急诊护士对急性脑卒中患者溶栓时间窗的认知管理探讨

Study on cognitive management of emergency nurses to the thrombolytic time window of patients with acute stroke

目的探讨急诊护士对急性脑卒中患者溶栓时间窗的认知管理。方法选取2010年1月~2014年8月在首都医科大学宣武医院急诊科就诊的急性脑卒中患者186例,随机分为观察组和对照组,两组各93例。观察组通过急性脑卒中患者实施了抢救快速绿色通道管理措施,对照组采取常规就诊方法;对两组管理前后患者滞留时间进行分析比较。结果观察组与对照组患者在急诊滞留的时间情况比较,观察组滞留时间短的例数多于对照组,观察组滞留时间明显少于对照组。观察组对急性脑卒中患者通过急诊快速抢救绿色通道预后明显好于对照组患者。观察组分别在1~4h收入病房进行溶栓治疗,溶栓患者87例康复回家,6例溶栓后转其他医院继续进行康复治疗。结论通过管理提高护理人员对急性脑卒中和治疗时间窗重要性的认知,建立合理有效的溶栓抢救绿色通道管理流程,是提高脑卒中患者溶栓治疗效果,改善预后及今后生活质量的重要保证。

Objective To study the cognitive management of emergency nurses to the thrombolytic time window of patients with acute stroke. Methods 186 patients with acute stroke who were admitted to Xuanwu Hospital, Capital Medical University from January 2010 to August 2014 were selected and they were randomly allocated to the observation group and the control group, with 93 in each. Patients with acute stroke in the observation group were received management measure of rapid first-aid passage while patients in the control group were received the routine visit methods. Retention time before and after management of patients in two groups were analyzed and compared. Results Patients with short retention time in the observation group were more than that of the control group and retention time of the observation group was significantly shorter than that of the control group when retention time in emergency department of patients in two groups was compared. The prognosis of patients with acute stroke who were received management measure of rapid first-aid passage was significantly better than that of the control group. The observation group was treated with thrombolytic therapy in 1-4h respectively when patients were admitted to wards. 87 patients with thrombolytic therapy recovered and 6 patients with thrombolytic therapy were transferred to other hospital for further rehabilitation therapy. Conclusion Improving cognition of nursing staff in acute stroke and importance of treatment time window and establishing proper and effective management progress of rapid first-aid passage can improve effect of thrombolytic therapy, prognosis and future quality of life of stroke patients.