急性脑梗死溶栓治疗时间延误的调查与分析

Survey and analysis on time delay of thrombolytic therapy for acute cerebral infarction

目的了解急性脑梗死患者溶栓治疗时间延误情况及护士和患者对急性脑梗死溶栓治疗的认知情况。方法自行设计调查问卷,对47例脑梗死患者溶栓治疗延误情况进行调查,同时对患者或家属进行急性脑梗死知识的认知调查,对30名急诊科和神经内科护士进行急性脑梗死溶栓治疗认知调查。结果47例患者溶栓治疗院前延误时间(145±85)min,其中患者自身延误时间(89±42)min,交通延误时间(56±20)min;院内延误时间(117±39)min,其中诊断前延误时间(73±27)min,诊断后延误时间(44±24)min;溶栓有效率随着时间延误延长呈下降趋势;47例患者及家属中32例不知晓脑脑梗死初始症状,无一例知晓溶栓知识;急诊室护士对脑梗死溶栓知识的掌握程度不如神经内科护士。结论急性脑梗死患者溶栓治疗前存在时间延误情况。

Objective To study the status on time delay of thrombolytic therapy for acute cerebral infarction and nurses＇ and patients＇ cognition on thrombolytic therapy for acute cerebral infarction.Method Investigate 47 patients＇ status on time delay of thrombolytic therapy for acute cerebral infarction.Investigate cognition on acute cerebral infarction for patients and their families.Investigate cognition on thrombolytic therapy on acute cerebral infarction for 30 nurses from emergency and neurology department.Result Pre-hospital delaying time on thrombolytic therapy is （145±85）min for 47 patients,in which （89±42）min is delayed by themselves and （56±20）min is delayed in traffic.Delaying time in hospital is （117±39）min,in which （73±27）min is delayed before diagnosis and （44±24） is delayed after diagnosis.Effective rate of thrombolysis reduces as delaying time prolongs.32 among 47 patients and their families know nothing about initial symptoms of cerebral infarction.None of them know anything about thrombolysis.Nurses from emergency department know less than nurses from neurology department.Conclusion There is status of time delay on thrombolytic therapy for acute cerebral infarction.