Stem cell transplantation in cerebrovascular accidents:A global bibliometric analysis(2000-2023)

BACKGROUND Cerebrovascular accident(CVA)is a major global contributor to death and disability.As part of its medical management,researchers have recognized the importance of promising neuroprotective strategies,where stem cell transplantation(SCT)is thought to confer advantages via trophic and neuroprotective effects.AIM To evaluate the current state of research on SCT in patients with CVA,assess key trends and highlight literature gaps.METHODS PubMed was screened for SCT in CVA-related articles in October 2023,for each country during the period between 2000 and 2023.Using the World Bank data,total population and gross domestic product were collected for comparison.VOSviewer_1.6.19 was used to create the VOS figure using the results of the same query.Graphs and tables were obtained using Microsoft Office Excel.RESULTS A total of 6923 studies were identified on SCT in CVA,making 0.03%of all published studies worldwide.Approximately,68%were conducted in high-income countries,with a significant focus on mesenchymal stem cells.The journal“Stroke”featured the largest share of these articles,with mesenchymal SCT having the highest rate of inclusion,followed by hematopoietic SCT.Over time,there has been a noticeable shift from in vitro studies,which assess stem cell proliferation and neurogenesis,to in vivo studies aimed at evaluating efficacy and safety.Additionally,the number of reviews increased along this approach.CONCLUSION This bibliometric analysis provides a comprehensive guide for physicians and researchers in the field through an objective overview of research activity,and highlights both current trends and gaps.Having a potential therapeutic role in CVA,more research is needed in the future to focus on different aspects of SCT,aiming to reach a better treatment strategy and improve life quality in patients.

Analysis of The Impact of Interventional Nursing on The Therapeutic Effect, Negative Emotions, and Quality of Life of Patients Undergoing Cardiovascular and Cerebrovascular Interventional Therapy

Objective: To explore the impact of interventional nursing on the therapeutic effect, negative emotions, and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy. Methods: A total of 106 patients who underwent cardiovascular and cerebrovascular interventional treatment were collected and randomly divided into Group A (control) and Group B (observation), with 53 cases each. Group A received the routine nursing intervention and Group B received the interventional nursing intervention. The clinical efficacy, complications, negative emotions, quality of life, and nursing satisfaction of the two groups of patients were evaluated. Results: The total clinical effective rate of Group B (52/98.12%) was higher than that of Group A (45/84.91%) (χ^(2)= 4.371, P < 0.05). The total incidence of complications in Group B (2/3.78%) was lower than that of Group A (9/16.98%) (χ^(2)= 4.970, P < 0.05). The self-rating anxiety (SAS) score and self-rating depression (SDS) of Group B were lower than those of Group A (P < 0.001). The quality of life of Group B was significantly higher than that of Group A (P < 0.001). The nursing satisfaction of group B (51/96.22%) was higher than that of group A (43/81.13%) (χ^(2)= 6.014, P < 0.05). Conclusion: In the care of patients undergoing cardiovascular and cerebrovascular interventional therapy, interventional nursing intervention effectively improved the patient’s clinical efficacy, reduced the incidence of complications, reduced negative emotions, improved the quality of life, and increased nursing satisfaction.

Nursing students'knowledge,willingness,and attitudes toward the first aid behavior as bystanders in traffic accident trauma:A cross-sectional survey

