期刊文献+

急救护理路径在急性脑卒中患者中的应用效果 被引量:8

Application Effect of Emergency Nursing Pathway in Patients With Acute Stroke
下载PDF
导出
摘要 目的探讨急救护理路径模式干预对急性脑卒中患者急诊救治效果。方法回顾性分析2018年1月-2018年12月期间我院急诊收治的92例急性脑卒中患者的临床资料,根据护理方式的不同分为对照组和研究组,各46例。对照组实施常规急救护理,研究组则实施急救护理路径模式干预。评价两组急救效率及救治结果。结果与对照组相比,研究组呼救至院前急救时间、接诊至确诊时间、确诊到治疗时间更短,差异有统计学意义(P<0.05);相较于对照组,研究组出院前美国国立卫生研究院卒中量表(NIHSS)评分更低,差异有统计学意义(P<0.05)。相较于对照组,研究组病残率及死亡率更低,差异有统计学意义(P<0.05)。结论急救护理路径模式干预能够提升急性脑卒中患者急诊效率,减轻患者神经功能损害,增强救治效果。 Objective To explore the effect of emergency nursing pathway intervention on acute stroke patients. Methods A retrospective analysis of the clinical data of 92 acute stroke patients admitted to our hospital from January to December 2018 was divided into a control group and a research group, each with 46 cases, according to different nursing methods. The control group was given routine first aid nursing, while the research group was given first aid nursing path mode intervention. The first aid efficiency and results of the two groups were evaluated. Results Compared with the control group, the study group had shorter time from calling for help to prehospital first aid, receiving to diagnosis and treatment(P<0.05). Compared with the control group, the NIHSS score of the study group was lower(P<0.05). Compared with the control group, the disability rate and mortality rate in the study group were lower, and the difference was statistically significant(P<0.05). Conclusion Emergency nursing pathway intervention can improve the emergency efficiency of patients with acute stroke, reduce neurological impairment and enhance the treatment effect.
作者 寇菲 KOU Fei(Emergency Department,Xiaogan Central Hospital,Xiaogan Hubei 432000,China)
出处 《中国继续医学教育》 2020年第13期181-183,共3页 China Continuing Medical Education
关键词 急性脑卒中 急救护理路径模式干预 神经功能 急救时间 病残率 死亡率 acute stroke emergency nursing pathway mode intervention emergency treatment effect neurological function first aid time disability rate morbidity rate
  • 相关文献

参考文献13

二级参考文献121

  • 1宋叶平,李焰生.急性脑梗死超早期溶栓治疗时间窗[J].神经病学与神经康复学杂志,2011,8(2):89-92. 被引量:4
  • 2各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量:33037
  • 3张文毅,高峰,伊志强,刘宗明,胡世文,刘爱贤,贾继明,饶芝国,李成义,闫昕,黄旭,贺峰,林贵军.动脉内溶栓治疗急性缺血性脑卒中适应证探讨[J].中国现代医药杂志,2007,9(5):55-58. 被引量:7
  • 4Barbara Casolla,Marie Bodenant,Marie Girot,Charlotte Cordonnier,Jean-Pierre Pruvo,Eric Wiel,Didier Leys,Patrick Goldstein.Intra-hospital delays in stroke patients treated with rt-PA:impact of preadmission notification[J].Journal of Neurology,2013,260(2):635-639.
  • 5Seymour Christopher W,Rea Thomas D,Kahn Jeremy M,Walkey Allan J,Yealy Donald M,Angus Derek C.Severe sepsis in pre-hospital emergency care:analysis of incidence,care,and outcome.[J].American Journal of Respiratory and Critical Care Medicine,2012,186(12):1264-71.
  • 6Kim AS, Johnston SC. Global variation in the relative burden of stroke and ischemic heart disease [ J]. Circulation, 2011, 124 (3) : 314 - 323.
  • 7Hacke W, Kaste M, Bluhraki E, et al. Thrombolysis with aheplase 3 to 4.5 hours after acute ischemic stroke [J ]. N Engl J Med, 2008, 359 (13): 1317-1329.
  • 8WHO MONICA Project Principal Investigators. The World Health Organization MONICA Project ( monitoring trends and determinants in cardiovascular disease) : a major international collaboration [ J ]. J Clin Epidemiol, 1988, 41 (1988) : 105 - 114.
  • 9Kleindorfer D, Lindsell C J, Mcmaw C J, et al. Which stroke symptoms prompt a 911 call? A.population -based study [J]. Am J Emerg Med, 2010, 28 (5): 607-612.
  • 10Curran C, Henry C, O'Connor KA, et al. Predictors of early arrival at the emergency department in acute ischaemic stroke [ J ]. Ir J Med Sci, 2011, 180 (2): 401-405.

共引文献384

同被引文献52

引证文献8

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部