目的:研究规范化急诊卒中护理路径在急性缺血性脑卒中(acute ischemic stroke,AIS)患者中的应用效果.方法:选取 2022 年 9 月—2023 年 8 月福建医科大学附属龙岩第一医院收治的 120 例AIS患者.根据随机抽签法将其分为试验组和对照组,各 60 例.对照组采取常规急诊卒中护理路径,试验组采取规范化急诊卒中护理路径.比较两组急救指标、护理前后神经功能及日常生活能力、不良事件及护理满意度.结果:试验组急诊分诊时间、静脉通道建立时间、完成相关检查时间、就诊至静脉溶栓时间(door-to-needle time,DNT)和急诊滞留时间均短于对照组,差异有统计学意义(P＜0.05).护理后,两组美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分降低,日常生活能力量表(activities of daily living,ADL)评分升高,试验组NIHSS评分低于对照组,ADL评分高于对照组,差异有统计学意义(P＜0.05).试验组不良事件发生率低于对照组,差异有统计学意义(P＜0.05).试验组护理总满意度高于对照组,差异有统计学意义(P＜0.05).结论:在AIS患者的临床急诊救治中,采取规范化急诊卒中护理路径有着确切优势,能够有效缩短DNT时间,并有利于患者的神经功能改善,促进日常生活能力提升,还能有效预防不良事件发生,提高患者对急诊护理服务的满意度.
Application Effect of Standardized Emergency Stroke Nursing Pathway in Patients with Acute Ischemic Stroke
Objective:To study the application effect of standardized emergency stroke nursing pathway in patients with acute ischemic stroke(AIS).Method:A total of 120 AIS patients admitted to Fujian Medical University Affiliated Longyan First Hospital from September 2022 to August 2023.According to the random drawing method,they were divided into experimental group and control group,with 60 cases in each group.The control group adopted the conventional emergency stroke nursing pathway,while the experimental group adopted the standardized emergency stroke nursing pathway.The emergency indicators,neurological function and daily living ability before and after nursing,adverse events,and nursing satisfaction were compared.Result:The emergency triage time,venous access establishment time,completion time of relevant examinations,door-to-needle time(DNT),and emergency retention time of the experimental group were all shorter than those of the control group,and the differences were statistically significant(P＜0.05).After nursing,both groups showed a decrease in National Institute of Health stroke scale(NIHSS)scores and an increase in activities of daily living(ADL)scores,the experimental group had a lower NIHSS score than the control group and a higher ADL score than the control group,and the differences were statistically significant(P＜0.05).The incidence of adverse events in the experimental group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The overall satisfaction with nursing care in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion:In the clinical emergency treatment of AIS patients,adopting a standardized emergency stroke nursing pathway has definite advantages.It can effectively shorten the DNT time,improve their neurological function,promote their daily living ability,and prevent adverse events from occurring,thereby increasing patient satisfaction with emergency nursing services.
Standardized emergency stroke nursing pathwayAcute ischemic strokeDaily living ability
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