| 曹素雅.无缝隙急救护理模式在急性缺血性卒中患者中的应用价值[J].实用中西医结合临床,2023,23(3):113-117 |
| 无缝隙急救护理模式在急性缺血性卒中患者中的应用价值 |
| Application Value of Seamless Emergency Nursing Model in Acute Ischemic Stroke Patients |
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| DOI： |
| 中文关键词: 急性缺血性脑卒中 颅内血管支架置入术 无缝隙急救 急救效率 神经功能 |
| 英文关键词: Acute ischemic stroke Rintracranial vascular stent implantation Seamless first aid First aid efficiency Nerve function |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨无缝隙急救护理在急性缺血性卒中（AIS）颅内血管支架置入术患者中的应用效果。方法：选取2020年9月至2022年2月于医院治疗的AIS患者116例为研究对象，随机分为研究组和对照组，各58例。所有患者给予颅内血管支架置入术治疗，对照组同时给予常规急救护理，研究组给予无缝隙急救护理模式。比较两组患者的就诊情况相关指标、治疗效果及治疗前后中国卒中量表评分（CSS）、美国国立卫生院脑卒中量表评分（NIHSS）的具体评分改变情况及护理满意度评分。结果：研究组患者入院到就诊医生到位的时长（DTP）、入院到脑卒中小组接诊的时长（DTT）、入院到CT检查的时长（DTI）、入院到出检测报告的时长（DTL）均缩短明显（P＜0.05）；研究组闭塞血管再通率明显高于对照组，手术时间、住院时间均缩短明显（P＜0.05）；研究组预后良好患者比例显著较高，转送意外事件发生率显著较低（P＜0.05）；颅内血管支架置入术后7 d两组患者CSS、NIHSS评分较颅内血管支架置入术前均明显降低，且研究组患者较对照组患者低（P＜0.05）；与对照组相比，研究组患者护理态度、护理技术、健康教育、术后康复护理、关爱沟通评分均较高（P＜0.05）。结论：无缝隙急救护理可以提高AIS颅内血管支架置入术患者的护理满意度评分，并能够明显缩短患者治疗整个流程各环节时间，减少或避免治疗延误，降低转送意外事件发生率，缩短治疗时间和住院时间，从而改善救治效果。 |
| 英文摘要: |
| Objective: To explore the effect of seamless emergency care in patients with acute ischemic stroke (AIS) undergoing intracranial vascular stent implantation. Methods: A total of 116 AIS invalids admitted to our hospital were selected as the research objects and randomly divided into study group and control groups, each group with 58 cases. All invalids received intracranial vascular stent implantation, the control group's invalids were given routine first-aid care, while the study group's were given seamless first-aid care mode. To compare the relevant indicators of the two groups of patients' visit, the effect of treatment, and the specific changes in the scores of the Chinese Stroke Scale (CSS) and the National Institutes of Health Stroke Scale (NIHSS) before and after treatment, as well as the nursing satisfaction scores. Results: The time from admission to the doctor's arrival (DTP), the time from admission to the stroke team's reception (DTT), the time from admission to CT examination (DTI), the time from admission to the issuance of the test report (DTL), the time for intracranial vascular stent implantation after admission, and the time from admission to cerebrovascular recanalization were significantly shortened (P＜0.05). The recanalization rate of occluded vessels in the study group was obvious higher than the control group, and the operation time and hospital stay were obvious shortened (P＜0.05); the proportion of patients with good prognosis in the study group was obvious higher, and the incidence of transfer accidents was obvious shorter (P＜0.05). The scores of CSS and NIHSS of patients in two groups were obviously lower than before intracranial stent implantation 7 days after intracranial stent implantation, and the patients in the study group were lower than control group (P＜0.05). Compared with the control group, the scores of nursing attitude, nursing technology, health education, postoperative rehabilitation nursing and caring communication of patients in the study group were higher (P＜0.05). Conclusion: Seamless emergency care can improve the nursing satisfaction score of patients with AIS undergoing intracranial vascular stent implantation, significantly shorten the time from hospital emergency to intracranial vascular stent implantation, reduce or avoid treatment delay, reduce the incidence of unexpected events, shorten the treatment time and hospitalization time, so as to improve the treatment effect, which is worthy of clinical promotion. |
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