优化急诊护理流程对脑出血昏迷患者急救效率及NIHSS评分的影响  

Effect of Optimizing Emergency Nursing Process on Emergency Efficiency and NIHSS Score of Coma Patients with Cerebral Hemorrhage

作　　者：黄莹 HUANG Ying(Department of Emergency,Tianjin Huanhu Hospital,Tianjin 300000,China)

机构地区：[1]天津市环湖医院急诊科,天津300000

出　　处：《中国伤残医学》2024年第22期143-146,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析在脑出血昏迷患者救治中优化急诊护理流程的急救效果及其对美国国立卫生研究院卒中量表(NIHSS)评分的影响。方法:选取2022年1月-2023年12月天津市环湖医院收治104例脑出血昏迷患者为研究对象,随机将其分为对照组及观察组,各组52例。对照组行常规急诊护理,观察组以优化急诊护理流程开展护理。两组均护理14 d。比较两组急救效果、相关时间指标、肢体运动功能、日常生活能力及NIHSS评分。结果:观察组的抢救成功率为98.08%,高于对照组的82.69%,差异有统计学意义(P<0.05)。相较于对照组,观察组的病情评估时间、急诊停留时间、抢救时间均更短,差异均有统计学意义(P<0.05)。护理后,观察组的Fugl-Meyer运动功能评定量表评分及Barthel指数评分均高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。结论:在脑出血昏迷患者急救时优化急诊护理流程的效果显著,既可提高急救效率,又可缩短相关时间指标,改善患者的肢体运动功能、日常生活能力及NIHSS评分。Objective:To analyze the first aid effect of optimizing emergency nursing process in the treatment of coma patients with cerebral hemorrhage and its influence on the score of National Institute of Health stroke scale(NIHSS).Methods:A total of 104 cases of coma patients with cerebral hemorrhage admitted to Tianjin Huanhu Hospital from January 2022 to December 2023 were selected as the study objects,and were randomly divided into a control group and an observation group,with 52 cases in each group.The control group received routine emergency nursing,and the observation group carried out nursing to optimize the emergency nursing process.Both groups were treated for 14 days.The first aid effect,relevant time indexes,limb motor function,daily living ability and NIHSS score were compared between the two groups.Results:The rescue success rate of observation group was 98.08%,which was higher than 82.69%of control group,the difference was statistically significant(P<0.05).Compared with the control group,the evaluation time,emergency stay time and rescue time of the observation group were all shorter,and the differences were statistically significant(P<0.05).After nursing,the Fugl-Meyer Assessment score and Barthel Index score of the observation group were higher than those of the control group,and the NIHSS score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:Optimizing emergency nursing process in the first aid of coma patients with cerebral hemorrhage has a significant effect,which can not only improve the emergency efficiency,but also shorten the relevant time indexes,improve the patients’limb motor function,daily living ability and NIHSS score.

关 键 词：脑出血昏迷 优化急诊护理流程 急救效率 NIHSS评分 日常生活能力 

分 类 号：R473[医药卫生—护理学]