摘要
目的:探讨一站式护理急救模式在急性缺血性脑卒中患者抢救中的应用效果。方法:选择2015年1～12月收治的98例急性缺血性脑卒中患者为对照组,采用传统救治模式;选择2016年1月～2017年3月收治的100例急性缺血性脑卒中患者为实验组,采用一站式护理急救模式。通过救治时间(呼救到接诊时间、接诊到确诊时间、确诊到专科治疗时间)、神经功能状况[采用美国国立卫生院卒中量表(NIHSS)]、Barthel Index评定量表(BI)、救治效果(合并症、致残率、病死率)、就诊-应用静脉溶栓药时间(DNT)和患者满意度等指标评价两组急救效果。结果:实验组呼救到接诊时间、接诊到确诊时间、确诊到专科治疗时间均短于对照组(P <0. 01);出院时实验组NIHSS评分低于对照组(P <0. 05),BI评分高于对照组(P <0. 01);实验组病死率低于对照组(P <0. 05);实验组CT检查-用药时间和DNT明显短于对照组(P <0. 01);两组患者对护理工作的满意度比较差异有统计学意义(P <0. 01,P <0. 05)。结论:一站式护理急救模式可有效缩短急性缺血性脑卒中患者的救治时间,提高救护效率,可有效降低患者的病死率,并提高单病种的护理质量及患者对护理工作的满意度,在缺血性脑卒中患者救护中具有可行性,值得在临床中推广应用。
Objective:To explore the effect of one-stop nursing first aid model in the rescue of patients with acute ischemic stroke.Methods:A total of98patients with acute ischemic stroke admitted from January to December2015were selected as the control group,and the traditional treatment mode was adopted.A total of100patients with acute ischemic stroke admitted from January2016to March2017were selected as the experimental group.One-stop nursing first aid mode was adopted.The first aid effects of the two groups were evaluated by time of treatment(The time from calling for help to receiving,from receiving to confirming diagnosis,from confirming diagnosis to specialist treatment),neurological status[the National Institutes of Health Stroke Scale(NIHSS)],Barthel Index scale(BI),treatment effect(Complications,Disability and Mortality),time of intravenous thrombolytic therapy(DNT)and patient satisfaction.Results:The time from calling for help to receiving,receiving to confirming diagnosis,and confirming to specialist treatment in the experimental group were shorter than those in the control group(P<0.01).The NIHSS score of the experimental group was lower than that of the control group(P<0.05),and the BI score was higher than that of the control group(P<0.01).The mortality rate of the experimental group was lower than that of the control group(P<0.05).The time of CT examination-administration and DNT in the experimental group were significantly shorter than those in the control group(P<0.01).There was significant difference in satisfaction degree of nursing between the two groups(P<0.01,P<0.05).Conclusion:One-stop nursing first aid model can effectively shorten the treatment time of patients with acute ischemic stroke,improve the efficiency of rescue,effectively reduce the mortality rate of patients,and improve the quality of single-disease nursing and patients'satisfaction with nursing work.It is feasible in the rescue of patients with ischemic stroke,and it is worth popularizing and applying in clinical practice.
作者
熊爱英
Xiong Aiying(Jinshan branch of the sixth people's hospital of shanghai,Shanghai 201599,China)
出处
《齐鲁护理杂志》
2018年第23期34-37,共4页
Journal of Qilu Nursing
基金
上海市金山区卫生计生委科研课题计划项目(编号:JSKJ-KTYQ-2016-15)
