医护一体化护理在急性脑梗死溶栓治疗中的效果  

Effect of Doctor-nurse Integrated Nursing in Thrombolysis Therapy of Acute Cerebral Infarction

作　　者：林育微 罗世炜[1] 黄少曼 郑丹兵 LIN Yuwei;LUO Shiwei;HUANG Shaoman;ZHENG Danbing(Jieyang People's Hospital,Guangdong Province,Jieyang 522000,China;不详)

机构地区：[1]广东省揭阳市人民医院,广东揭阳522000

出　　处：《中国医学创新》2023年第32期170-173,共4页Medical Innovation of China

基　　金：2020年度揭阳市医疗卫生科技创新项目(YLWS047)。

摘　　要：目的:探析对急性脑梗死患者在溶栓治疗时提供医护一体化护理的临床价值。方法:选取2018年10月—2019年10月揭阳市人民医院收治的确诊为急性脑梗死并拟行溶栓治疗的患者80例,根据就诊时间进行分组,对照组(n=40,2018年10月—2019年2月)给予常规溶栓治疗护理干预,观察组(n=40,2019年3—10月)给予医护一体化护理配合。比较两种护理模式下各环节时间[接诊环节时间和溶栓前环节时间、入院至溶栓所需时间(DNT)]、治疗有效率、抢救质量及预后的差异。结果:观察组接诊环节时间和溶栓前环节时间、DNT均显著短于对照组(P<0.05);观察组治疗有效率显著高于对照组,差异有统计学意义(P<0.05);观察组干预1周后美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,观察组干预4周后改良Barthel指数高于对照组,差异均有统计学意义(P<0.05);观察组出血、神经功能后遗症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:在抢救急性脑梗死患者时配合医护一体化护理措施能够全面衔接溶栓准备各个环节,为抢救争取宝贵时间,保障抢救质量及预后。Objective:To explore the clinical value of providing doctor-nurse integrated nursing for patients with acute cerebral infarction during thrombolysis therapy.Method:A total of 80 patients diagnosed with acute cerebral infarction and intending to undergo thrombolysis therapy admitted to Jieyang People's Hospital from October 2018 to October 2019 were selected and grouped according to the time of visit.The control group(n=40,from October 2018 to February 2019)was given routine thrombolysis therapy nursing intervention,and the observation group(n=40,from March to October 2019)was given doctor-nurse integrated nursing cooperation.The difference of each stage time[reception for patient stage time and before thrombolysis stage time,door to needle time(DNT)],treatment effective rate,rescue quality and prognosis under the two nursing modes were compared.Result:The time of reception for patient stage and before thrombolysis stage and DNT in observation group were significantly shorter than those in control group(P<0.05).The effective rate of treatment in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The score of national institute of health stroke scale(NIHSS)in observation group after 1 week of intervention was lower than that in control group,and the modified Barthel index in observation group after 4 weeks of intervention was higher than that in control group,the differences were statistically significant(P<0.05).The incidence of hemorrhage and neurological sequelae in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:In the rescue of acute cerebral infarction patients with doctor-nurse integrated nursing measures can fully link up all aspects of thrombolytic preparation,to win precious time for rescue and ensure rescue quality and prognosis.

关 键 词：医护一体化 急性脑梗死 溶栓 

分 类 号：R473.74[医药卫生—护理学]