Objectives:The purpose of the study was to investigate the nursing students'levels of the knowledge,willingness,and attitudes toward first aid behavior as bystanders in road traffic accident and the related factors.Methods:A total of 475 nursing students were recruited by convenience choosing in Tianjin University of Traditional Chinese Medicine.The nursing students'self-efficacy,core self-evaluation,knowledge,willingness and attitudes toward first aid behavior as bystanders in traffic accidents were investigated with a self-designed questionnaire.Results:The scores of knowledge,willingness,and attitudes toward first aid behavior in traffic accident trauma were 7.51±1.93,15.54±5.03,and 7.73±1.56,respectively.Students who once gained training of first aid showed lower levels of attitude toward first aid behavior than those untrained(t=-2.345,P=0.019).It was found that self-efficacy was correlated to the knowledge(r=0.150,P<0.001),willingness(r=0.182,P<0.004)and attitudes toward behavior of the first aid(r=0.371,P<0.001)among nursing students.Core self-evaluation was correlated to knowledge(r=0.193,P<0.001)and attitudes toward behavior of the first aid(r=0.199,P<0.001).Conclusions:The first aid knowledge among nursing students was not satisfactory.The study suggested that an unsustainable short first-aid training program may bring negative effects.Countermeasures should be taken to ensure both quality and continuity of first aid training.Meanwhile,more attention should be paid to improving the self-efficacy and core self-evaluation of the nursing students.

Effects of the information–knowledge–attitude–practice nursing model combined with predictability intervention on patients with cerebrovascular disease

BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.

Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction:A randomized controlled trial

BACKGROUND Patients with stroke frequently experience pulmonary dysfunction.AIM To explore the effects of information-motivation-behavioral(IMB)skills modelbased nursing care on pulmonary function,blood gas indices,complication rates,and quality of life(QoL)in stroke patients with pulmonary dysfunction.METHODS We conducted a controlled study involving 120 stroke patients with pulmonary dysfunction.The control group received routine care,whereas the intervention group received IMB-model-based nursing care.Various parameters including pulmonary function,blood gas indices,complication rates,and QoL were assessed before and after the intervention.RESULTS Baseline data of the control and intervention groups were comparable.Post-intervention,the IMB model-based care group showed significant improvements in pulmonary function indicators,forced expiratory volume in 1 sec,forced vital capacity,and peak expiratory flow compared with the control group.Blood gas indices,such as arterial oxygen pressure and arterial oxygen saturation,increased significantly,and arterial carbon dioxide partial.pressure decreased significantly in the IMB model-based care group compared with the control group.The intervention group also had a lower complication rate(6.67%vs 23.33%)and higher QoL scores across all domains than the control group.CONCLUSION IMB model-based nursing care significantly enhanced pulmonary function,improved blood gas indices,reduced complication rates,and improved the QoL of stroke patients with pulmonary dysfunction.Further research is needed to validate these results and to assess the long-term efficacy and broader applicability of the model.

Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lomé

Objectives: Appreciate the Medical direct cost for cerebrovascular accident on medical recovery at the Sylvanus Olympio Teaching Hospital of Lomé. Patients and method: This was a prospective and cross study that took place from 01st October 2015 to 31st July 2016 in the medical recovery Unit of Sylvanus Olympio Teaching Hospital of Lomé. Results: Of the 91 stroke patients surveyed, the average age was 55.1 years;the sex-ratio (Men/women) was 1.3 and only 8.8% of patients had benefited from INAM (National Institute of Health Insurance) granting of benefits. The proportion of ICVA was 73.6% compared to 26.4% for the MCVA. The average overall cost of granting benefits of a CVA patient was 312,245 FCFA for an average stay of 18.6 days. This cost was 399.115 FCFA in MCVA for an average stay of 19.0 days against 281.130 FCFA in ICVA for an average stay of 16.1 days. Conclusion: CVAs on the one hand inflict losses of national productivity by its handicap, and a heavy economic burden for both patients and their families on the other hand, by its high cost of granting of benefits;Hence there is the need for assistance of all kinds by national and international health actors.

RESEARCH ON SEQUELAE OF CEREBROVASCULAR ACCIDENT TREATED BY THREE DIFFERENT NEEDLING TECHNIQUES

One hundred and sixty cases of sequelae of cerebrovascular accident (CVA) wererandomly divided into three groups: The temporal point group (TG), 58 cases; the scalp acupuncturegroup(SG), 52 cases; the body acupuncture group(BG), 50 cases. It was shown that after 30 treat-ments the curative effects were significantly different (P【0. 01) among the three groups. The effectin TG was better than those in SG and BG. There was no difference in curative effects between SGand BG. It is indicated that all the three needling techniques can improve encephalic blood flow in pa-tients. It seems that the effects of the three needling techniques are as follows: TG】SG】BG.

