优化急诊护理流程对急性脑梗死患者预后质量的影响

Effect of Optimized Emergency Nursing Process on Prognosis Quality of Patients with Acute Cere-bral Infarction

目的探讨优化急诊护理流程对急性脑梗死患者预后质量的影响。方法选取2016年2月-2018年2月我院收治的108例急性脑梗死患者,2016年2月-2017年2月我院未优化护理流程,该时间段选取54例患者作为对照组,2017年3月-2018年2月我院在常规护理流程中进行优化,选取该阶段患者54例作为观察组。对照组常规护理,观察组行优化急诊护理流程。观察比较两组患者急救效果、神经功能缺损程度、生活质量及预后情况。结果对照组分诊、采血、转诊及抢救时间均长于观察组(P<0.05)。治疗后观察组改良爱丁堡-斯堪的纳维亚评分(MESSS)低于对照组(P<0.05)。观察组健康调查简表(SF-36)评分高于对照组(P<0.05)。观察组死亡率及复发率均低于对照组(P<0.05)。结论采用优化急诊护理流程能极大缩短急性脑梗死患者溶栓前的等待时间,有效改善其神经功能缺损状况,急救效果更显著,并能提高患者预后生存质量,降低致残率,对患者生命安全具有重要意义,值得临床广泛应用。

Objective To investigate the effect of optimized emergency nursing process on prognosis quality of patients with acute cerebral infarction.Methods 108 patients with acute cerebral infarction admitted to our hospital from February 2016 to February 2018 were enrolled,and divided into two groups according to the order of admission,54 cases each.The control group received routine nursing,and the observation group received the optimized emergency nursing process.The first-aid effect,the degree of neurological deficit,quality of life and prognosis were compared between the two groups.Results The time of triage,blood collection,referral and rescue were longer in the control group than in the observation group(P<0.05).The modified Edinburgh-Scandinavia Stroke Scale(MESSS)score was lower in the observation group than in the control group after treatment(P<0.05).36-Item Short Form Health Survey(SF-36)score was higher in the observation group than in the control group after treatment(P<0.05).The mortality and recurrence rate of the observation group were significantly lower than the control group(P<0.05).Conclusion Application of optimized emergency nursing process can greatly shorten the waiting time,effectively ameliorate the neurological defects,prognosis and quality of life of patients,reduce the disability rate,which is of great significance to patients’life safety and worthy of clinical promotion.