老年脑卒中患者院前急救护理路径的应用价值探讨

Application value of pre-hospital emergency nursing pathways in elderly stroke patients

目的:探讨院前急救护理路径在老年脑卒中患者院前急救中的应用效果。方法:选取2013年4月—2016年4月急救中心科收治的164例老年脑卒中患者,将其随机分为观察组和对照组,每组各82例。对照组采取常规院前急救护理措施,观察组采用院前急救护理路径进行急救护理,比较两组患者从呼救到进行院前急救时间、呼救到开始专业治疗时间、住院时间、致残率以及病死率。结果:观察组从呼救到进行院前急救时间、呼救到开始专业治疗时间以及住院时间明显短于对照组(P<0.05);观察组患者的致残率以及病死率明显低于对照组(P<0.05)。结论:老年脑卒中患者使用临床护理路径进行护理,可为患者争取有效的抢救时间,使患者获得及时的救治,对降低致残率及病死率有明显的临床价值。

Objective： To discuss the pre-hospital emergency care path in elderly patients with cerebral apoplexy in pre-hospital first aid application effect. Methods： From April 2013 to April 2016,164 cases of senile cerebral apoplexy patients admitted in the emergency department as the research object,it were randomly divided into observation group and control group,each group of patients,82 cases,control group routine pre-hospital emergency care measures,the observation group uses the pre-hospital emergency care path for emergency care,on two groups of patients from the call to the pre-hospital emergency time,professional treatment for help to the start time,length of hospital stay,morbidity,and mortality were compared.Results： The observation group from the call to the start of pre-hospital emergency time and call for help to the professional treatment time and hospitalization time significantly shorter than the control group（ P 0. 05）. Observation group of morbidity and mortality in patients with significantly lower than the control group（ P 0. 05）. Conclusion： In elderly patients with cerebral apoplexy clinical nursing path for nursing care,patients can secure and effective rescue time,make the patients receive timely treatment,to reduce morbidity and mortality have significant clinical value.