优化护理流程对脑梗死患者静脉溶栓效果及生活质量的影响

Influence of Optimized Nursing Process on the Clinical Effect and Quality of Life of Patients with Cerebral Infarction Received Intravenous Thrombolysis

目的观察优化护理流程对脑梗死静脉溶栓治疗患者的临床效果及生活质量的影响.方法选择攀枝花市中心医院2013年1月至2014年6月收治的62例脑梗死溶栓治疗患者为对照组,2014年7月至2015年12月收治的74例脑梗死溶栓治疗患者为观察组,对照组采用常规护理方法,观察组实施优化护理流程,比较2组分诊时间、转诊时间、住院时间、治疗效果以及生活质量.结果观察组分诊时间、转诊时间以及住院天数均显著短于对照组,差异均有统计学意义(P<0.05).观察组临床有效率显著高于对照组(87.84%VS 70.97%),差异有统计学意义(P<0.05).与治疗前比较,2组在治疗后生活质量均明显提高,差异有统计学意义(P<0.05);与对照组治疗后比较,观察组治疗后生活质量改善更加显著,差异有统计学意义(P<0.05).结论优化护理流程可以有效的提高脑梗死静脉溶栓治疗患者的治疗效果,缩短就诊时间以及住院时间,并且可以明显提高患者的生活质量,值得临床推广应用.

Objective To observe the influence of optimized nursing process on the clinical ettect and quality of life of patients with cerebral infarction received intravenous thrombolysis. MothodS Sixty-two cerebral infarction patients with thrombolytic therapy in Panzhihua Central Hospital were treated as control group from January 2013 to June 2014, 74 cases cerebral infarction patients with thrombolytic therapy as the observation group from July 2014 to October 2015. The control group received routine nursing, the observation group were given optimized nursing process on the basis of routine nursing. The clinical effect and quality of life were compared between the two groups. Results The triage time, referral time and hospital stay time of the observation group were significantly shorter than the control group, the differences were statistically significant （P 〈0.05 ）. The effective rate in the control group was 70.97%, that of the observation group was 87.84%, the effective rate in observation group was significantly better than that of the control group, the difference was statistically significant （P〈0.05）. Compared with before treatment, the life quality of two groups were significantly improved after treatment, the difference was statistically significant （P〈0.05）; after treatment, the quality of life in observationgroups were better than that of the control groups, the difterence is statistically significant （P〈O.05）. Conclusion Nursing process optimization can effectively improve the therapeutic effect for the patients with cerebral infarction intravenous thrombolytic therapy, shorten the treatment time and hospitalization time, and can significantly improve the patient＇ s quality of life. It is valuable for clinical application.