摘要
【目的】评价急性缺血性脑卒中(AIS)中西医结合急诊临床护理路径(CNP)的应用效果。【方法】采用随机对照试验设计,将2017年2月至2018年10月于广东省中医院急诊科就诊并进入绿色通道的160例AIS患者随机分为路径组和非路径组,每组各80例。路径组给予基于德尔菲法构建的AIS中西医结合急诊CNP护理干预,非路径组给予AIS常规急诊绿色通道护理流程干预,比较2组患者的急诊停留时间、抢救成功率和不良事件发生率。【结果】(1)本研究所纳入的160例患者中,非路径组有2例因重要资料不全而剔除,最终纳入158例,其中路径组80例和非路径组78例。(2)路径组的急诊停留时间为(51.18±25.01)min,较非路径组的(117.54±115.68)min明显缩短,差异有统计学意义(P<0.01)。(3)与非路径组比较,在该护理路径的5个阶段中,除第4阶段外,路径组的各个阶段耗时均得到减少,差异均有统计学意义(P<0.05)。(4)本研究中,2组患者抢救成功率均为100%,不良事件发生率为0。【结论】实施中西医结合急诊CNP可以有效缩短AIS患者的急诊停留时间,提高绿色通道效率。
Objective To evaluate the efficacy of application of integrated Chinese and western medicine emergency clinical nursing pathway(CNP)for acute ischemic stroke(AIS). Methods A randomized controlled trial design was used for the 160 cases of AIS admitted in the emergency department of Guangdong Provincial Hospital of Chinese Medicine by the green channel from February 2017 to October 2018. The 160 cases of AIS were randomized into pathway group and AIS routine nursing group,80 cases in each group. The pathway group was intervened with AIS integrated Chinese and western medicine emergency CNP nursing based on Delphi method,and the non-pathway group was given AIS routine nursing. At the end of the trial, the emergency stay time,successful rescue rate,and incidence of adverse events in the two groups were compared. Results(1)Of the 160 AIS cases,2 cases from the non-pathway group were excluded for the incomplete key data,and a final amount of158 patients were included, including 80 in the pathway group and 78 in the non-pathway group.(2)The emergency stay time in the pathway group was(51.18 ± 25.01) min,which was significantly shorter than that in the non-pathway group(117.54 ± 115.68)min, and the difference between the two groups was statistically significant(P < 0.01).(3)In comparison with the non-pathway group,the time for various procedures except the fourth procedure in the pathway was all reduced, and the difference between the two groups was statistically significant(P < 0.05).(4)During the trial,the successful rescue rate in the two groups was 100%,and there was no incidence of adverse events. Conclusion The integrated Chinese and western medicine emergency CNP can effectively shorten the emergency stay time of AIS patients and improve the efficiency of the green channel.
作者
武健
邓秋迎
凌传仁
刘晨柳
WU Jian;DENG Qiu-Ying;LING Chuan-Ren;LIU Chen-Liu(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangdong Provincial Hospital of Chinese Medicine/The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2020年第6期1057-1061,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
急性缺血性脑卒中
中西医结合
急诊
临床护理路径
acute ischemic stroke(AIS)
integrated Chinese and western medicine
emergency
clinical nursing pathway(CNP)
