急诊护理流程优化对急性脑梗死患者急救效果与护理满意度的影响

Effect of emergency care process optimization on first aid effectiveness and nursing satisfaction in patients with acute cerebral infarction

目的探讨急性脑梗死患者急诊过程中急诊护理流程优化对急救效果以及护理满意度的影响。方法选取2014年6月至2017年6月于我院急救的80例急性脑梗死患者为研究对象。随机将其等分为观察组与对照组。对照组给予常规急诊护理,观察组给予急诊护理流程优化护理。比较两组患者的急救效果、治疗前后MMSE与NIHSS评分、住院指标、护理满意度。结果观察组患者急救成功率显著高于对照组,死亡率、致残率显著低于对照组,两组比较差异有统计学意义(P<0.05);两组患者治疗前后MMSE,NIHSS评分比较,差异均有统计学意义(P<0.05);观察组各项住院指标均显著优于对照组,两组比较差异有统计学意义(P<0.05);观察组护理满意度均显著高于对照组,两组比较差异有统计学意义(P<0.05)。结论急诊护理流程优化可提高患者急救效果,改善预后神经功能及精神状态,缩短就诊至溶栓治疗、急救、住院时间,提升患者或家属护理满意度,值得临床推广应用。

Objective To explore the effect of emergency care process optimization applied to the emergency treatment of patients with acute cerebral infarction on the effect of first aid and nursing satisfaction.Methods To select 80 patients with acute cerebral infarction who received emergency treatment as the subjects in our hospital from June 2014 to June 2017,randomly divide them into observation group and control group.The control group was given routine emergency care,and the observation group was given emergency care process optimization nursing.The effect of first aid,MMSE and NIHSS score before and after treatment,hospitalization index and nursing satisfaction were compared between the two groups.Results The first-aid success rate of patients in the observation group was significantly higher than that of the control group,and the mortality and disability rate were significantly lower than the control group.The difference between the two groups was statistically significant(P<0.05).The MMSE and NIHSS scores before and after treatment was statistically significance between the two groups(P<0.05).The each hospitalization indexes of the observation group were significantly better than those of the control group.The difference between the two groups was statistically significant(P<0.05).The nursing satisfaction rate of the observation group was significantly higher than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion The optimization of the emergency care process can improve the emergency effect of patients,improve the prognosis of neurological function and mental state,shorten the time from treatment to thrombolytic therapy,first-aid,hospital stay,and improve the satisfaction of patients or their families.It was worthy of clinical promotion and application.