急性脑梗患者院前院内一体化急救护理模式效果评价
Evaluation of the Effect of Pre-Hospital and Intra-Hospital Integrated Emergency Nursing Mode for Patients with Acute Cerebral Infarction
摘要:
目的:分析评价院前院内一体化急救护理模式对急性脑梗患者的应用效果。方法:选取2019年1月~2021年1月我院急诊科急性脑梗患者100例作为研究对象,根据患者入组时间与急救方式不同分为观察组和对照组,每组50例。对照组行院内急救护理模式;观察组行院前院内一体化急救护理模式。比较两组患者入院后急救时间、抢救效果、治疗后7天NIHSS评分及护理满意度。结果:观察组院内急救时间比明显短于对照组,观察组抢救效果明显优于对照组,观察组治疗后7天NIHSS评分明显低于对照组,观察组患者对护理满意度高于对照组,以上各指标差异均具有统计学意义(P < 0.05)。结论:对急性脑梗患者实施院前院内一体化急救护理模式后,可有效缩短病情评估时间和抢救时间,提升了抢救效果与抢救成功率,同时提高了患者满意度,建议推广使用。
Abstract:
Objective: To analyze and evaluate
the application effect of pre-hospital and intra-hospital integrated emergency
nursing mode in patients with acute cerebral infarction. Methods: A total of
100 patients with acute cerebral infarction in the emergency department of our
hospital from January 2019 to January 2021 were selected as the research
object, and were divided into observation group and control group according to
different enrollment time and emergency treatment methods, with 50 patients in
each group. The control group received hospital emergency nursing mode; the
observation group integrated first-aid nursing mode before and in hospital. The
first aid time, rescue effect, NIHSS score 7 days after treatment and nursing
satisfaction were compared between the two groups. Results: The hospital
emergency time of the observation group was significantly shorter than that of
the control group, the rescue effect of the observation group was significantly
better than that of the control group, the NIHSS score of the observation group
was significantly lower than that of the control group 7 days after treatment,
and the nursing satisfaction of the observation group was higher than that of
the control group, with statistical significance (P < 0.05). Conclusion: The application of pre-hospital and in-hospital integrated first-aid nursing mode for patients with acute cerebral infarction can effectively shorten the assessment time and rescue time, improve the rescue effect and success rate, and improve patient satisfaction. It is recommended to be popularized.
参考文献
|
[1]
|
刘波, 古贞. 院前与院内急救一体化模式在急性脑梗患者急诊急救中的应用效果[J]. 现代介入诊疗, 2018, 23(2): 32-33.
|
|
[2]
|
邵丽娜. 院前院内一体化救治模式在急性脑梗病人溶栓治疗中的应用效果[J]. 全科护理, 2017, 15(8): 936-937.
|
|
[3]
|
徐敏, 戴建英, 楼敏. 院前院内一体化救治模式对急性脑梗死患者溶栓治疗的效果观察[J]. 护理学报, 2014, 21(17): 17-19.
|
|
[4]
|
王洁, 周佩洋, 赛金萍. 护理流程优化对急性脑梗死患者溶栓成功率及抢救时间的影响[J]. 中国中西医结合急救杂志, 2019, 26(6): 713-715.
|
|
[5]
|
王娜. 急诊护理流程对脑梗死溶栓治疗患者神经功能缺损及日常生活能力的影响[J]. 医学信息, 2019, 32(23): 180-182.
|
|
[6]
|
刁培胜. 院前院内一体化救治模式对急性脑梗死患者溶栓治疗的效果分析[J]. 黑龙江医药, 2018, 31(5): 1080-1081.
|
|
[7]
|
中国老年医学学会急诊医学分会, 中华医学会急诊医学分会卒中学组, 中国卒中学会急救医学分会, 等. 急性缺血性脑卒中急诊急救中国专家共识2018版(下) [J]. 心脑血管病防治, 2019, 19(4): 287-291.
|
|
[8]
|
杨小军. NIHSS、GCS、APACHE II、MEWS评分量表预测急性脑卒中患者远期预后的评价[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2016.
|