以循证理论为指导的急救护理路径在急性脑梗死患者中的应用效果

Application Effect of Evidence-based Theory Guided Emergency Nursing Pathway in Patients with Acute Cerebral Infarction

目的:探讨以循证理论为指导的急救护理路径在急性脑梗死(ACI)患者中的应用效果。方法:回顾性分析2020年4月—2022年3月福建中医药大学附属第二人民医院急诊科收治的96例ACI患者的临床资料,按照救护方法的不同分为两组,各48例。对照组实施常规急诊救护,观察组实施以循证理论为指导的急救护理路径,两组均持续随访3个月。对比两组救治效率、神经功能、日常生活能力及护理满意度。结果:观察组院前救治时间、入院至医嘱下达时间、检查用时、入院至开始静脉溶栓时间分别为(4.11±0.42)min、(4.33±1.02)min、(8.46±1.43)min、(48.71±9.44)min,均短于对照组的(5.51±0.44)min、(5.56±1.33)min、(10.65±2.23)min、(55.96±10.63)min,差异有统计学意义(P<0.05)。观察组救护后美国国家卫生研究院卒中量表(NIHSS)评分为(15.48±3.10)分,低于对照组的(20.06±3.41)分,日常生活能力指数量表(ADL)评分为(76.35±6.95)分,高于对照组的(68.78±6.44)分,差异有统计学意义(P<0.05)。观察组护理满意度为95.83%,高于对照组的83.33%,差异有统计学意义(P<0.05)。结论:以循证理论为指导的急救护理路径在急性脑梗死患者中具有较好的救治效率,可改善神经功能及日常生活能力,提升护理满意度。

Objective:To explore the application effect of evidence-based theory guided emergency nursing pathway in patients with acute cerebral infarction(ACI).Method:A retrospective analysis was conducted on the clinical data of 96 ACI patients admitted to the Emergency Department of the Second Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from April 2020 to March 2022.According to different rescue methods,they were divided into two groups,with 48 patients in each group.The control group received routine emergency care,while the observation group received evidence-based theory guided emergency nursing pathway.Both groups were followed up for 3 months.The treatment efficiency,neurological function,daily living ability and nursing satisfaction between two groups were compared.Result:The time for pre-hospital treatment time,admission to medical order issuance time,examination time and admission to start intravenous thrombolysis time in the observation group were(4.11±0.42)min,(4.33±1.02)min,(8.46±1.43)min and(48.71±9.44)min,respectively,which were shorter than(5.51±0.44)min,(5.56±1.33)min,(10.65±2.23)min and(55.96±10.63)min in the control group,the differences were statistically significant(P<0.05).After care,the National Institutes of Health stroke scale(NIHSS)score in the observation group after rescue was(15.48±3.10)points,which was lower than(20.06±3.41)points in the control group,and the daily living ability index(ADL)score was(76.35±6.95)points,which was higher than(68.78±6.44)points in the control group,the differences were statistically significant differences(P<0.05).The nursing satisfaction in the observation group was 95.83%,which was higher than 83.33%in the control group,the difference was statistically significant(P<0.05).Conclusion:The evidence-based theory guided emergency nursing pathway has good treatment efficiency in patients with acute cerebral infarction,can improve neurological function and daily living ability,and enhance nursing satisfaction.