系统化护理流程干预对急性缺血性脑卒中患者急救效果及预后的影响分析

Effect of Systematic Nursing Process Intervention on First Aid Effect and Prognosis of Patients with Acute Ischemic Stroke

目的观察系统化护理流程干预对急性缺血性脑卒中患者急救效果及预后的影响分析。方法将在本院就诊,近期(2020年1月-2021年1月)收治以急性缺血性脑卒中为诊断的患者总计60例,根据患者的入院时间分组,先入院接受治疗与护理的30例患者实施常规护理为对照组,而后入院接受系统化护理流程干预的30例患者则为研究组。比较两组患者各项急救时间及溶栓情况,评价急救效果并随访6个月统计预后情况。结果研究组患者在静脉开通、确诊、CT检查、入院溶栓等急救时间项目比较中时间明显短于对照组,且溶栓率高于对照组,差异具有统计学意义(P<0.05)。研究组患者在急救效果评价中,预后良好率高于对照组,而随访6个月的再发脑卒中入院率低于对照组,差异具有统计学意义(P<0.05)。结论在急性缺血性脑卒中患者中,实施以系统化护理流程干预,可较好的缩短患者各项急救时间,增加溶栓率,获得较好的急救效果,经随访短期再发入院率较低,效果理想。

Objective To observe the effect of systematic nursing process intervention on the first aid effect and prognosis of patients with acute ischemic stroke.Methods A total of 60 patients diagnosed with acute ischemic stroke were treated in our hospital recently(January 2020 January 2021).According to the time of admission,30 patients who were first admitted to hospital for treatment and nursing were treated with routine nursing as the control group,while 30 patients who were later admitted to hospital for systematic nursing process intervention were the study group.The first-aid time and thrombolysis of the two groups were compared,the first-aid effect was evaluated,and the prognosis was counted after 6 months of follow-up.Results The time of vein opening,diagnosis,CT examination and thrombolysis in the study group was significantly shorter than that in the control group,and the thrombolysis rate was higher than that in the control group(P<0.05).In the evaluation of emergency effect,the good prognosis rate of the study group was higher than that of the control group,and the admission rate of recurrent stroke after 6 months of follow-up was lower than that of the control group(P<0.05).Conclusion In patients with acute ischemic stroke,the implementation of systematic nursing process intervention can better shorten the first aid time,increase the thrombolysis rate and obtain better first aid effect.After follow-up,the short-term readmission rate is low and the effect is ideal.