Predictors of a Cerebrovascular Accident in a Population of Systemic Sclerosis Patients Followed at a Large Academic Center with a Dedicated Scleroderma Center

Aim: The aim of this study is to describe the clinical characteristics of patients with a diagnosis of systemic sclerosis who later suffer a stroke and to identify associations for this relationship. Background: Prior studies have showed an increased risk of cardiovascular disease among patients with chronic inflammatory disorders, with chronic inflammation leading to atherosclerosis believed to be the culprit. Systemic sclerosis (SSc) is a chronic inflammatory disease characterized by diffuse fibrosis of the skin and internal organs. Previous studies have suggested a possible link between systemic sclerosis and macrovascular complications such as stroke. Methods: This is a retrospective chart review of patients treated within the University of Pennsylvania Health System from October 2015 to April 2019 with a diagnosis of SSc. Using ICD10 codes, we identified a cohort of SSc patients who suffered a stroke. Information regarding demographics and stroke risk factors were gathered from the charts of patients with a diagnosis of both SSc plus stroke and compared to a control group of randomly selected patients with SSc who never suffered a stroke. Continuous variables were conveyed using a mean plus a standard deviation. A two-sample t-test was used to compare the two groups of patients. Qualitative variables were compared using a two-tailed Fisher’s exact test. Results: Based on a large cohort of SSc patients (n = 2080) followed between October 2015 and April 2019, we identified 36 SSc patients who developed a subsequent stroke (1.7% of cohort). When looking at risk factors for stroke in SSc patients, we identified hypertension and atrial fibrillation to be associated with the diagnosis of stroke in such patients. Specifically, 28 of the 36 patients with both SSc and stroke also had a diagnosis of hypertension while in the control group, only 17 of 36 patients had hypertension. Atrial fibrillation was seen in 9 of 36 patients with both SSc and CVA while it was seen in only 2 of 36 patients in the control group. Conclusions: This case control study demonstrated that the presence of hypertension and atrial fibrillation had a statistically significant association with the diagnosis of CVA in patients with SSc.

Analysis of the Effects of Perioperative Nursing Intervention for Patients with Cerebrovascular Intervention

Objective:To explore the clinical application effects of perioperative nursing intervention in the treatment of patients with cerebrovascular intervention.Methods:176 patients with cerebrovascular intervention in our hospital from October 2018 to March 2020 were selected and randomly divided into 2 groups,with 88 cases in the control group and 88 cases in the observation group.Comparative analysis of blood pressure and incidence of complications was performed.Results:During the operation,the systolic blood pressure of the observation group increased by(11.85±1.66)mmHg,and the diastolic blood pressure was(4.63±0.45)mmHg.The control group patients'systolic blood pressure increased by(22.12±1.98)mmHg and the diastolic blood pressure was(8.36±3.69)mmHg,the two results were significantly different.The blood pressure of the patients in the control group fluctuated more;and the incidence of complications in the observation group is lower than that of the control group.The observation group's incidence of hematoma,low back discomfort,dysuria,and insomnia and dreaminess was 2.27%,2.27%,1.14%,0%,respectively,with total incidence of 5.68%;in the control group,the incidence of hematoma,low back discomfort,dysuria,insomnia and dreaminess were 6.81%,5.68%,3.41%,4.55%respectively,total incidence being 20.45%.The difference between observation group and control group is obvious.Conclusion:Through perioperative nursing intervention,the recovery speed of patients can be improved,and the incidence of postoperative complications can be reduced.The mental state of the patient before the operation was adjusted,the emotions were calmed,the patient's compliance was improved,and the patient's resistive emotions were reduced.At the same time,if patients can get good nursing care after surgery,the probability of postoperative complications is reduced,so that patients have better results in surgery,and its clinical application is worthy of promotion.

