急性缺血性脑卒中患者急诊救治中应用HFMEA模式综合护理的干预效果

The Effect of Applying HFMEA Model of Comprehensive Nursing Care in the Emergency Treatment of Patients with Acute Ischemic Stroke

目的 分析急性缺血性脑卒中(AIS)患者急诊救治中应用HFMEA模式综合护理干预的效果。方法 纳入2022年8-12月急救流程实施前于厦门大学附属中山医院接受静脉溶栓的AIS患者73例为对照组,2023年1-7月急救流程实施后接受静脉溶栓的AIS患者72例为研究组,比较两组的护理干预效果。结果 研究组入院至CT检查时间、CT检查至溶栓时间、入院至溶栓时间均较对照组短(P <0.05)。两组急救2周后NIHSS评分均较急救前低,且研究组较对照组更低(P <0.05)。研究组血管再通率高于对照组(P <0.05)。两组症状性脑出血和90 d死亡率差异无统计学意义。结论 在AIS患者急诊救治中实施HFMEA模式下的综合护理有助于缩短抢救时间,提高血管再通率,改善神经功能,利于患者预后的转归。

Objective To analyze the effect of applying the HFMEA model of integrated nursing intervention in the emergency treatment of patients with acute ischemic stroke(AIS).Methods Seventy-three AIS patients who received intravenous thrombolysis in Zhongshan Hospital of Xiamen University before the implementation of the emergency procedure from August to December 2022 were included as the control group,and 72 AIS patients who received intravenous thrombolysis after the implementation of the emergency procedure from January to July 2023 were included as the study group,and the effects of nursing interventions in the two groups were compared.Results The time from admission to CT examination,time from CT examination to thrombolysis,and time from admission to thrombolysis were shorter in the study group than in the control group(P<0.05).NIHSS scores after 2 weeks of resuscitation were lower than before resuscitation in both groups,and lower in the study group than in the control group(P<0.05).The revascularization rate was higher in the study group than in the control group(P<0.05).The differences in symptomatic cerebral hemorrhage and 90 d mortality between the two groups were not statistically significant.Conclusions The implementation of comprehensive nursing care under the HFMEA model in the emergency treatment of AIS patients can help to shorten the rescue time,increase the revascularization rate,improve neurological function,and facilitate the prognosis of patients'regression.