急诊护理流程对脑梗死溶栓治疗患者神经功能缺损及日常生活能力的影响

Effect of Emergency Nursing Procedure on Neurological Deficit and Daily Living Ability in Patients with Cerebral Infarction Treated with Thrombolytic Therapy

目的探讨急诊护理流程对脑梗死溶栓患者神经功能缺损及日常生活能力的影响。方法选取2017年12月~2018年12月我院收治的急性脑梗死溶栓治疗患者198例作为研究对象,采用随机数字表法分为观察组和对照组,每组99例。对照组实行常规护理流程,观察组实行急诊护理流程,比较两组急诊效率(转诊时间、采血时间、抢救时间)、护理前后NIHSS评分与Barthel评分。结果观察组采血时间、抢救时间、转诊时间均短于对照组[(3.44±0.19)min vs(6.03±0.15)min]、[(45.96±4.23)min vs(70.11±6.25)min]、[(37.30±4.15)min vs(62.35±3.12)min],差异有统计学意义(P<0.05)。观察组NIHSS评分低于对照组[(7.99±2.16)分vs(10.11±2.75)分],Barthel评分高于对照组[(54.36±9.25)分vs(48.30±8.20)分],差异有统计学意义(P<0.05)。结论急诊护理流程应用于脑梗死溶栓患者具有良好的效果,有助于患者神经功能修复,提高其日常生活能力,加快术后康复。

Objective To investigate the effects of emergency nursing procedures on neurological deficits and activities of daily living in patients with cerebral infarction.Methods A total of 198 patients with acute cerebral infarction treated with thrombolytic therapy from December 2017 to December 2018 were enrolled in the study.They were randomly divided into observation group and control group,with 99 cases in each group.The control group underwent routine nursing procedures.The observation group implemented the emergency care process and compared the emergency efficacy(transfer time,blood collection time,and rescue time)between the two groups,and the NIHSS score and Barthel score before and after treatment.Results The blood collection time,rescue time and referral time of the observation group were shorter than those of the control group[(3.44±0.19)min vs(6.03±0.15)min],[(45.96±4.23)min vs(70.11±6.25)min],[(37.30±4.15)min vs(62.35±3.12)min],the difference was statistically significant(P<0.05).The NIHSS score of the observation group was lower than that of the control group[(7.99±2.16)points vs.(10.11±2.75)points],and the Barthel score was higher than that of the control group[(54.36±9.25)points vs.(48.30±8.20)points],the difference was statistically significant(P<0.05).Conclusion The emergency nursing procedure has a good effect in patients with cerebral infarction thrombolytic therapy,which is helpful for the repair of neurological function,improving their daily living ability and speeding up postoperative rehabilitation.