Acupuncture combined with Buyang Huanwu decoction in the treatment of sequelae of cerebrovascular accident:a systematic review and meta-analysis

Background:Cerebrovascular accident has high morbidity,high disability,and high mortality,possibly causing several serious sequelae and bringing a heavy burden to the patient,the family,and the society.Buyang Huanwu decoction,a classic ancient prescription of traditional Chinese medicine,and acupuncture are often used in combination to treat the sequelae of cerebrovascular accident.In the present study,we systematically evaluated the clinical efficacy and safety of acupuncture combined with Buyang Huanwu decoction in treating the sequelae of cerebrovascular accident.Methods:Relevant randomized controlled trials of acupuncture combined with Buyang Huanwu decoction in treating the sequelae of cerebrovascular accident were comprehensively retrieved from electronic databases from inception to May 8,2020,including PubMed,Embase,The Cochrane Library,China National Knowledge Infrastructure,WanFang Data,and China Science and Technology Journal Database.The main outcomes of clinical efficacy,degree of nerve function impairment,daily self-care capacity,Fugl-Meyer locomotor function score,life quality score,and occurrence of adverse reactions were subjected to meta-analysis.Results:The 28 randomized controlled trials included 2,341 patients with the sequelae of cerebrovascular accident.Systematic review and meta-analysis indicated that compared with acupuncture alone,its combined treatment with Buyang Huanwu decoction significantly increased clinical efficacy(RR=1.19,95%CI(1.14,1.23),P<0.001),improved nerve function impairment(WMD=−4.89,95%CI(−8.25,−1.53),P=0.004),promoted daily self-care capacity(WMD=15.87,95%CI(11.22,20.51),P<0.001),strengthened Fugl-Meyer locomotor function(WMD=20.89,95%CI(13.79,27.98),P<0.001),enhanced physical functioning(WMD=16.99,95%CI(6.01,27.96),P<0.001)and mental health(WMD=16.91,95%CI(9.14,24.69),P<0.001)in terms of life quality score(SF-36 scale)of patients with sequelae of cerebrovascular accident,with few adverse reactions.Conclusion:Compared with acupuncture alone,its combination with Buyang Huanwu decoction had better comprehensive effects on sequelae of cerebrovascular accident without obvious adverse reactions.

Stroke (Cerebrovascular Accident): Epidemiological, Clinical and Evolving Aspects in the Internal Medicine Department of the Public Health Establishment 1 (EPS1) of Tivaouane

Introduction: The frequency, severity, cost of treatment, morbidity and mortality of stroke make it a real public health problem. In industrialized countries, strokes are the leading cause of physical disability in adults, the second leading cause of dementia (after Alzheimer’s disease), and the third leading cause of death (after cancer and cardiovascular disease). It’s also a major cause of depression. The objective of our study was to describe the epidemiological, clinical and evolutionary aspects of stroke in the internal medicine department of Tivaouane Hospital. Material and Method: This is a retrospective study carried out from January 1, 2015 to December 31, 2018 on the files of patients hospitalized for stroke in the medical department of the EPS1 in Tivaouane. We took into account all the patients who had a brain CT (computed tomography) scan. We collected data related to socio-demographic characteristics, history, risk factors, reasons for admission, clinical signs, paraclinical examinations, as well as evolution. Results: Out of 1999 patients, 206 files of patients with stroke were collected, i.e. a proportion of 10.3%. Our study population had a mean age of 65.53 years [16 - 97 years]. We noted a clear predominance of women (50.5%). The majority of the population came from the outskirts of Tivaouane (56.7%). Risk factors for stroke were dominated by hypertension (90.3%), dyslipidemia (19.4%), previous stroke (18.9%), and diabetes (16%). The clinical signs were dominated by a motor deficit (94.1%), speech disorders (67.4%) and consciousness disorders (47%). Ischemic strokes were predominant (65%) over hemorrhagic strokes (34.5%). The outcome was generally unfavorable with 14.6% total recovery, 58.7% recovery with sequelae and a case fatality of 26.7%. Conclusion: It emerges from this study that strokes still remain a real public health problem. Knowledge of populations of risk factors as well as their proper management is fundamental in primary prevention strategies, the only guarantee for a reduction in the still very high morbidity and mortality of this disease.

