急救优先调度系统指导的脑卒中院前急救护理路径在院前急救中的应用价值  

Application value of pre-hospital emergency care pathway for stroke guided by medical priotity dispatch system in pre-hospital emergency

作　　者：邱探探 曾繁华 朱小芹 QIU Tantan;ZENG Fanhua;ZHU Xiaoqin(Command and Dispatch Section,Ganzhou Medical Emergency Center,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市医疗急救中心指挥调度科,江西赣州341000

出　　处：《中国当代医药》2022年第35期181-184,共4页China Modern Medicine

基　　金：江西省赣州市卫生健康委员会市级科研计划项目(2022-2-137)。

摘　　要：目的探讨基于急救优先调度系统(MPDS)指导的急救护理路径在脑卒中院前急救护理中的临床价值。方法选取2021年3月至2022年4月江西省赣州市医疗急救中心接诊救治的80例急性脑卒中患者,依据患者入院编号的奇偶性将其分为对照组与观察组,各40例。对照组患者实施常规院前急救护理,观察组患者实施基于急救优先调度系统指导的脑卒中院前急救护理,比较两组患者的整体急救效率、预后情况以及护理满意度。结果观察组患者的诊断耗时、护理耗时、诊断至专科治疗耗时、急救总耗时均短于对照组,差异有统计学意义(P<0.05);观察组患者的吞咽功能障碍、肢体功能障碍、意识障碍发生率均低于对照组,且观察组患者的洼田饮水试验(WDTMW)评分、Fugl-Meyer运动功能量表评分、格拉斯哥昏迷评分量表(GCS)评分高于对照组,差异有统计学意义(P<0.05);观察组患者的护理总满意为92.50%,高于对照组患者的80.00%,差异有统计学意义(P<0.05)。结论在脑卒中院前急救护理中实施基于急救优先调度系统指导的急救护理路径可显著提升急救效率,降低患者的脑组织损伤程度,有助于减少患者的后续神经损伤、后遗症及其严重程度,提升护理满意度,具有重要的应用价值。Objective To investigate the clinical value of pre-hospital emergency care pathway for stroke guided by medical priotity dispatch system(MPDS)in pre-hospital emergency care.Methods From March 2021 to April 2022,80 patients with acute stroke who were treated by Ganzhou Medical Emergency Center in Jiangxi Province were selected and divided into the control group and the observation group according to the parity of the admission number,with 40 patients in each group.The patients in the control group received routine pre-hospital emergency care,while the patients in the observation group received pre-hospital emergency care for stroke patients under the guidance of MPDS.The overall emergency efficiency,prognosis and nursing satisfaction of the two groups were compared.Results The time-consuming for diagnosis,nursing care,time-consuming for diagnosis to specialized treatment,and the total time-consuming for first aid in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).The incidences of swallowing dysfunction,limb dysfunction and consciousness disorder in the observation group were lower than those in the control group,and the scores of water drinking test method at Wata(WDTMW),Fugl-Meyer motor function scale and glasgow coma scale(GCS)in the observation group were higher than those in the control group,with statistically significant difference(P<0.05).The total satisfaction of patients in the observation group was 92.50%,which was higher than 80.00%in the control group,with statistically significant difference(P<0.05).Conclusion The implementation of pre-hospital emergency care pathway for stroke patients guided by MPDS in pre-hospital emergency care can significantly improve the efficiency of first aid,reduce the degree of brain tissue damage of patients,help to reduce subsequent neurological damage of patients,reduce sequelae and their severity,and improve the satisfaction of care,it has important application value.

关 键 词：急救优先调度系统 急救护理路径 脑卒中 神经损伤 肢体障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]