摘要
目的：探讨急诊护理流程对急性脑梗死患者的临床护理效果。方法选取湖北省中西医结合医院2013年1月—2014年1月间急诊收治的急性脑梗死患者70例作为研究对象，将其随机分为观察组、对照组，每组35例；观察组予以急诊流程护理，对照组予以常规护理，观察两组患者的急救效果以及治疗后的神经功能、精神状态情况。结果观察组患者的抢救时间、致死率以及致残率均明显低于对照组，其抢救成功率以及护理满意度均明显高于对照组，组间比较差异均有统计学意义（P ＜0．05）。治疗前，两组患者神经功能以及精神状态差异无统计学意义（P ＞0．05）；治疗后，两组患者的 CSS 评分、NIHSS 评分均较治疗前明显下降，MMSE 评分较之前明显升高，差异有统计学意义（P ＜0．05）；但观察组改善的程度更加明显，组间比较差异有统计学意义（P ＜0．05）。结论急诊护理流程应用于急性脑梗患者的急救护理可以显著缩短患者的抢救时间，改善治疗后的神经功能和精神状态，值得临床上进一步推广应用。
Objective To explore the application effects of emergency nursing procedure in clinical nursing of patients with acute cerebral infarction.Methods A total of 70 patients with acute cerebral infarction, admitted from January 201 3 to January 201 4 in Emergency Department in Hubei Provincial Hospital of Integrated Chinese Western Medicine,were selected as research objects and randomly divided into observation group and control group,each with 35 cases.Patients in the observation group were treated by emergency nursing procedure,while patients in the control group were given routine nursing care.Emergency care effects, neurological function and mental state after treatment in two groups were observed.Results Rescue time, lethality rate and disability rate in the observation group were significantly lower than that in the control group, but the success rate of rescue and nursing satisfaction were significantly higher than that of control group,while success rate of rescue and satisfaction of nursing in the observation group were significantly higher than that in the control group （P 〈0.05）.Before the treatment,neurological function and mental state of patients in two groups were of no statistical difference （P 〉0.05 ）;after the treatment,CSS scores and NIHSS scores of patients in both groups declined significantly,while MMSE scores rose significantly （P 〈0.05）.Nevertheless, improvement degree in the observation group were more apparent compared with that of the control group （P 〈0.05）.Conclusions Application of emergency nursing procedure in patients with acute cerebral infarction can significantly shorten rescue time and improve neurological function and mental state after treatment,which make it worth popularizing further in clinic.
作者
杨琼
王普清
Yang Qiong Wang Puqing(Neurology Department, Hubei Provincial Hospital of Integrated Chinese ＆ Western Medicine, Wuhan 430000, China （ Yang Q Nursing Department, Hubei University of Medicine, Shiyan 442000, China （ Wang PQ)
出处
《中华现代护理杂志》
2016年第13期1834-1836,共3页
Chinese Journal of Modern Nursing
基金
湖北省教育厅课题（B20122404）
关键词
护理
脑梗死
急性
急诊护理流程
Nursing
Cerebral infarction,acute
Emergency nursing procedure
