急性缺血性脑卒中介入取栓术中路径化护理急救方案的构建及应用

Construction and Application of Pathway Nursing Emergency Plan for Interventional Thrombus Removal in Acute Ischemic Stroke

目的探讨急性缺血性脑卒中介入取栓术中路径化护理急救方案的构建。方法随机选取2020年1月—2021年1月于该院行急性缺血性脑卒中取栓术患者100例作为研究对象,通过随机数表法分为研究组和对照组,各50例。对照组应用常规手术配合方案,研究组采用路径化护理急救方案。应用美国国立卫生研究院卒中量表(NIHSS)评测神经功能,采用日常生活能力量表(ADL)量表评价日常生活能力,对比两组患者分诊、转诊和抢救时间,转送意外事件发生率以及护理满意度。结果研究组患者分诊时间(10.88±3.24)min、转诊时间(32.13±4.55)min、抢救时间(3.28±0.65)h均明显短于对照组(22.41±4.47)min、(57.49±6.86)min、(5.52±0.87)h,差异有统计学意义(t=14.768、21.784、14.585,P<0.05);研究组患者转送意外事件发生率为2.00%,较对照组16.00%显著偏低,差异有统计学意义(χ^(2)=5.983,P<0.05);离院时,研究组患者NIHSS评分(8.07±1.24)分显著低于对照组(9.78±1.61)分,研究组ADL评分(60.08±6.33)分较对照组(49.73±5.87)分显著偏高,差异有统计学意义(t=5.950、8.478,P<0.05);研究组患者护理满意度为94.00%,显著高于对照组76.00%,差异有统计学意义(χ^(2)=6.353,P<0.05)。结论路径化护理急救方案的构建,有效提高了急性缺血性脑卒中患者的抢救效率,可显著降低转送意外发生率,改善患者的神经功能及日常生活能力,患者满意度较高。

Objective To explore the construction of a pathway nursing emergency plan during interventional thrombectomy for acute ischemic stroke.Methods A total of 100 patients who underwent thrombectomy for acute ischemic stroke in the hospital from January 2020 to January 2021 were Randomly selected as the research objects.Divided into study group and control group by random number table method,each with 50 cases.The control group used routine surgery cooperation plan,and the study group used path-based nursing first aid plan.The National Institutes of Health Stroke Scale(NIHSS)was used to evaluate neurological function,and the ability of daily living(ADL)scale was used to evaluate the ability of daily living.The differences in the triage,referral and rescue time,accidental transfer events rate and nursing satisfaction of the two groups of patients were compared.Results In the study group,the triage time was(10.88±3.24)min,the referral time was(32.13±4.55)min,and the rescue time was(3.28±0.65)h,which were significantly shorter than the control group(22.41±4.47)min,(57.49±6.86)min,(5.52±0.87)h,the difference was statistically significant(t=14.768,21.784,14.585,P<0.05).The accidental transfer evens rate of patients in the study group was 2.00%,which was significantly lower than that of the control group 16.00%,the difference was statistically significant(χ^(2)=5.983,P<0.05).When leaving the hospital,the NIHSS score(8.07±1.24)points of the study group was significantly lower than that of the control group(9.78±1.61)points,and the ADL score of the study group(60.08±6.33)points was significantly higher than that of the control group(49.73±5.87)points,the difference was statistically significant(t=5.950,8.478,P<0.05).The nursing satisfaction rate of patients in the study group was 94.00%,which was significantly higher than 76.00%in the control group,the difference was statistically significant(χ^(2)=6.353,P<0.05).Conclusion The construction of a pathway-based nursing emergency program can effectively improve the rescue efficiency of patients with acute ischemic stroke,significantly reduce the incidence of transfer accidents,and improve the patients'neurological function and ability of daily living.Patient satisfaction is high.