摘要
目的 分析急诊绿色通道护理路径用于急性脑卒中的价值。方法:随机均分2018年1月-2022年1月本科接诊急性脑卒中病人(n=60)。试验组采取急诊绿色通道护理路径,对照组行常规护理。对比分诊评估时间等指标。结果:关于分诊评估时间、急诊时间和确诊时间:试验组数据比对照组短(P<0.05)。并发症:试验组发生率低至3.33%,而对照组数据则达到了16.67%,相比较下,试验组的发生率更低(P<0.05)。关于NIHSS评分:干预结束时,试验组的数据低至(15.84±2.13)分,而对照组数据则达到了(18.93±3.05)分,相比较下,试验组的神经功能更好(P<0.05)。结论:急性脑卒中用急诊绿色通道护理路径,病人的分诊评估时间更短,急救效率更高,并发症发生率更低,神经功能改善更加明显。
关键词: 急诊绿色通道护理路径;神经功能;急性脑卒中;确诊时间
Abstract
Objective: To analyze the value of emergency green channel nursing pathway for acute stroke. Methods: Patients with acute stroke were randomly assigned from January 2018 to January 2022 (n=60). The experimental group received emergency green channel nursing, and the control group received routine nursing. The evaluation time of triage was compared. Results: In terms of triage assessment time, emergency time and diagnosis time, the data of experimental group were shorter than that of control group (P < 0.05). Complications: The incidence of the experimental group was as low as 3.33%, while that of the control group was 16.67%, and the incidence of the experimental group was lower (P < 0.05). The NIHSS score was as low as (15.84±2.13) points in the experimental group and (18.93±3.05) points in the control group at the end of the intervention, and the neurological function of the experimental group was better than that of the control group (P < 0.05). Conclusion : With emergency green channel nursing path for acute stroke, the triage evaluation time of patients is shorter, the emergency efficiency is higher, the complication rate is lower, and the neurological function is improved more obviously.
Key words: Emergency green channel nursing path; Nerve function; Acute stroke; Time of diagnosis
参考文献 References
[1] 邓秋迎,郭艳枫,武健,等. 中西医结合临床护理路径标准化体系的建立及在急救绿色通道中的应用效果分析[J]. 中国中西医结合急救杂志,2021,28(1):90-94.
[2] 李瑞云,胡营营,耿德胜. 中西医结合急诊临床护理路径在急性缺血性脑卒中绿色通道中的应用研究[J]. 实用中医内科杂志,2022,36(1):85-87.
[3] 李玉香,李振洋,胡周俊. 急诊快捷护理路径对缩短急性缺血性脑卒中患者溶栓绿色通道停留时间的临床价值[J]. 中国医学创新,2020,17(6):78-81.
[4] 姚世达. 急诊快捷护理路径对缩短急性缺血性脑卒中患者溶栓绿色通道停留时间的临床价值[J]. 康颐,2021(16):63.
[5] 侯晓竹. 急诊绿色通道护理路径模式对急性脑卒中患者急救时间与急救效果的影响[J]. 每周文摘·养老周刊,2023(8):168-170.
[6] 武健,邓秋迎,凌传仁,等. 中西医结合急诊临床护理路径在急性缺血性脑卒中绿色通道中的应用[J]. 广州中医药大学学报,2020,37(6):1057-1061.
[7] 张继燕,杨明,杨月,等. 急救护理路径联合心理护理在急诊脑卒中溶栓绿色通道中发挥的效果观察[J]. 心理月刊,2020,15(20):165-166.
[8] 戴园园,袁月华,韩美玲,等. 急诊绿色通道护理路径模式对急性脑卒中患者急救时间与急救效果的影响[J]. 齐鲁护理杂志,2023,29(7):116-119.