急救护理小组模式结合链式管理对急性脑卒中患者急救效率和救治效果的影响

The effect of emergency nursing team model combined with chain management on the efficiency and effectiveness of emergency treatment for acute stroke

目的分析急救护理小组模式结合链式管理对急性脑卒中患者急救效率和救治效果的影响。方法选取2018年12月-2020年5月中山市东凤人民医院收治的急性脑卒中患者98例,按随机数字表法分为观察组(n=49)和对照组(n=49)。对照组患者采用常规护理,观察组患者在常规护理的基础上采用急救护理小组模式结合链式管理。比较两组的救治效果、急救效率、不良事件发生情况,以及溶栓前后美国国立卫生院卒中量表(NHSS)评分和Barthel指数(BI)评分。结果观察组的救治总有效率为97.96%,显著高于对照组的.81.63%(P<0.05)。观察组的分诊时间、等待抢救时间和急诊救治时间均显著短于对照组(P值均<0.05)。溶栓后,两组NIHSS评分均较溶栓前降低,BI评分均较溶栓前增高,且观察组NIHSS评分低于对照组,BI评分高于对照组,差异均有统计学意义(P值均<0.05)。观察组不良事件发生率为2.04%,与对照组的8.16%相比,差异无统计学意义(P>0.05)。结论急性脑卒中患者应用急救护理小组模式结合链式管理可提高急救效率和救治效果,改善神经功能,提高日常生活能力,降低不良事件发生率。

Objective To analyze the effect of emergency nursing team model combined with chain management on the emergency efficiency and treatment effct of acute stroke.Methods A total of 98 patients with acute stroke admitted to Dongfeng People's Hospital of Zhongshan City from December 2018 to May 2020 were selected and divided into an observation group(n=49)and a control group(n=49)according to the random number table.The control group received routine nursing,and the observation group received the emergency nursing team model combined with chain management on the basis of routine nursing.The treatment effect,first aid efficiency,occurrence of adverse events,and the National Institutes of Health Stroke Scale(NIHSS)scores and Barthel Index(BI)scores before and after thrombolysis were compared between the two groups.Results The total effective rate of treatment in the observation group was 97.96%,which was significantly higher than 81.63%in the control group(P<0.05).The triage time,waiting time and emergency treatment time of the observation group were significantly shorter than those of the control group(all P<0.05).After thrombolysis,the NIHSS scores of the two groups were lower than those before thrombolysis,and the BI scores were higher than those before thrombolysis.The NTHSS scores of the observation group were lower than those of the control group,and the BI scores were higher than those of the control group.The differences were statistically significant(all P<0.05).The incidence of adverse events in the observation group was 2.04%,and 8.16%in the control group.The difference was not statistically significant(P>0.05).Conclusion The application of emergency nursing team model combined with chain management in acute stroke can improve the effect and efficiency of emergency treatment,improve neurological function,improve the ability of daily life,and reduce the incidence of adverse events.