规范化急诊护理流程管理对急性缺血性脑卒中患者急救效率、神经功能及预后的影响

Effect of Standardized Emergency Nursing Process Management on Emergency Efficiency,Neurological Function and Prognosis of Patients with Acute Ischemic Stroke

目的探讨规范化急诊护理流程管理对急性缺血性脑卒中患者急救效率、神经功能及预后的影响。方法选取2020年1月—2023年1月本院急诊科收治的100例急性缺血性脑卒中患者为对象,其中2020年1月—2021年6月的患者为对照组,2021年7月—2023年1月的患者为观察组。对照组采用常规急救模式,观察组采用规范化急诊护理流程管理,观察并比较两组患者干预后的急救效率、神经功能及预后。结果干预后,观察组院前急救反应、预检分诊、转诊、抢救时间短于对照组,组间差异有统计学意义(P<0.05);观察组NIHSS脑卒中量表评分低于对照组,组间差异有统计学意义(P<0.05);观察组并发症、致残率、致死率低于对照组,组间差异有统计学意义(P<0.05)。结论实施规范化急诊护理流程管理干预可显著提高急性缺血性脑卒中患者急救效率,降低神经功能损害,有效改善预后。

Objective To explore effect of standardized emergency nursing process management on emergency efficiency,neurological function and prognosis of patients with acute ischemic stroke.Methods The paper chose 100 patients with acute ischemic stroke in emergency department of our hospital from January 2020 to January 2023 as subjects,those from January 2020 to June 2021 were included in control group and those from July 2021 to January 2023 in observation group.Control group was treated with routine emergency mode,while observation group with standardized emergency nursing process management.Emergency efficiency,neurological function and prognosis between two groups after intervention was observed and compared.Results After intervention,observation group had shorter pre hospital emergency response,pre screening triage,referral,and rescue time than control group(P<0.05).NIHSS stroke scale scores in observation group were lower than control group(P<0.05).Incidence of complications,disability and mortality in observation group was lower than control group(P<0.05).Conclusion Standardized emergency nursing process management intervention can improve emergency efficiency of acute ischemic stroke patients,reduce neurological damage significantly,and improve prognosis effectively.