卒中专科护士制度对老年急性缺血性卒中病人静脉溶栓的影响

Effects of stroke specialist nurse system in intravenous thrombolysis in elderly patients with acute ischemic stroke

目的探讨建立卒中专科护士制度在老年急性缺血性卒中(AIS)病人静脉溶栓治疗中的应用效果。方法选取我院2017年10月至2020年2月行静脉溶栓的老年AIS病人574例,按有无卒中专科护士管理分为2个阶段:无卒中专科护士阶段为对照组,有卒中专科护士阶段为观察组,采用前后对照的回顾性分析法,分析建立卒中专科护士制度对AIS救治时间及病人预后的影响。结果观察组入院-影像时间、入院至静脉溶栓团注时间(DNT)少于对照组,静脉溶栓治疗后的临床预后优于对照组,死亡率低于对照组,差异均具有统计学意义(P<0.05)。结论卒中专科护士制度的建立有助于优化脑卒中绿色通道流程,提高静脉溶栓病人的救治效率。

Objective To examine the effect of stroke specialist nurse system in the elderly patients with acute ischemic stroke(AIS)receiving intravenous thrombolysis.Methods In this retrospective case-control study,574 elderly patients with AIS undergoing intravenous thrombolysis from October 2017 to February 2020 were enrolled.The patients receiving the intervention of stroke specialist nurses were divided into observation group,and the patients receiving routine nurse service were divided into control group.Time to treatment and clinical outcomes were compared between the two groups.Results The door-to-imaging time and door-to-needle time in observation group were shorter than those in control group(P<0.05),and the clinical prognosis was better and mortality was lower than those in control group(P<0.05).Conclusions The stroke nurse system helps to optimize the stroke green channel by improving the time efficiency of intravenous thrombolysis.