Observation of the effect of optimizing the emergency nursing process on the treatment time of patients with acute ischemic stroke
Objective To explore the effect of optimizing the emergency nursing procedures on shortening the treatment time of patients with acute ischemic stroke(AIS).Methods 110 cases of acute ischemic stroke(AIS)treated in the emergency department of Daxing District Hospital of Integrated Traditional and Western Medicine from March 2021 to August 2021 were selected as the control group and routinely cared for.From September 2021 to November 2021,continuously optimize the nursing plan.A total of 110 AIS patients treated in the emergency department of Daxing District Hospital of Integrated Traditional Chinese and Western Medicine from December 2021 to October 2022 were selected as the treatment group,and the optimized nursing plan was adopted.The pre-ex-amination triage of the two groups was observed and compared:emergency physician attendance time,attendance assessment-CT com-pletion time,pre-examination triage-push first of thrombolytic drug time(Door-to-Needle time,DNT),National Institutes of Health Stroke Scale(NIHSS)score before and 24 hours after intravenous thrombolysis.Results The baseline of age,gender composition,body weight,pre-treatment NIHSS score and other general data of the two groups were consistent and comparable.The pre-examina-tion triage-emergency physician reception time of the treatment group was 4.0(3.0,6.0)minutes,which was lower than that of the control group[6.0(5.0,8.0)minutes].The CT completion time of the test group was 22.0(16.0,37.0)minutes,which was lower than that of the control group[36.0(30.0,45.0]minutes.The test group DNT[33.0(26.5,50.0)]minutes was lower than that of the control group,which was 58.0(42.0,73.0)minutes.All the differences were statistically significant(P<0.05).There was no significant difference in intra-group and inter-group NIHSS scores between the two groups before and after thrombolysis(P>0.05).Conclusion Optimization of emergency nursing process can shorten DNT time and improve DNT qualification rate and thrombolytic therapy rate.
emergency nursing acute ischemic strokeintravenous thrombolysisDoor-to-needle time
万方数据
维普
