摘要
目的探讨改良急救护理路径结合规范化护理在急性脑梗死早期重组组织型纤溶酶原激活剂(rt-PA)静脉溶栓治疗中的应用效果。方法选择2020年5月至2021年10月安徽省亳州市人民医院急诊内科早期接受rt-PA静脉溶栓治疗的80例急性脑梗死患者作为研究对象。根据随机数字表法将其分为观察组和对照组,各40例。观察组给予改良急救护理路径结合规范化护理,对照组给予常规急救护理。比较两组溶栓治疗效果、急救时间、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力(ADL)评分、并发症总发生率及患者满意度。结果观察组治疗效果优于对照组(P<0.05)。观察组抽血送检时间、CT检查时间及入院至溶栓开始时间均短于对照组(P<0.05)。出院时,两组NIHSS评分低于入院时、ADL评分高于入院时,且观察组NIHSS评分低于对照组,ADL评分高于对照组,差异有统计学意义(P<0.05)。观察组溶栓治疗期间的并发症总发生率低于对照组(P<0.05)。观察组患者满意度优于对照组(P<0.05)。结论急性脑梗死患者应用改良急救护理路径结合规范化护理干预有助于提高早期rt-PA静脉溶栓治疗效果和急救效率,促进康复,减少并发症,且患者满意度高。
Objective To explore the application effect of improved emergency nursing pathway combined with standardized nursing in intravenous thrombolytic therapy of recombinant tissue-type plasminogen activator(rt-PA)in the early stage of acute cerebral infarction.Methods Eighty patients with acute cerebral infarction who received early intravenous thrombolysis therapy with rt-PA in the Department of Emergency Internal Medicine of Bozhou People’s Hospital in Anhui Province from May 2020 to October 2021 were selected as the research objects.According to random number table methods,the patients were divided into observation group and control group,with 40 cases in each group.The observation group was given improved emergency nursing path combined with standardized nursing,and the control group was given routine emergency nursing.The efficacy of thrombolytic therapy,emergency time,National Institutes of Health stroke scale(NIHSS)score,activity of daily living(ADL)score,complication rate,and patient satisfaction were compared between the two groups.Results The treatment effect of observation group was better than control group(P<0.05).The time of blood sampling,CT examination,and the time from admission to thrombolysis in the observation group were shorter than those in the control group(P<0.05).At discharge,NIHSS score of the two groups was lower than that at admission,ADL score of the two groups were higher than that at admission,and NIHSS score of the observation group was lower than that of the control group,and ADL score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).The satisfaction of patients in observation group was better than that in control group(P<0.05).Conclusion The application of improved emergency nursing pathway combined with standardized nursing intervention in patients with acute cerebral infarction is helpful to improve the efficacy of early rt-PA intravenous thrombolysis and emergency efficiency,promote rehabilitation,reduce complications,and the patient satisfaction is high.
作者
段贝贝
DUAN Beibei(Department of Emergency Internal Medicine,Bozhou People’s Hospital,Anhui Province,Bozhou236000,China)
出处
《中国医药导报》
CAS
2023年第15期180-183,共4页
China Medical Herald
关键词
急性脑梗死
重组组织型纤溶酶原激活剂
溶栓治疗
改良急救护理路径
规范化护理
Acute cerebral infarction
Recombinant tissue-type plasminogen activator
Thrombolytic therapy
Improved emergency nursing pathway
Standardized nursing
