急诊脑梗死溶栓护理流程的设计及应用  

The Nursing Process Design and Application of Emergency Cerebral Infarction Thrombolysis

作　　者：徐立[1] 张笑平[1] 赵芳芳[1] 胡敏[1] 

机构地区：[1]第二军医大学长海医院急诊科,上海200433

出　　处：《解放军护理杂志》2017年第7期56-59,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市护理学会2016年度学会级立项课题(2016QN-B08)

摘　　要：目的探讨急诊脑梗死溶栓护理流程的设计方法及应用效果。方法便利抽样法选择2013年1-8月第二军医大学长海医院脑血管基地成立之前的72例脑梗死溶栓患者为对照组;脑血管基地成立后最初2个月(2013年9-10月)19例静脉溶栓的脑梗死患者为初期观察组;2014年6月至2015年5月148例的脑梗死溶栓病例为长期观察组,设计并应用急诊溶栓护理流程,评价并比较将流程实施前后的诊疗时间或入门-进针时间(door-to-needle time,DNT)。结果长期观察组、初期观察组与对照组患者的溶栓DNT比较,差异均无统计学意义(均P>0.05)。结论优化急性脑梗死溶栓护理流程对溶栓护理具有一定的指导意义,值得在临床推广应用。Objective To discuss the nursing process design and application effect of emergency cerebral infarction tbrombolysis.Methods By convenience sampling,72 cases from January to August 2013 before the Cerebrovascular Base of Changhai Hospital of Second Military Medical University were selected as control group, 19 cases from September to October 2013 were selected as preliminary observation group and 148 cases from June 2014 to May 2015 were selected as long-term observation group.The nursing process was formed and the consultation time or door-to-needle time（DNT） before and after the application were compared and evaluated.Results There was statistical significance of DNT found between long-term observation group and control group（P〈0.05）;And there was no statistical significance of DNT found between preliminary observation group and control group（P〉0.05）.Conclusions The nursing process of emergency cerebral infarction thrombolysis has guiding significance to thrombolysis nursing,which is worth for clinical application.

关 键 词：脑梗死 溶栓 流程 入门-进针时间 

分 类 号：R743.31[医药卫生—神经病学与精神病学]