一体化救护模式在老年2型糖尿病合并急性脑梗死患者救治中的应用效果

Effect of Integrated Rescue Mode in the Treatment of Elderly Patients with Type 2 Diabetes Mellitus Complicated with Acute Cerebral Infarction

目的观察一体化救护模式在老年2型糖尿病合并急性脑梗死患者救治中的应用效果。方法选择2021年1月—2022年12月在南平市第一医院救治的150例老年2型糖尿病合并急性脑梗死患者,将2021年救治的75例患者设为常规护理组,给予常规护理干预;将2022年救治的75例患者设为一体化救护组,给予一体化救护模式干预。记录并比较两组院前急救时间、溶栓等待时间、院内救治时间、护理满意度,以及两组急救前后欧洲卒中量表、美国国立卫生研究院卒中量表、蒙特利尔认知评估量表评分。结果一体化救护组院前急救时间、溶栓等待时间、院内救治时间均较常规护理组短,差异均有统计学意义(P<0.001)。两组急救后欧洲卒中量表、美国国立卫生研究院卒中量表、蒙特利尔认知评估量表评分均优于急救前,且急救后一体化救护组上述3项评分均优于常规护理组,差异均有统计学意义(P<0.001)。一体化救护组护理满意度优于常规护理组,差异有统计学意义(P<0.05)。结论老年2型糖尿病合并急性脑梗死患者采用一体化救护模式干预,可缩短院前急救时间、溶栓等待时间、院内救治时间,减轻神经功能及认知功能损伤,提高护理满意度。

Objective To observe the effect of integrated rescue mode in the treatment of elderly patients with type 2 diabetes mellitus(T2DM)complicated with acute cerebral infarction.Methods A total of 150 elderly patients with T2DM complicated with acute cerebral infarction who were treated in the First Hospital of Nanping from January 2021 to December 2022 were selected.Seventy-five patients treated in 2021 were set up as routine nursing group,and routine nursing intervention was given.Seventy-five patients treated in 2022 were set up as integrated rescue group and provided integrated rescue mode intervention.Record and compare the pre-hospital emergency time,thrombolysis time window,in-hospital treatment time and nursing satisfaction between two groups,as well as the scores on the European Stroke Scale,National Institutes of Health Stroke Scale,Montreal Cognitive Assessment Scale before and after emergency treatment.Results The pre-hospital emergency time,thrombolysis time window,and in-hospital treatment time of the integrated rescue group were significantly shorter than those of the routine nursing group(P<0.001).The scores on the European Stroke Scale,the National Institutes of Health Stroke Scale,and the Montreal Cognitive Assessment Scale after emergency treatment in both groups were better than those before emergency treatment,and the scores on the three items mentioned above in the integrated rescue group after emergency treatment were significantly better than those in the routine nursing group(P<0.001).The nursing satisfaction of the integrated rescue group was significantly better than that of the routine nursing group(P<0.05).Conclusion The integrated rescue mode can shorten the pre-hospital emergency time,thrombolysis time window,and hospital rescue time,reduce neurological and cognitive impairment,and improve nursing satisfaction in elderly patients with T2DM complicated with acute cerebral infarction.