“一站式”救治护理应用于缺血性脑卒中患者中的抢救效果及对生活能力的改善  

Effect of one-stop treatment nursing in treating ischemic stroke patients and the influence on their living ability

作　　者：陆振宇 尹楠 LU Zhenyu;YIN Nan(Department of Emergency,the First Affiliated Hospital of Hebei North University,Hebei,Zhangjiakou 050057,China)

机构地区：[1]河北北方学院附属第一医院急诊科,河北省张家口市050057 [2]河北省人民医院神经内科

出　　处：《河北医药》2024年第7期1117-1120,共4页Hebei Medical Journal

摘　　要：目的探讨缺血性脑卒中患者临床治疗中予以“一站式”救治护理的干预效果及对其生活能力的影响。方法选取2022年1月至2023年1月收治的120例缺血性脑卒中患者按随机数字表分为2组,每组60例。给予对照组患者常规救治护理,观察组患者予以“一站式”救治护理,观察患者急救指标、救治效果、神经功能、日常生活能力以及生活质量等指标水平变化情况。结果护理后,观察组就诊-CT检查、CT检查-用药、采血-送检及DNT用时均较对照组更低,且DNT达标率与救治效果均更优于对照组(P<0.05);观察组NIHSS评分与Barthel评分均较对照组更佳(P<0.05);观察组SF-36量表各项指标水平改善幅度均较对照组更大(P<0.05)。结论缺血性脑卒中患者予以“一站式”救治护理,可提升急救速度,改善救治效果,并可提高患者神经功能与日常生活能力,使其获得良好的生活质量水平。Objective To explore the effect of one-stop treatment nursing intervention in the treatment of patients with ischemic stroke and its influence on their living ability.Methods A total of 120 patients with ischemic stroke admitted to our hospital from January 2022 to January 2023 were randomized 1∶1 into the two groups,which in the control group and the observation group received routine nursing and one-stop treatment nursing,respectively.The changes in the physical indicators on emergency,therapeutic effect,neurological function,activities of daily living and quality of life were assessed.Results After nursing,the patients in the observation group had significantly shorter duration of visiting,CT examination,getting drug,blood collection,and DNT(door-to-needle time)than those of the control group(P<0.05),and significantly higher DNT reaching standard rate and treatment effect than those of the control group(P<0.05).The scores of National Institutes of Health Stroke Scale(NIHSS)and Barthel index in the observation group were significantly better than those in the control group(P<0.05),and the improvement of The 36-Item Short Form Health Survey(SF-36)in the observation group was significantly greater than that in the control group(P<0.05).Conclusion For patients with ischemic stroke,one-stop treatment nursing can increase the speed of emergency treatment,improve the effect of treatment,and improve the neurological function and ability of daily living,make it obtain good quality of life level.

关 键 词：缺血性脑卒中 “一站式”救治护理 生活能力 生活质量 神经功能 

分 类 号：R473.5[医药卫生—护理学]