Traumatic Brain Injury and Cerebral Vascular Accident: Application of Rasch Analysis to Examine Differences in Disability and Outcome in Post-Hospital Rehabilitation

The purpose of this study was to demonstrate an application of Rasch analysis to identify differences in disability profiles resulting from traumatic brain injury (TBI) and cerebral vascular accident (CVA) and to examine outcome differences between the two groups following post-hospital residential rehabilitation. Participant data were collected from 32 facilities in 16 states. From 2990 neurologically impaired individuals with consecutive admissions from 2011 through 2017, 874 met inclusion criteria: TBI (n = 687) or CVA (n = 187), 18 years or older, minimum length of stay of one month, and maximum chronicity of 1 year. Participants were evaluated at admission and discharge on the Mayo Portland Adaptability Inventory-Version 4 (MPAI-4). Rasch analysis was performed to establish item reliability, construct validity and item difficulty. A Repeated Measures Multivariate Analysis of Covariance (RM MANCOVA) determined group differences and improvement from admission and discharge. Rasch Analysis demonstrated satisfactory construct validity and internal consistency (Person reliability > 0.90, Item reliability > 0.98 for admission and discharge MPAI-4s). Both groups showed significant improvement on the MPAI-4 (p 0.0005). The TBI group was more impaired on the adjustment scale at both admission and discharge (p 0.001). Rasch analysis identified two distinct impairment patterns. CVA participants exhibited deficits characteristic of focal impairment while the TBI group presented with deficits reflective of diffuse impairment. Rehabilitation was shown to be beneficial in reducing disability following neurologic injury in both groups. Importantly, Rasch Analysis accurately produced unique disability profiles that differentiated the treatment groups. This unique statistical technique offers a promising prescriptive hierarchical model for guiding neurological rehabilitation treatment.

利用持续质量改进工具降低重症脑血管病患者误吸发生率的实践

目的探讨持续质量改进工具在减少重症脑血管病患者误吸发生中的作用。方法选择2020年11月—2021年6月在本院神经内科ICU实施肠内营养的重症脑血管病患者104例作为研究对象,按照入住时间分为对照组和观察组两组,其中2020年11—12月收治的患者53例作为对照组,2021年4—6月收治的51例患者作为观察组。对照组给予常规护理干预,观察组在常规护理的基础上进行持续质量改进活动干预,比较干预前后两组患者误吸、吸入性肺炎发生率的差异。结果持续质量改进活动干预后重症脑血管病患者误吸的发生率由20.75%降低到5.88%(P<0.05),目标达标率109.26%,进步率71.66%。结论利用持续质量改进工具能有效减少重症脑血管病患者误吸的发生。

意外事故致腹部外伤的抢救手术护理要点

目的:探讨对接受抢救手术治疗的意外事故致腹部外伤患者实施综合抢救护理的干预效果。方法:选取2019年6月-2021年12月我院收治的80例意外事故致腹部外伤患者为研究对象,按照随机数字表法将其分为研究组与参照组,各40例。研究组采用综合抢救护理,参照组采用常规抢救护理,比较2组术中出血量、手术用时、体温、心率、血压及术后手术切口愈合时间、伤口甲级愈合率、术后生存率、术后并发症发生率。结果:研究组术后生存率85.00%高于参照组的65.00%,差异有统计学意义(P<0.05);研究组术后并发症发生率5.00%低于参照组的20.00%,差异有统计学意义(P<0.05);研究组术中出血量少于对照组,手术用时与术后手术切口愈合时间均短于对照组,体温、心率、血压均低于对照组,组间差异有统计学意义(P<0.05);研究组伤口甲级愈合率高于参照组,差异有统计学意义(P<0.05)。结论:对接受抢救手术治疗的意外事故致腹部外伤患者实施综合抢救护理的效果较常规抢救护理更为理想,可以有效避免患者出现术后并发症,并提高患者的术后生存率,有必要在临床上大力推广及采纳。

