Application effect of chain emergency nursing scheme under the guidance of shared decision model in the rescue of patients with acute cerebral infarction
Objective To explore the application effect of chain emergency nursing schemeunder the guidance of shared decision model in the rescue of patients with acute cerebral infarction.Methods One hundred and twenty patients with acute cerebral infarction who visited the emergency department of Wuhan Fourth Hospital from January 2021 to December 2022 were selected and divided into control group and observation group according to random number table method,60 cases in each group.The control group received routine emergency nursing,while the observation group received chain emergency nursing scheme under the guidance of shared decision model on this basis.The emergency efficiency,rescue success rate,neurological function deficit degree,cerebral vascular recanalization rate,mortality rate,disability rate and quality of life in the two groups were compared.Results The emergency arrival time,diagnosis time,treatment time and rescue time in observation group were shorter than those in control group(t=3.519,6.217,6.375,6.314,P<0.05).The rescue success rate and cerebral vascular recanalization rate of observation group were higher than those of control group(χ2=6.536,7.500,P<0.05).The mortality rate and disability rate of observation group were lower than those of control group(χ2=6.536,6.708,P<0.05).At admission,there were no statistically significant differences between the two groups on the scores of National Institutes of Health Stroke scale(NIHSS),modified Rankin Scale(mRS),Fugl-Meyer Assessment(FMA),physiological function,role function,physical pain,overall health,mental health,social function,vitality and emotional function(P>0.05).At discharge,the scores of NIHSS and mRS in two groups were lower than at admission,and FMA scores in two groups were higher than at admission,the scores of NIHSS and mRS in observation group were lower than those in control group,and FMA scores in observation group were higher than those in control group(t=6.883,8.814,5.473,P<0.05).At discharge,the scores of physiological function,role function,physical pain,overall health,mental health,social function,vitality and emotional function in two groups were higher than those at admission,and observation group was higher than control group(t=4.435,5.023,5.631,5.238,5.481,5.325,5.413,6.445,P<0.05).Conclusion The chain emergency nursing scheme under the guidance of shared decision model can improve the emergency efficiency,rescue success rate and cerebral vascular recanalization rate of acute cerebral infarction patients,reduce the neurological function deficit degree,mortality rate and disability rate,and improve quality of life.It is worthy of clinical promotion and application.
Shared decision modelChain emergency nursing schemeAcute cerebral infarctionNeurological function
维普
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