The application of outcome-oriented zero-defect intervention in patients with acute cerebral infarction can achieve significant results,which shortens the emergency treatment time,improves the emergency treatment effect and diagnosis accuracy,reduces the occurrence of nursing defects,and promotes the recovery of cognitive and neurological functions.

关键词

基于结局导向的零缺陷干预/急性脑梗死/急诊救治/护理缺陷/认知功能/神经功能

Key words

outcome-oriented zero-defect intervention/acute cerebral infarction/emergency treatment/nursing defects/cognitive function/neural function

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出版年

2024
河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子：1.075
ISSN：1002-7386
参考文献量20
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