鼻肠管及鼻胃管的营养干预护理对脑血管意外患者发生吸入性肺炎并发症及睡眠质量的影响

目的:探讨研究脑血管意外患者用鼻肠管营养干预效果。方法:选取2021年4月至2022年4月厦门大学附属第一医院神经内科收治的脑血管意外患者100例作为研究对象,按照随机数字表法分为对照组和观察组,每组50例。2组患者均予以常规护理,对照组给予常规鼻胃管营养干预,观察组给予鼻肠管营养干预。比较2组患者的吸入性肺炎发生率、睡眠质量评分及营养状况。结果:观察组吸入性肺炎发生率低于对照组,差异有统计学意义(P<0.05);观察组入睡潜伏期、PSQI评分低于对照组,实际睡眠时长高于对照组,差异有统计学意义(P<0.05);观察组血红蛋白(Hb)、血清白蛋白(Alb)、血清总蛋白(TP)均高于对照组,差异有统计学意义(P<0.05)。结论:鼻肠管营养干预护理可降低脑血管意外患者吸入性肺炎发生率,改善患者睡眠质量及营养状况,值得临床推广应用。

基于IKAP理论的延续性护理在脑血管介入术后患者中的应用效果

目的:观察基于信息-知识-信念-行为(IKAP)理论的延续性护理在脑血管介入术后患者中的应用效果。方法:选取2019年1月至2021年4月于该院行脑血管介入术的80例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例。对照组实施常规护理,观察组实施基于IKAP理论的延续性护理,比较两组疾病知晓率、护理前后日常活动能力[Barthel指数(BI)]评分、自我管理能力评分及睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分。结果:观察组疾病知识知晓率为92.00%(46/50),高于对照组的76.00%(38/50),差异有统计学意义(P<0.05);护理1、2、3个月后,两组BI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组自我管理能力评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);胡护理后,两组PSQI评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:基于IKAP理论的延续性护理应用于脑血管介入术后患者可提高疾病知识知晓率、日常生活能力评分和自我管理能力评分,以及降低睡眠质量评分的效果优于常规护理效果。

脑卒中患病影响因素的研究现状

随着脑卒中的发病率逐年升高,给社会、家庭和患者带来了巨大的痛苦、经济压力和社会负担,因而加强其疾病因素的分类、研究和预警,对降低发病率和死亡率具有重要意义。因此,本文从不可控因素(年龄、性别、遗传、环境等)、疾病因素(高血压、糖尿病、高血脂、冠心病、偏头痛等)、个人因素(生活习惯、心理因素、睡眠因素等)、其他因素等方面对脑卒中发病的影响因素进行综述,以期为脑卒中的预防、治疗和护理提供依据。

Characteristics and risk factors of cerebrovascular accidents after percutaneous coronary interventions in patients with history of stroke

