摘要
目的 观察多学科团队协同护理应用在急诊脑卒中患者治疗中的效果.方法 选择2020年8月-2021年7月急诊接诊的 250 例脑卒中患者作为研究对象,根据组间基线资料均衡可比的原则,按照随机数字表法分为观察组(n=125,提供多学科团队协同护理)和对照组(n=125,提供单学科护理模式).对比分析两组患者急诊救治情况[入院至CT检查用时(DTCT)、入院至溶栓时间(DNT)、急诊救治时间、住院时间]、FuglMeyer运动功能评分(FMA)、Barthel指数、救治效果及护理满意率.结果 观察组患者的DTCT、DNT、急诊救治时间、住院时间均少于对照组,差异有统计学意义(P<0.05).护理干预前,两组患者FMA、Barthel指数差异无统计学意义(P>0.05);护理干预后,两组患者FMA、Barthel指数均提高,但观察组高于对照组,差异有统计学意义(P<0.05).观察组患者的并发症发生率(1.60%)低于对照组(8.00%),且溶栓预后良好率(92.80%)高于对照组(78.40%),差异有统计学意义(P<0.05);两组间病死率差异无统计学意义(P>0.05).观察组患者的护理满意率为 95.20%,优于对照组的 86.40%,差异有统计学意义(P<0.05).结论 对急诊脑卒中患者实施多学科团队协同护理,能够缩短救治时间,提高救治效果,改善临床结局及预后.
Abstract
Objective To observe the effectiveness of multidisciplinary team collaborative nursing in the treatment of emergency stroke patients.Methods Totally 250 stroke patients admitted to the emergency department from August 2020 to July 2021 were selected as the research subjects.According to the principle of balanced and comparable baseline data between groups,they were randomly divided into an observation group(n=125,providing multidisciplinary team collaborative nursing)and a control group(n=125,providing a single disciplinary nursing mode)using a random number table method.Compare and analyze the emergency treatment status of two groups of patients,including door-to-CT(DTCT),door-to-needle time(DNT),emergency treatment time,and length of hospital stay,Fugl-Meyer assessment(FMA),Barthel index,treatment effectiveness,and nursing satisfaction rate.Results The DTCT,DNT,emergency treatment time,and hospitalization time of the observation group were all less than those of the control group,and the difference was statistically significant(P<0.05).Before nursing intervention,there was no statistically significant difference in FMA and Barthel index between the two groups of patients(P>0.05);After nursing intervention,both groups of patients showed an increase in FMA and Barthel index,but the observation group was higher than the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(1.60%)was lower than that in the control group(8.00%),and the good prognosis rate of thrombolysis(92.80%)was higher than that in the control group(78.40%),with statistical significance(P<0.05);There was no statistically significant difference in mortality rate between the two groups(P>0.05).The nursing satisfaction rate of the observation group patients was 95.20%,which was better than the control group's 86.40%,and the difference was statistically significant(P<0.05).Conclusion Implementing multidisciplinary team collaborative nursing for emergency stroke patients can shorten treatment time,improve treatment effectiveness,and enhance clinical outcomes and prognosis.
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