Effect of optimizing emergency nursing process on RT PA intravenous thrombolysis in acute ischemicstroke
优化急诊护理流程在急性缺血性脑卒中rt-PA 静脉溶栓中的应用效果

摘要

目的:为有效改善急性缺血性脑卒中患者神经功能，降低并发症发生率，提升溶栓救治成功率， 对优化急诊护理流程在 rt-PA 静脉溶栓治疗的应用效果作进一步探究，为临床提供有效参考依据。方法:回顾 性分析 2020 年 1 月-2021 年 12 月期间在本院接受 rt-PA 静脉溶栓治疗的急性缺血性脑卒中患者为研究对象， 共计 60 例，按接收治疗顺序平均分为对照组和观察组（每组各 30 例），对比观察采用优化急诊护理流程- 观察组与采用常规急诊护理-对照组的临床护理效果。结果:观察组较对照组并发症发生率、神经功能缺损更 低，溶栓救治成功率、护理工作效率、生活质量及满意度更高，数据差异，P＜0.05，存在对比意义。结论: 在急性缺血性脑卒中 rt-PA 静脉溶栓中配合优化急诊护理流程对神经功能缺损程度及并发症发生率有显著降 低作用，有效提升溶栓救治成功率，同时提高护理工作效率及护理满意度，促进护患关系和谐，护理效果 显著，应用价值良好，对此护理方案建议大力推广应用。

Abstract

Objective: in order to effectively improve the neurological function of patients with acute ischemic stroke, reduce the incidence of complications and improve the success rate of thrombolytic treatment, further explore the application effect of optimizing emergency nursing process in RT PA intravenous thrombolytic treatment, so as to provide effective reference for clinical practice.
Methods: 60 patients with acute ischemic stroke who received RT PA intravenous thrombolysis in our hospital from January 2020 to December 2021 were analyzed retrospectively. They were divided into control group and observation group (30 cases in each group) according to the order of treatment. The clinical nursing effects of the observation group with optimized emergency nursing process and the control group with routine emergency nursing were compared.
Results: the incidence of complications and neurological deficit in the observation group were lower than those in the control group, and the success rate of thrombolytic treatment, nursing efficiency, quality of life and satisfaction were higher in the observation group (P < 0.05).
Conclusion  : optimizing the emergency nursing process in RT PA intravenous thrombolysis for acute ischemic stroke can significantly reduce the degree of neurological deficit and the incidence of complications, effectively improve the success rate of thrombolysis, improve the nursing efficiency and nursing satisfaction, effectively promote the harmonious relationship between nurses and patients, have significant nursing effect and good application value. It is suggested to vigorously promote the application of this nursing scheme.