首页|基于循证的急救护理路径在急性缺血性脑卒中患者中的应用效果

基于循证的急救护理路径在急性缺血性脑卒中患者中的应用效果

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目的 探究基于循证的急救护理路径在急性缺血性脑卒中患者中的应用价值.方法 选择2019 年2月至 2021 年 5 月我院收治的 150 例急性缺血性脑卒中患者为研究对象,按照护理方法不同将其分为对照组和观察组,各 75 例.对照组接受常规急诊护理,观察组在对照组基础上加施基于循证的急救护理路径.比较两组的干预效果.结果 观察组的分诊时间、就诊至静脉采血时间、就诊至溶栓时间及住院时间短于对照组(P<0.05).干预后,观察组的动态阻抗(DR)、脉搏波速(Wv)及外周阻力(R)低于对照组(P<0.05).干预后,观察组的格拉斯哥昏迷量表(GCS)评分高于对照组,急性生理学和慢性健康状况评分系统Ⅱ(APACHEⅡ)评分低于对照组(P<0.05).观察组的血管再通率高于对照组(P<0.05).结论 基于循证的急救护理路径可有效提高急性缺血性脑卒中患者的急救效率、血管再通率,改善脑部血流动力学,缓解昏迷程度,提高健康状态,值得推广.
Application effect of evidence-based emergency nursing pathway in patients with acute ischemic stroke
Objective To explore the application value of evidence-based emergency nursing pathway in patients with acute ischemic stroke.Methods A total of 150 patients with acute ischemic stroke admitted in our hospital from February 2019 to May 2021 were selected as the research objects and divided into control group and observation group according to different nursing methods,with 75 cases in each group.The control group received routine emergency nursing,while the observation group received evidence-based emergency nursing pathway on the basis of the control group.The intervention effects of the two groups were compared.Results The triage time,time from visit to venous blood collection,time from visit to thrombolysis and hospitalization time in the observation group were shorter than those in the control group(P<0.05).After intervention,the dynamic resistance(DR),wave velocity(Wv)and peripheral resistance(R)in the observation group were lower than those in the control group(P<0.05).After intervention,the Glasgow Coma Scale(GCS)score of the observation group was higher than that of the control group,and the Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ)score was lower than that of the control group(P<0.05).The vascular recanalization rate of the observation group was higher than that of the control group(P<0.05).Conclusion The evidence-based emergency nursing pathway can effectively improve the first aid efficiency and vascular recanalization rate of patients with acute ischemic stroke,improve brain hemodynamics,relieve coma and improve health status,which is worthy of promotion.

evidence-based emergency nursing pathwayacute ischemic strokefirst aid efficiencyhealth state

赵静、樊格、张森

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延安大学咸阳医院,陕西 咸阳,712000

基于循证的急救护理路径 急性缺血性脑卒中 急救效率 健康状态

延安大学咸阳医院院内科学研究基金(2021)

2021ZX007

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(16)