优化急诊护理流程对急性脑卒中患者的影响

Effect of Optimizing Emergency Nursing Process on Patients with Acute Stroke

目的:研究优化急诊护理流程在急性脑卒中患者中的应用效果。方法:选取2021年1—6月南方医科大学顺德医院(佛山市顺德区第一人民医院)接诊的急性脑卒中患者27例为对照组,选取2021年7—12月接诊的急性脑卒中患者25例为研究组。对照组接受常规急诊护理流程,研究组接受优化急诊护理流程。比较两组院内急救时间指标、美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer评定量表(FMA)评分、日常生活活动能力(ADL)评分、格拉斯哥昏迷量表(GCS)评分、预后指标、不良预后发生率。结果:研究组院内急救时间指标均短于对照组,差异有统计学意义(P<0.05);治疗后,研究组NIHSS评分低于对照组,FMA-上肢、FMA-下肢、ADL、GCS评分均高于对照组,差异有统计学意义(P<0.05);研究组重症监护室治疗时间、住院时间短于对照组,存活率高于对照组,差异有统计学意义(P<0.05);研究组不良预后总发生率低于对照组,差异有统计学意义(P=0.025)。结论:优化急诊护理流程可提升急性脑卒中患者院内各环节急救开展效率,改善预后。

Objective:To study the effect of optimizing the emergency nursing process in patients with acute stroke.Methods:A total of 27 acute stroke patients were selected as the control group in the Shunde Hospital of Southern Medical University(First People's Hospital of Shunde District,Foshan City)from January to June 2021,and 25 acute stroke patients were selected as the study group from July to December 2021.The control group received routine emergency nursing procedures,and the study group received optimized emergency nursing procedures.The indexes of hospital emergency time,National Institutes of Health Stroke Scale(NIHSS)score,Fugl-Meyer Assessment(FMA)score,activity of daily living(ADL)score,Glasgow Coma Scale(GCS)score,prognostic index and incidence of adverse prognosis were compared between the two groups.Results:The in-hospital emergency time indicators of the study group were shorter than those of the control group,and the difference was statistically significant(P<0.05);after treatment,the NIHSS score of the study group was lower than that of the control group,and the FMA-upper limb,FMA-lower limb,ADL,and GCS scores were all higher than those of the control group,the difference was statistically significant(P<0.05);the intensive care unit treatment time and hospitalization time in the study group were shorter than those in the control group,and the survival rate was higher than that in the control group,and the difference was statistically significant(P<0.05);the incidence of adverse prognosis in the study group was lower than that in the control group,and the difference was statistically significant(P=0.025).Conclusion:Optimizing the emergency nursing process can improve the efficiency of emergency treatment in all aspects of the hospital for acute stroke patients and improve the prognosis.