临床护理路径在脑卒中院前急救中的应用探讨  

Discussion on Application of Clinical Nursing Pathway in Pre-hospital Emergency Care of Cerebral Apoplexy

作　　者：彭海菁 郭佳华[1] 钟育红[1] 周惠芬[1] 陈月馨 

机构地区：[1]广东省深圳市第四人民医院,广东深圳518033

出　　处：《中国医学创新》2015年第12期84-86,共3页Medical Innovation of China

基　　金：深圳市科技计划项目(医疗卫生类)(201003226);福田区公益性科研项目(FTWS201019)

摘　　要：目的:探讨临床护理路径在脑卒中患者院前急救护理中的可行性和临床效果。方法:回顾性分析2013年3-12月经抢救转运的53例脑卒中患者的临床资料,均实施常规护理,设为对照组。2014年1-11月本院脑卒中患者53例实施院前临床护理路径急救,设为观察组。采用洛杉矶院前卒中筛查量表筛查两组脑卒中患者,比较两组患者的接诊到抢救所需时间、抢救到接受专业治疗所需的时间、住院时间和死亡率。结果:观察组患者的平均接诊到抢救所需时间、抢救到接受专业治疗所需的时间和住院时间均少于对照组,差异均有统计学意义(P<0.05)。观察组生存47例(88.68%),死亡6例(11.32%);对照组生存39例(73.58%),死亡14例(26.41%),两组生存率比较差异有统计学意义(P<0.05)。结论:临床护理路径在脑卒中患者院前急救护理中是可行的,能指导院前急救,提高患者的生存率和有助预后。Objective：To study the feasibility and clinical effects of clinical nursing pathway in pre-hospital emergency care of patients with cerebral apoplexy.Method：A retrospective analysis was carried out on clinical information of 53 cases of patients with cerebral apoplexy, who were rescued and transported from March 2013 to December 2013. These 53 patients were given regular nursing and were assigned into the control group.53 cases of patients with cerebral apoplexy were given pre-hospital emergency care by clinical nursing pathway from January 2014 to November 2014. These 53 patients were assigned into the observation group.Los Angeles Pre-hospital Stroke Screen （LAPSS） was used to screen two groups of patients with cerebral apoplexy.The two groups of patients were compared in the duration from clinical reception to rescue, the duration from rescue to professional treatment, length of hospital stay and mortality. Result：Average duration from clinical reception to rescue, average duration from rescue to professional treatment and length of hospital stay in the observation group were all significantly shorter than those of the control group （P〈0.05）.47 cases were survival （88.68%） while 6 cases （11.32%） died in the observation group.39 cases were survival （73.58%） while 14 cases （26.41%） died in the control group.And there were significant differences between the two groups of patients in survival rate （P〈0.05）.Conclusion：Clinical nursing pathway is feasible for pre-hospital emergency care of patients with cerebral apoplexy, which can guide the pre-hospital emergency care and improve the survival rate and prognosis of patients.

关 键 词：临床护理路径 脑卒中 院前急救 洛杉矶院前卒中筛查量表 死亡率 

分 类 号：R473.74[医药卫生—护理学]