优化急诊护理流程在急性脑梗死患者中的应用效果  

Optimizing the Effect of Emergency Nursing Process in Patients with Acute Cerebral Infarctionmedicine

作　　者：胡芳 HU Fang(Liaohua Hospital,Liaoyang 111003,China)

机构地区：[1]辽宁省辽阳辽化医院,辽宁辽阳111003

出　　处：《中国医药指南》2022年第1期5-8,共4页Guide of China Medicine

摘　　要：目的分析急性脑梗死患者应用优化急诊护理流程的效果。方法将82例选取2019年4月至2020年8月我院收治的急性脑梗死患者分成两组,对照组及干预组患者分别纳入患者41例,分别应用常规急诊护理流程及优化急诊护理流程,对比两组急救效率、NIHSS评分、FMA评分、抢救成功率、致残率、Bethel评分及护理服务满意度。结果干预组分诊时间、入院至静脉溶栓时间以及抢救总时间均明显更短,差异有统计学意义(P<0.05)。干预后,干预组NIHSS评分更低,FMA评分更高,差异有统计学意义(P<0.05)。组内比较,两组干预后Bethel评分均较干预前显著上升(P<0.05);组间比较,干预前患者Bethel评分组间对比无显著差异(P>0.05);干预后干预组2、3 d Bethel评分较对照组更高,有显著性差异(P<0.05)。干预组抢救成功率更高,残疾率更低,差异有统计学意义(P<0.05)。对照组对护理服务总满意度为82.93%,干预组对护理服务总满意度为97.56%,与对照组相比,干预组护理总满意度明显更高,差异有统计学意义(P<0.05)。结论急性脑梗死患者应用优化急诊护理流程可提高救治效率及救治成功率,对于改善患者神经功能及肢体功能有重要价值,可有效提升患者及其家属的护理服务满意度。Objective To analyze the effect of optimizing emergency nursing procedures for patients with acute cerebral infarction.Methods The 82 patients with acute cerebral infarction admitted to our hospital from April 2019 to August 2020 were divided into two groups.Patients In the control group and intervention group were enrolled in 41 patients,respectively,using routine emergency care procedures and optimized emergency care procedures.Compare the first aid efficiency,NIHSS score,FMA score,rescue success rate,disability rate,Bethel score and nursing service satisfaction of the two groups before and after treatment.Results Comparing the two groups,the intervention time,the time from admission to intravenous thrombolysis and the total time to rescue were significantly shorter,and the difference was statistically significant(P<0.05).Comparing the two groups after intervention,the intervention group had a lower NIHSS score and a higher FMA score,and the difference was statistically significant(P<0.05).In comparison between the two groups,the Bethel scores of the two groups after intervention were significantly higher than those before the intervention(P<0.05);the comparison between the groups,the Bethel scores of patients before the intervention were not significantly different between the groups(P>0.05);the intervention group 2,3 days the Bethel score was higher than that of the control group,and there was a significant difference(P<0.05).The intervention group had a higher rescue success rate and a lower disability rate,and the difference was statistically significant(P<0.05).The control group's overall satisfaction with nursing services was 82.93%,and the intervention group's overall satisfaction with nursing services was 97.56%.Compared with the control group,the intervention group's overall satisfaction with nursing services was significantly higher,and the difference was statistically significant(P<0.05).Conclusion The application of optimized emergency nursing procedures for patients with acute cerebral infarction c

关 键 词：优化急诊护理流程 急性脑梗死 救治效率 神经功能 肢体运动功能 护理满意度 

分 类 号：R473.74[医药卫生—护理学] R743.33[医药卫生—临床医学]