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急诊护理路径对急性脑卒中患者急救效果及预后的影响 被引量:5

Impact of Emergency Nursing Pathway on First Aid Effect and Prognosis in Patients with Acute Stroke
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摘要 目的分析急诊护理路径对急性脑卒中患者急救效果及预后的影响。方法选取2018年2月—2019年6月在上饶市人民医院治疗的120例急性脑卒中患者,随机分为对照组(n=60)和研究组(n=60)。对照组患者采取常规护理路径,研究组患者采取急诊护理路径。比较两组患者急救时间、急救费用、急救效果(分为健康存活、残疾及死亡)及1个月后预后情况[包括Barthel指数评分及美国国立卫生研究院卒中量表(NIHSS)评分]。结果研究组患者急救时间短于对照组,急救费用及1个月后NIHSS评分低于对照组,急救效果优于对照组,1个月后Barthel指数评分高于对照组(P<0.05)。结论采用急诊护理路径对急性脑卒中患者实施急救护理,能有效缩短急救时间,降低急救费用,提高急救效果,并改善患者短期预后。 Objective To analyze the impact of emergency nursing pathway on first aid effect and prognosis in patients with acute stroke.Methods A total of 120 patients with acute stroke were selected in Shangrao People’s Hospital from February 2018 to June 2019,and they were randomly divided into control group(n=60)and study group(n=60).The patients in control group was given routine nursing pathway,while the patients in study group was given emergency nursing path way.The first aid time,first aid cost,first aid effect(divided into healthy survival,disability and death)and prognosis[including Barthel index score and National Institutes of Health Stroke Scale(NIHSS)score]1-month after treatment were compared between the two groups.Results The first aid time of the study group was shorter than that of the control group,the first aid cost and NIHSS score 1-month after treatment of the study group were lower than those of the control group,the first aid effect of the study group was better than that of the control group,and the Barthel index score 1-month after treatment of the study group was higher than that of the control group(P<0.05).Conclusion Emergency nursing pathway can effectively shorten the first aid time of patients with acute stroke,reduce the cost of first aid,improve the effect of first aid,and improve the short-term prognosis.
作者 刘玲 王玉琴 LIU Ling;WANG Yuqin(Shangrao People's Hospital,Shangrao 334000,China)
出处 《实用心脑肺血管病杂志》 2020年第S02期187-188,共2页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 卒中 急诊护理路径 急救效果 预后 Stroke Emergency care pathway First aid effect Prognosis
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