基于时间管理下的责任制护理干预在脑卒中溶栓治疗后的应用分析
Application Analysis of Responsibility-based Nursing Intervention Based on Time Management in Stroke Thrombolysis Treatment
董媛 1杜亚萍 1齐昭娣1
作者信息
- 1. 河南省职工医院神经内科,郑州 450002
- 折叠
摘要
目的:探讨基于时间管理下的责任制护理干预在脑卒中溶栓治疗后的应用效果.方法:选取 2022 年 1 月至2023 年12 月于本院进行溶栓治疗的78 例脑卒中患者作为研究对象.根据溶栓治疗围手术期护理方案,将其分为观察组(n=40,采用基于时间管理下的责任制护理)和对照组(n=38,采用常规护理).比较两组患者救治时间指标、溶栓治疗情况及并发症发生率.结果:观察组患者就医到抽血送检、急诊到CT检查及患者抵达医院至溶栓的时间(DNT)均短于对照组,入院 1h内完成溶栓治疗率则高于对照组,差异均有统计学意义(P＜0.05);观察组患者溶栓后美国国立卫生研究院卒中量表(NIHSS)评分均显著低于对照组,日常生活活动能力量表(ADL)评分显著高于对照组,而并发症发生率低于对照组,差异均有统计学意义(P＜0.05).结论:在脑卒中溶栓治疗患者中予以基于时间管理下的责任制护理干预有利于改善患者术后神经功能和生活质量,降低并发症发生率,提高术后安全性.
Abstract
Objective:To explore the application effect of responsibility-based nursing intervention based on time management after thrombolytic therapy for stroke.Methods:A total of 78 stroke patients undergoing thrombolysis treatment in our hospital from January 2022 to December 2023 were selected in this study.According to perioperative nursing plans,they were divided into observation group(n=40,received responsibility-based nursing based on time management)and control group(n=38,received routine nursing).Treatment time indicators,thrombolysis treatment status,and incidence of complications were compared between two groups.Results:Observation group had shorter time from medical treatment to blood sampling and testing,emergency registration to CT examination,and door-to-needle time(DNT)treatment compared to control group,While the completion rate of thrombolysis treatment within 1 hour of admission in observation group was higher than that in control group,the differences were statistically significant(P＜0.05);After intervention,the National Institute of Health stroke scale(NIHSS)score in observation group was significantly lower than that in control group and activity of daily living scale(ADL)score in observation group was significantly higher than that in control group after thrombolysis,while the incidence of complications after thrombolysis in observation group was lower than that in control group,the differences were statistically significant(P＜0.05).Conclusion:Implementing a responsibility-based nursing intervention based on time management is beneficial to improve postoperative neurological function and quality of life,reduce complications and enhance postoperative safety in patients undergoing thrombolytic therapy for stroke.
关键词
基于时间管理/责任制护理/脑卒中/溶栓/应用效果Key words
Based on time management/Responsible nursing/Stroke/Thrombolysis/Application effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据