卒中急救护士参与管理对急性缺血性卒中患者救治效果及医生满意度的影响  

Influence of stroke emergency nurses’participation in management on the treatment effect and doctor’s satisfaction of patients with acute ischemic stroke

作　　者：陈秀芳[1] 赵秋美 罗国英[1] 相松飞[1] CHEN Xiufang;ZHAO Qiumei;LUO Guoying;XIANG Songfei(Department of Neurology,Shaoxing People’s Hospital,Zhejiang Province,Shaoxing 312000,China)

机构地区：[1]浙江省绍兴市人民医院神经内科,浙江绍兴312000

出　　处：《中国医药导报》2022年第23期166-169,193,共5页China Medical Herald

基　　金：浙江省医药卫生科技项目(2020KY985)。

摘　　要：目的观察卒中急救护士参与管理对急性缺血性卒中患者救治效果和医生满意度的影响。方法选择符合入选标准拟在浙江省绍兴市人民医院进行阿替普酶静脉溶栓治疗的急性缺血性脑卒中患者150例,采用随机数字表法将其分为对照组和观察组,每组各75例。对照组按常规急性缺血性卒中绿色通道进行救治,观察组在对照组基础上,设立卒中急救护士参与全过程管理。观察并记录两组入院至用药时间(DNT)达标率、住院时间、住院费用、救治过程及调查医生对护理工作满意度。结果观察组住院时间、住院费用低于对照组,DNR达标率高于对照组,差异有统计学意义(P<0.05)。观察组接诊至确诊时间、确诊至专科治疗时间、救治至CT检查时间、家属决策时间、就诊至溶栓给药或血管内救治时间、CT至溶栓、血管救治时间短于对照组,差异有统计学意义(P<0.05)。观察组医生满意度高于对照组,差异有统计学意义(P<0.05)。结论卒中急救护士参与管理有利于改善AIS患者救治效果,提高医生满意度,节约医疗费用,值得临床推广应用。Objective To observe the effect of stroke emergency nurses’participation in management on the treatment effect and doctor’s satisfaction of patients with acute ischemic stroke.Methods A total of 150 patients with acute ischemic stroke who met the inclusion criteria and were to undergo intravenous alteplase thrombolysis in Shaoxing People’s Hospital of Zhejiang Province were selected.They were divided into control group and observation group by random number table method,with 75 cases in each group.The control group was treated according to the conventional green channel for acute ischemic stroke,while the observation group was provided with stroke emergency nurses to participate in the whole process management on the basis of the control group.The up-to-standard rate of the time from admission to medication(DNT),hospitalization time,hospitalization expenses,treatment process,and the survey doctor’s satisfaction with nursing work in the two groups were observed and recorded.Results The hospitalization time and hospitalization expenses of the observation group were lower than those of the control group,while the DNR compliance rate was higher than that of the control group,and the differences were statistically significant(P<0.05).The time from admission to diagnosis,time from diagnosis to specialist treatment,time from rescue to CT examination,time from family decision-making,time from doctor visit to thrombolytic administration or intravascular rescue,time from CT to thrombolysis,and vascular rescue in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The doctor’s satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The participation of stroke emergency nurses in management is conducive to improving the treatment effect of AIS patients,enhancing the satisfaction of doctors,and saving medical expenses,which is worthy of clinical applica

关 键 词：卒中 急救护士 管理 急性缺血性卒中 救治效果 

分 类 号：R743.33[医药卫生—神经病学与精神病学]