急诊优质护理在脑卒中患者抢救流程中的应用效果研究  

Application Effect of Emergency High-quality Nursing in the Rescue Process of Stroke Patients

作　　者：李莹 张彩霞[1] 李亚楠[1] 周洁 王何芳 孙青阳 LI Ying;ZHANG Cai-xia;LI Ya-nan(The First Affiliated Hospital of Henan University,Kaifeng,Henan,475001,China)

机构地区：[1]河南大学第一附属医院,河南开封475001

出　　处：《黑龙江医学》2023年第11期1375-1377,共3页Heilongjiang Medical Journal

基　　金：河南省医学科技攻关计划项目(201404021)。

摘　　要：目的:探讨急诊优质护理在脑卒中患者抢救流程中的应用效果,使患者在抢救黄金时间内得到有效救治。方法:选取2020年1月—2021年6月河南大学第一附属医院收治的46例脑卒中患者作为研究对象,采用随机数表法分为对照组和观察组,每组各23例。对照组采用常规急诊抢救流程,观察组在常规急诊抢救流程基础上应用优质护理。比较两组患者救治过程中相关指标、急诊衔接情况、神经功能状态情况[美国国立卫生研究院卒中量表(NIHSS)评分]及护理满意度。结果:观察组就诊至急诊医师评估时间、就诊至卒中医生接诊时间、就诊至放射科评估时间、就诊至检验科收到样本时间、就诊至用药时间均低于对照组,差异有统计学意义(t=7.337,66.238、30.478、22.736、69.711,P<0.05)。观察组提前与救援车辆沟通率、病患病情交接率、病患急救设备告知率、交接时告知病情与用药率均明显高于对照组,差异有统计学意义(χ2=6.571、8.178、9.583、7.216,P<0.05)。治疗前,两组患者NIHSS评分比较,差异无统计学意义(t=0.352,P>0.05);治疗后24 h,两组患者NIHSS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(t=6.842,P<0.05)。观察组护理满意度为91.30%,明显高于对照组的65.22%,差异有统计学意义(χ2=4.600,P<0.05)。结论:在脑卒中患者抢救流程中应用急诊优质护理可缩短救治过程时间,优化急诊衔接流程,提升患者神经功能及护理满意度。Objective:To explore the application effect of high-quality emergency care in the rescue process of stroke patients.Methods:46 cases of stroke patients admitted to the hospital from January 2020 to June 2021 were selected as the study subjects and were divided into control and observation groups using the random number table method,with 23 cases in each group.The con⁃trol group used the conventional emergency resuscitation process,and the observation group applied quality care on the basis of the conventional emergency resuscitation process.The relevant indexes,emergency articulation,neurological functional status(National Institutes of Health Stroke Scale[NIHSS]score)and nursing satisfaction during the rescue process were compared between the two groups.Results:The time from visit to emergency physician assessment,time from visit to stroke physician appointment,time from visit to radiology assessment,time from visit to receipt of samples in the laboratory,and time from visit to medication administra⁃tion were all lower in the observation group than in the control group,with statistically significant differences(t=7.337,66.238,30.478,22.736,69.711,P<0.05).The rate of communication with rescue vehicles in advance,patient condition handover rate,pa⁃tient emergency equipment notification rate,and notification of condition and medication rate at handover were significantly higher in the observation group than in the control group,with statistically significant differences(χ2=6.571,8.178,9.583,7.216,P<0.05).Before treatment,there was no statistically significant difference between the NIHSS scores of the two groups(t=0.352,P>0.05).At 24 h after treatment,the NIHSS scores of patients in both groups were lower than before treatment,and the observation group was lower than the control group,and the difference was statistically significant(t=6.842,P<0.05).The nursing satisfaction of the observation group was 91.30%,which was significantly higher than the 65.22%of the control group,and the difference was statistical

关 键 词：脑卒中 急诊护理 抢救流程 优质护理 急诊衔接 神经功能 

分 类 号：R473[医药卫生—护理学]