多学科合作链式急诊救护流程在急性缺血性脑卒中患者救治中的应用

Application of multidisciplinary collaborative chain emergency rescue process in the treatment of acute ischemic stroke patients

目的探讨急性缺血性脑卒中(AIS)患者救治中应用多学科合作链式急诊救护流程的应用价值。方法选取2022年3月至2023年2月抚州市第一人民医院收治的60例AIS患者作为研究对象,按照随机数字表法分为对照组(30例)和观察组(30例)。对照组采用常规急救流程,观察组采用多学科合作链式急诊救护流程。比较两组的急诊救治时效性指标[发病至入院时长(ODT)、入院至急诊分诊接诊时长(DTT)、入院至生成血液标本检验报告时长(DTL)、影像科接诊至完成CT检查时长(RTI)、入院至溶栓开始时长(DNT)]、急救工作衔接情况、美国国立卫生院神经功能缺损评分(NIHSS)评分、脑卒中专用生存质量量表(SS-QOL)评分及满意度。结果两组ODT比较,差异无统计学意义(P>0.05);观察组DTT、DTL、RTI、DNT短于对照组,差异有统计学意义(P<0.05);观察组提前通知相关科室待命率、提前准备抢救设备率、交接时告知病情率高于对照组,差异有统计学意义(P<0.05);干预后两组NIHSS评分低于本组干预前,SS-QOL评分高于本组干预前,且观察组干预后NIHSS评分低于对照组,SS-QOL评分高于对照组,差异有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论AIS患者救治中应用多学科合作链式急诊救护流程不仅可缩短救治时间,还能促进急救时效性提升,避免患者神经功能受损,改善病情,降低致残率,患者对救治效果满意度较高。

Objective To explore the application value of multidisciplinary collaborative chain emergency rescue process in the treatment of acute ischemic stroke(AIS)patients.Methods A total of sixty AIS patients admitted to the First People's Hospital of Fuzhou from March 2022 to February 2023 were selected as the study subjects.They were divided into a control group(30 cases)and an observation group(30 cases)according to random number table method.The control group adopted conventional emergency procedures,while the observation group adopted a multidisciplinary collaborative chain emergency rescue process.The timeliness indicators of emergency treatment were compared between two groups(duration from onset to admission[ODT],duration from admission to emergency triage[DTT],duration from admission to generation of blood specimen test report[DTL],duration from imaging department reception to completion of CT examination[RTI],and duration from admission to start of thrombolysis[DNT]),the connection of emergency work between the two groups were observed,the neurological deficits(National Institutes of Health Neurological Deficiency Scale[NIHSS]score),quality of life(Stroke specific Quality of Life Scale[SS-QOL]score)were evaluted,and patient satisfaction(self-made patient satisfaction survey scale score)before and after intervention.Results There was no statistically significant difference in ODT between the two groups(P>0.05).The observation group implemented a multidisciplinary collaborative chain emergency rescue process intervention,with DTT,DTL,RTI,and DNT being shorter than the control group,and the difference was statistically significant(P<0.05).The observation group had higher rates of notifying relevant departments in advance,preparing rescue equipment in advance,and informing patients of their condition during handover compared to the control group,and the differeces were statistically significant(P<0.05).After intervention,the NIHSS scores of the two groups were lower than before intervention,and the SS-QOL scores were higher than before intervention.In addition,the NIHSS scores of the observation group were lower than those of the control group after implementing a multidisciplinary collaborative chain emergency rescue process intervention,and the SS-QOL scores were higher than those of the control group,and the differences were statistically significant(P<0.05).The overall satisfaction of the observation group with implementing multidisciplinary collaborative chain emergency rescue process intervention nursing was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of multidisciplinary collaborative chain emergency rescue process in the treatment of AIS patients has high application value.It can not only shorten the treatment time,but also promote the improvement of emergency response timeliness,thereby avoiding neurological damage to patients,improving the condition to the maximum extent,and reducing disability rates.Patients are highly satisfied with the treatment effect,and it is worth vigorously promoting and applying.