急救护理在急性脑卒中患者院前抢救中的应用研究

Application of Emergency Nursing in Prehospital Rescue of Acute Stroke Patients

目的:探讨急性脑卒中患者院前抢救中运用急救护理的临床价值。方法:选择东营市第二人民医院2018年5月-2020年6月收治的急性脑卒中患者140例作为研究对象,其中2018年5月-2019年5月期间行常规急救护理患者为对照组,2019年6月-2020年6月期间行急救护理路径患者为观察组,每组70例。对两组的院前抢救效果进行比较分析。结果:观察组致残率和死亡率低于对照组,抢救成功率高于对照组,差异具有统计学意义(P<0.05)。观察组接诊到确诊时间、确诊到专科治疗时间以及治疗总时间均短于对照组,差异具有统计学意义(P<0.05)。观察组美国独立卫生研究院卒中量表评分低于对照组,日常生活能力量表评分高于对照组,且住院费用和住院时间均少于对照组,差异具有统计学意义(P<0.05)。观察组家属满意度高于对照组,差异具有统计学意义(P<0.05)。结论:通过将急救护理运用于急性脑卒中患者的院前抢救中,不仅可以减轻神经功能损伤,降低死亡率,还能缩短治疗时间,改善患者预后,值得推广。

Objective:To explore the clinical value of emergency nursing in prehospital rescue of acute stroke patients.Methods:A total of 140 acute stroke patients admitted to Dongying Second People's Hospital from May 2018 to June 2020 were selected as the research subjects.The patients who received routine emergency care from May 2018 to May 2019 were the control group,and the patients who received emergency care from June 2019 to June 2020 were the observation group,with 70 cases in each group.The prehospital rescue effects of the two groups were compared and analyzed.Results:The disability rate and mortality rate of the observation group were lower than those of the control group,and the rescue success rate was higher than that of the control group,and the difference was statistically significant(P<0.05).The time from admission to diagnosis,time from diagnosis to specialist treatment,and total treatment time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The scores of American Independent Institutes of Health Stroke Scale in the observation group were lower than those in the control group,the scores of the ADL scale were higher than those in the control group,and the hospitalization costs and length of stay were shorter than those in the control group,with statistically significant differences(P<0.05).The satisfaction of family members in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:By applying emergency nursing to the prehospital rescue of acute stroke patients,it can not only reduce neurological damage and mortality,but also shorten the treatment time and improve the prognosis of patients,which is worthy of promotion.