Influence of quality control circle and evidence-based nursing on stroke patients
品管圈+循证护理对脑卒中患者的影响

摘要

目的 探究品管圈+循证护理对脑卒中患者的影响。方法 选取2024年1月-5月于我院接受品管圈+循证护理的48例脑卒中患者，纳入观察组，选取2023年6月-12月于我院接受循证护理的48例脑卒中患者，纳入对照组。对比两组静脉溶栓各节点耗时、美国国立卫生研究院卒中量表（NIHSS）评分、吞咽功能筛查率、并发症。结果 观察组入院至评估患者、影像学检查、入院至溶栓时间（DNT）短于对照组（P＜0.05）。护理后，两组NIHSS评分低于护理前，观察组较低（P＜0.05）。观察组溶栓术后首次进食前的吞咽功能筛查率高于对照组，并发症较对照组少（P＜0.05）。结论 品管圈+循证护理可缩短脑卒中患者静脉溶栓所用时间，降低吞咽障碍及术后并发症发生率，减轻其神经功能缺损症状。

Abstract

Objective To explore the influence of quality control circle and evidence-based nursing on stroke patients.
Methods 48 stroke patients who received quality control circle and evidence-based nursing in our hospital from January to May, 2024 were included in the observation group, and 48 stroke patients who received evidence-based nursing in our hospital from June to December, 2023 were included in the control group. The time-consuming of intravenous thrombolysis, NIHSS score, swallowing function screening rate and complications were compared between the two groups.
Results The time (DNT) from admission to evaluation of patients, imaging examination and admission to thrombolysis in the observation group was shorter than that in the control group (P < 0.05). After nursing, the NIHSS score of the two groups was lower than that before nursing, and that of the observation group was lower (P < 0.05). The screening rate of swallowing function in the observation group before eating for the first time after thrombolysis was higher than that in the control group, and the complications were less than that in the control group (P < 0.05).
Conclusion   Quality control circle and evidence-based nursing can shorten the time of intravenous thrombolysis in stroke patients, reduce the incidence of dysphagia and postoperative complications, and alleviate the symptoms of neurological deficit.