Background Percutaneous coronary intervention （PCI） is a well-established method for managing coronary diseases. However, the increasing use of PCI has led to an increased incidence of acute cerebrovascular accidents （CVA） related to PCI. In this study, we investigated the characteristics and risk factors of CVA after PCI in patients with known stroke history. Methods Between January 1, 2005 and March 1, 2009, 621 patients with a history of stroke underwent a total of 665 PCI procedures and were included in this retrospective study. Demographic and clinical characteristics, previous medications, procedures, neurologic deficits, location of lesion and in-hospital clinical outcomes of patients who developed a CVA after the cardiac catheterization laboratory visit and before discharge were reviewed. Results Acute CVA was diagnosed in 53 （8.5%） patients during the operation or the perioperative period. Seventeen patients suffered from transient ischemic attack, thirty-four patients suffered from cerebral infarction and two patients suffered from cerebral hemorrhage. The risk factors for CVA after PCI in stroke patients were： admission with an acute coronary syndrome, use of an intra-aortic balloon pump, urgent or emergency procedures, diabetes mellitus, and poor left ventricular systolic function, arterial fibrillation, previous myocardial infarction, dyslipidemia, tobacco use, and no/irregular use of anti-platelet medications. Conclusions The incidence of CVA during and after PCI in patients with history of stroke is much higher than that in patients without history of stroke. Patients with atrial fibrillation, previous myocardial infarction, diabetes mellitus, dyslipidemia, tobacco use, and no or irregular use of anti-platelet medications were at higher risk for recurrent stroke. This study showed a strong association between acute coronary svndromes and in-hospital stroke after PCI.

基于FMEA模型的预见性护理在脑血管介入术患者中的应用

目的研究基于失效模式和效应分析(FMEA)模型的预见性护理在脑血管介入术患者中的应用效果。方法前瞻性选取2021年1月至2023年12月在陕西省第二人民医院拟接受脑血管介入术治疗的102例患者作为研究对象,按随机数表法分为观察组和对照组各51例,对照组患者采用常规护理,观察组患者在对照组护理的基础上采用基于FMEA模型的预见性护理。持续护理至患者出院,比较两组患者的置管时间、卧床时间、住院时间以及ICU入住情况;分别于术前、出院时,比较两组患者的D-二聚体(D-D)、超敏C反应蛋白(hs-CRP)水平;出院时采用自制调查问卷调查两组患者和护理满意度;出院时,统计分析两组患者并发症发生情况,并采用生活质量评价量表(SF-36)评估两组患者术后生活质量恢复情况。结果观察组患者的置管时间、卧床时间、住院时间、ICU入住率分别为(4.67±0.78)d、(3.63±1.74)d、(9.67±1.45)d、3.92%,明显短(低)于对照组的(6.39±1.24)d、(5.53±1.26)d、(13.39±2.25)d、21.57%,差异均有统计学意义(P<0.05);术前,两组患者D-D、hs-CRP比较差异均无统计学意义(P>0.05);出院时,观察组患者的D-D、hs-CRP水平分别为(0.29±0.15)mg/L、(3.48±0.45)mg/L,明显低于对照组的(0.57±0.44)mg/L、(6.97±1.40)mg/L,差异均有统计学意义(P<0.05);出院时观察组患者对护理的总满意度为94.12%,明显高于对照组的80.39%,差异有统计学意义(P<0.05);出院时,观察组患者的并发症总发生率为5.88%,明显低于对照组的29.41%,观察组患者SF-36各项得分明显高于对照组,差异均有统计学意义(P<0.05)。结论基于FMEA模型的预见性护理可显著降低脑血管介入术后患者的并发症发生率,促进改善患者临床结局,提升患者护理满意度。

失效模式和效应分析护理管理在脑血管疾病患者抢救期间中的应用效果及对救治时间的影响

目的 探究失效模式和效应分析(FMEA)护理管理在脑血管疾病患者抢救期间中的应用效果及对救治时间的影响。方法 选取2021年5月~2021年12月本院急诊科收治的脑血管疾病患者60例,根据护理管理模式进行分组,对照组36例病人采用常规护理管理模式,观察组24例病人采用FMEA护理管理模式。比较两组的救治时间、不良事件发生情况以及护理满意度。结果 与对照组相比,观察组救治时间、不良事件发生率均明显下降(P<0.05);纽卡斯尔护理满意度调查量表(NSNS)评分明显增加(P<0.05)。结论 FMEA护理管理模式应用于急诊脑血管疾病患者的抢救中,可显著缩短救治时间,有效提高护理满意度,同时不良事件发生率较低,具有较高的安全性,值得临床推广应用。