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护理联合院前急救服务时效性分析对急诊溶栓治疗脑卒中预后的影响

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目的 研究时效性分析护理联合院前急救服务对急诊溶栓治疗脑卒中预后的影响.方法 将2020年6月至2021年5月收治的64例急诊溶栓治疗脑卒中患者纳入对照组,将2022年6月至2023年5月收治的64例急诊溶栓治疗脑卒中患者纳入试验组.对照组实施院前急救服务,试验组实施时效性分析护理联合院前急救服务.比较两组急救的各项时间、溶栓治疗后2 h、2周的NIHSS评分值、并发症发生情况、溶栓治疗后3个月的预后情况以及生活质量.结果 比较两组之间的各项就诊时间、溶栓治疗后2 h和2周的NIHSS评分值、并发症发生率、mRS评分值与mRS评估的预后良好率,其组间差异均呈现出统计学意义(P<0.05),其中试验组的各项就诊时间相比于对照组更短,试验组的NIHSS评分值、并发症发生率、mRS评分值相比于对照组更低,试验组mRS评估的预后良好率相比于对照组更高.在GQOLI-74评分的比较方面,两组之间物质生活维度的评分值差异未呈现出统计学意义(P>0.05),躯体功能、心理功能以及社会功能3个维度的评分值差异呈现出统计学意义(P<0.05),其中试验组该3个维度的评分值相比于对照组均更高.结论 对急诊溶栓治疗脑卒中的患者实施时效性分析护理联合院前急救服务,可有效提升急救工作效率,缩短急救各环节的时间,有助于减轻患者神经功能缺损程度,促进预后的良好转变,并提升生活质量.
The Impact of Timeliness Analysis of Nursing Combined with Pre-hospital Emergency Services on the Prognosis of Emergency Thrombolytic Therapy for Stroke
Objective To study the impact of timeliness analysis of nursing combined with pre-hospital emergency services on the prognosis of emergency thrombolytic therapy for stroke.Methods 64 emergency thrombolytic stroke patients admitted from June 2020 to May 2021 were included in the control group,and 64 emergency thrombolytic stroke patients admitted from June 2022 to May 2023 were included in the experimental group.The control group received pre-hospital emergency services,while the experimental group received timely analysis nursing combined with pre-hospital emergency services.The first aid time,NIHSS score of 2 h and 2 weeks after thrombolytic therapy,incidence of complications,prognosis of 3 months after thrombolytic therapy and quality of life of the two groups were compared.Results The time of visit,NIHSS score 2 h and 2 weeks after thrombolytic therapy,complication rate,mRS score and good prognosis rate of mRS assessment were compared between the two groups.There was statistical significance among all groups(P<0.05).The treatment time of the experimental group was shorter than that of the control group,the NIHSS score,complication rate and mRS score of the experimental group were lower than that of the control group,and the good prognosis rate of mRS assessment of the experimental group was higher than that of the control group.In the comparison of GQOLI-74 scores,there was no statistical significance in the score values of material life between the two groups(P>0.05).The score values of the three dimensions of physical function,psychological function and social function showed statistical significance(P<0.05),and the score values of the three dimensions of the experimental group were higher than that of the control group.Conclusion The implementation of timeliness analysis nursing combined with pre-hospital emergency services for emergency thrombolysis treatment of stroke patients can effectively improve the efficiency of emergency work,shorten the time of each emergency step,reduce the degree of neurological dysfunction in patients,and effectively improve the prognosis of patients,promoting the improvement of their quality of life.

timeliness analysis nursingpre-hospital emergency servicesischemic strokeemergency departmentthrombolytic therapy

刘双

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锦州医科大学附属第一医院急诊科,辽宁锦州 121000

时效性分析护理 院前急救服务 缺血性脑卒中 急诊 溶栓治疗

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(6)