摘要
目的观察节点流程导航护理在急性缺血性脑卒中患者中的应用效果。方法回顾性分析2018年1月~2019年8月我院收治的120例急性缺血性脑卒中患者作为研究对象,依据是否实施节点流程导航护理分为对照组(2018年1~10月)与试验组(2018年11月~2019年8月),各60例。对照组采用病种常规护理,试验组按节点流程导航护理开展急救护理服务,比较两组的静脉通道开放时间、抢救时间、完成CT检查时间、入院至溶栓时间、溶栓率、抢救成功率、神经功能缺损评分、认知功能评分、生活活动能力评分。结果试验组的静脉开放时间、抢救时间、完成CT时间及入院至溶栓时间短于对照组,差异有统计学意义(P<0.05);试验组的溶栓率和抢救成功率高于对照组,差异有统计学意义(P<0.05);试验组干预后的神经功能缺损评分标准(NFD)评分低于对照组,简易智力状态检查量表(MMSE)、日常生活活动能力评价量表(ADL)评分高于对照组,差异有统计学意义(P<0.05)。试验组和对照组干预后的NFD评分均低于干预前,MMSE、ALD评分均高于干预前,差异有统计学意义(P<0.05)。结论采用节点流程导航护理对急性缺血性脑卒中者施加急救干预,可显著提高该类急救护理对象的急救时效性,获得较好的康复结局,深受急救护理对象认可。
Objective To observe the application effect of node flow navigation nursing in patients with acute ischemic stroke.Methods Retrospective analysis of 120 patients with acute ischemic stroke admitted to our hospital from January 2018 to August 2019 were selected as the study objects.According to whether implemented node process navigation nursing,the patients were divided into control group(January to October 2018)and experimental group(November 2018 to August 2019),60 cases in each group.The patients in the control group were given routine nursing,and the patients in the experimental group were given emergency nursing according to the node flow guidance.The opening time of vein channel,rescue time,completion time of CT examination,time from admission to thrombolysis,thrombolysis rate,rescue success rate,neurological deficit score,cognitive function score and life activity ability score were compared between the two groups.Results The venous opening time,rescue time,CT completion time,and the time from hospital admission to thrombolysis in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The rates of thrombolysis and rescue in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the neurological deficit score(NFD)in the experimental group was lower than that of the control group,and the scores of mini mental state examination(MMSE)and activity of daily life(ADL)in the experimental group were higher than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the NFD scores of the experimental group and the control group were lower than those before intervention,the MMSE and ALD scores were higher than those before intervention,with statistically significant differences(P<0.05).Conclusion The use of node flow navigation nursing to provide first-aid intervention for acute ischemic stroke patients can significantly improve the first-aid timeliness of such emergency care subjects,obtain better rehabilitation outcomes,and be recognized by emergency care recipients.
作者
曾九华
ZENG Jiu-hua(Department of Emergency,People′s Hospital of Ganzhou City,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
2020年第31期249-252,共4页
China Modern Medicine
作者简介
曾九华(1990-),男,汉族,本科,主管护师,研究方向:急诊护理。
