基于有限时机理论的急诊绿色通道护理流程用于急性脑卒中患者救护中的实践

The Practice of Emergency Green Channel Nursing Process Based on the Theory of Limited Opportunity for Acute Stroke Patients

目的 探索基于有限时机理论的急诊绿色通道护理流程用于急性脑卒中患者救护中的实践。方法 对厦门市中医院2022年9月至2023年10月救治的78例急性脑卒中患者展开研究,按照随机投掷法将患者分为两组,即观察组(39例,采取基于有限时机理论的急诊绿色通道护理流程)和对照组(39例,采取常规急诊处理)。比较两组急救时效性、神经功能缺损程度[临床神经功能缺损评分标准(CSS)]、意识状态[格拉斯哥昏迷评分(GCS)]、不良事件的发生情况。结果 观察组急救时效性相比对照组较短(P<0.05);干预1周后,观察组CSS评分相比对照组较低(P<0.05);干预6 h后,观察组GCS评分相比对照组较高(P<0.05);两组不良事件发生率无统计学意义(P>0.05)。结论 急性脑卒中患者的救护中应用基于有限时机理论的急诊绿色通道护理流程进行干预,不仅能保障急救时效性,减轻意识障碍,降低神经功能缺损程度,还能最大限度帮助患者争取良好预后。

Objective To explore the practice of emergency green channel nursing process based on the limited opportunity theory in the rescue of acute stroke patients.Methods A study of 78 acute stroke patients treated in Xiamen Hospital of Traditional Chinese Medicine from September 2022 to October 2023 was conducted,and the patients were divided into two groups according to random throwing observation group(39 cases,emergency green channel nursing process based on the theory of limited timing)and control group(39 cases,routine emergency treatment).The timeliness of first aid,the degree of neurological impairment[clinical neurological impairment score(CSS)],the state of consciousness[Glasgow Coma Score(GCS)]and the occurrence of adverse events were compared between the two groups.Results The first aid timeliness of observation group was shorter than that of control group(P<0.05).After 1 week of intervention,the CSS score of observation group was lower than that of control group(P<0.05).After 6 h of intervention,the GCS score of the observation group was higher than that of the control group(P<0.05).The incidence of adverse events was not statistically significant between the two groups(P>0.05).Conclusions The application of the emergency green channel nursing process based on the theory of limited opportunity in the rescue of acute stroke patients can not only ensure the timeliness of first aid,reduce the disturbance of consciousness,reduce the degree of neurological impairment,but also help patients to achieve a good prognosis.