早期预警评分在静脉溶栓桥接动脉取栓急性脑梗死患者护理中的应用  

Application of early warning score in nursing care of acute cerebral infarction patients with intravenous thrombolysis bridging arterial thrombotomy

作　　者：李桂英[1] 陈娟[1] LI Guiying;CHEN Juan(Xuzhou Central Hospital,Xuzhou,221009,China)

机构地区：[1]江苏省徐州市中心医院神经内科,221009

出　　处：《护理实践与研究》2023年第16期2455-2459,共5页Nursing Practice and Research

基　　金：江苏省高校重点实验室开放课题(编号:XZSYSKF2020008)。

摘　　要：目的探讨早期预警评分干预在静脉溶栓桥接动脉取栓急性脑梗死患者护理中的应用效果。方法选取2021年10月—2022年10月医院接受静脉溶栓桥接动脉取栓治疗的急性脑梗死患者76例,按照组间资料均衡可比的原则将患者分为对照组和观察组,每组38例。对照组予以常规护理,观察组在常规护理的基础上实施早期预警评分干预。比较两组患者的治疗效果、不良事件发生情况、患者情绪状况、神经功能与日常活动能力恢复情况。结果观察组入院至股动脉穿刺时间、入院至血管再通时间均短于对照组,差异有统计学意义(P<0.05),且观察组的预后良好率均高于对照组,差异有统计学意义(P<0.05);观察组的不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组干预后的自我感受负担量表(SPBS)、广泛性焦虑量表(GAD-7)评分低于对照组,差异有统计学意义(P<0.05);观察组干预后的美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,日常活动能力(ADL)评分高于对照组,差异均有统计学意义(P<0.05)。结论早期预警评分应用于静脉溶栓桥接动脉取栓急性脑梗死危重患者护理中可进一步提升治疗效果,降低不良事件发生率,并改善其情绪状况、神经功能与日常活动能力。Objective To explore the application effect of early warning score intervention in nursing care of acute cerebral infarction patients with intravenous thrombolysis bridging arterial thrombotomy.Methods To select 76 patients with acute cerebral infarction who underwent intravenous thrombolysis bridging arterial thrombectomy treatment in hospitals from October 2021 to October 2022,and the patients were divided into a control group and an observation group based on the principle of balanced and comparable data between groups,with 38 patients in each group.The control group received routine care,while the observation group received early warning scoring intervention on the basis of routine care to compare the treatment eff ectiveness,occurrence of adverse events,emotional status,neurological function,and daily activity recovery of two groups of patients.Results The time from admission to femoral artery puncture and the time from admission to vascular recanalization in the observation group were shorter than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The good prognosis rate of the observation group was higher than that of the control group,and the diff erence was statistically signifi cant(P<0.05).The incidence of adverse events of the observation group was lower than that of the control group,and the difference was statistically signifi cant(P<0.05).After intervention,the scores of self-perceived burden scale(SPBS)and generalized anxiety disorde-7(GAD-7)in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).After intervention,the National Institutes of Health stroke scale(NIHSS)score in the observation group was lower than that in the control group, the activities of daily living(ADL) score washigher than that in the control group, and the differences were statistically significant(P<0.05). ConclusionThe application of early warning score in the nursing of critically ill patients with acute cerebral

关 键 词：早期预警评分 静脉溶栓 桥接治疗 动脉取栓 急性脑梗死 

分 类 号：R473.6[医药卫生—护理学]