路径化护理方案对急性缺血性脑卒中患者机械取栓的效果  

Effect of pathway nursing program on mechanical thrombectomy in patients with acute ischaemic stroke

作　　者：田敏[1] 谢静[2] 骆嵩[2] 叶斌[1] TIAN Min;XIE Jing;LUO Song;YE Bin(Catheter Lab Department,the Third People's Hospital of Bengbu,Bengbu,Anhui 233000,China;不详)

机构地区：[1]蚌埠市第三人民医院介入导管室,安徽蚌埠233000 [2]蚌埠医学院第一附属医院神经内科,安徽蚌埠233004

出　　处：《中华全科医学》2022年第9期1620-1623,共4页Chinese Journal of General Practice

基　　金：安徽省高校自然科学研究项目(KJ2019A0364)。

摘　　要：目的 探讨路径化护理方案对急性缺血性脑卒中患者机械取栓的救治效果。方法 选取蚌埠市第三人民医院2020年1月-2021年12月急性缺血性脑卒中行机械取栓的患者60例,其中2020年1-12月收治的患者为对照组(30例),2021年1-12月收治的患者为观察组(30例)。对照组给予常规化护理方案,观察组给予路径化护理方案,比较2组患者的救治效率、血管再通率、并发症发生率、护理满意度及术后90 d改良Ranking量表(MRS)评分。结果 观察组静脉溶栓时间、动脉穿刺时间、血运重建时间分别为43.00(30.75,49.00)min、88.00(82.50,88.25)min、115.50(109.50,118.00)min,对照组为45.50(41.00,51.25)min、90.50(85.00,98.50)min、122.50(111.50,128.25)min,2组比较差异有统计学意义(均P<0.05);观察组血管再通率(90.0%)高于对照组(66.7%),差异有统计学意义(χ^(2)=4.812,P=0.028);观察组并发症发生率(30.0%)低于对照组(56.7%),差异有统计学意义(χ^(2)=4.344,P=0.037);观察组护理满意率为96.7%,对照组为73.3%,差异有统计学意义(χ^(2)=4.706,P=0.030);术后90 d,观察组MRS评分为2.0(1.0,2.0)分,对照组为2.0(2.0,3.0)分,2组比较差异有统计学意义(Z=-2.512,P=0.012)。结论 路径化护理方案可提高机械取栓患者的救治效果,提升护理满意度。Objective To explore the therapeutic effect of pathway nursing program on mechanical thrombectomy of acute ischaemic stroke patients.Methods A total of 60 patients with mechanical thrombectomy for acute ischaemic stroke from January 2020 to December 2021 in the Third People's Hospital of Bengbu were selected.Amongst them,patients admitted from January 2020 to December 2020 were the control group(30 cases),and patients admitted from January 2021 to December 2021 were the observation group(30 cases).The control group was given a routine nursing program,and the observation group was given a pathway nursing program.The treatment efficiency of patients in the two groups were compared.The rate of vascular recanalisation,incidence of complications,nursing satisfaction,and improved ranking scale(MRS)score 90 d after surgery were compared.Results After giving pathway nursing program treatment,the observation group patients'door-to-needle time,door-to-puncture time and door-to-revascularisation time were 43.00(30.75,49.00),88.00(82.50,88.25),and 115.50(109.50,118.00)min.These values were shorter than those of the control group with 45.50(41.00,51.25),90.50(85.00,98.50),and 122.50(111.50,128.25)min,respectively,and the difference were statistically significant(all P<0.05).The vascular recanalisation rate in the observation group was 90.0%,which was higher than that in the control group(66.7%),and the difference was statistically significant(χ^(2)=4.812,P=0.028).The incidence of complications was 30.0%in the observation group and 56.7%in the control group,and the difference was statistically significant(χ^(2)=4.344,P=0.037).Nursing satisfaction was 96.7%in the observation group and 73.3%in the control group,and the difference was statistically significant(χ^(2)=4.706,P=0.030).The MRS score of the observation group was 2.0(1.0,2.0)points at 90 days,lower than that of the control group's 2.0(2.0,3.0)points,and the difference was statistically significant(Z=-2.512,P=0.012).Conclusion Pathway nursing program can improve the t

关 键 词：路径化护理方案 急性缺血性脑卒中 机械取栓 

分 类 号：R473.74[医药卫生—护理学] R743.3[医药卫生—临床医学]