Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 1057-1060
WANG Fu-qin, ZHU Wei-li, YUAN Ming, MA Li-na, XU Min. Effect of evidence-based clinical nursing pathway on emergency thrombolytic therapy in patients with acute cerebral infarction[J]. Chinese Journal of General Practice, 2021, 19(6): 1057-1060. doi: 10.16766/j.cnki.issn.1674-4152.001984
Citation: WANG Fu-qin, ZHU Wei-li, YUAN Ming, MA Li-na, XU Min. Effect of evidence-based clinical nursing pathway on emergency thrombolytic therapy in patients with acute cerebral infarction[J]. Chinese Journal of General Practice, 2021, 19(6): 1057-1060. doi: 10.16766/j.cnki.issn.1674-4152.001984
shu

Effect of evidence-based clinical nursing pathway on emergency thrombolytic therapy in patients with acute cerebral infarction

doi: 10.16766/j.cnki.issn.1674-4152.001984
  • 1.

    Department of Nursing, Shengzhou Hospital of Traditional Chinese Medicine, Shengzhou, Zhejiang 312400, China

Funds:

 2017KY120

  • Received Date: 2021-01-22
    Available Online: 2022-02-16
    Abstract
  •   Objective  Acute cerebral infarction (ACI) has high disability and mortality rates. To improve the nursing quality of patients with ACI, this study used an evidence-based clinical nursing pathway and analysed its effect.  Methods  A total of 126 patients with ACI who received emergency Emergency thrombolytic therapy in Shengzhou Hospital of Traditional Chinese Medicine from May 2018 to April 2020 were selected with a convenience sampling method. With a stochastic digital meter, the patients were divided into control and observation groups (n=63). Both groups of patients received the conventional nursing mode of adjuvant treatment intervention. The observation group recieved addtional emergency thrombolytic therapy according to the evidence-based theory of clinical nursing path. The efficacy indexes of thrombolytic nursing (pre-hospital treatment time, The time from admission to doctor orders, examination time, DNT time and total time), neurological function [stroke scale (NIHSS)] and daily activity ability (Barthel index) before and after nursing were compared between the 2 groups, and the nursing satisfaction of patients in the 2 groups was statistically analysed.  Results  All the indicators of the thrombolysis time effect in the observation group was shorter than those in the control group (P < 0.05). After nursing, nerve function and ability to conduct daily activities in the observation group were higher than those in the control group, and the nursing satisfaction level of the observation was 98.4% (62/63), superior than 76.2% (48/63, P < 0.05).  Conclusion  A clinical nursing path intervention mode based on an evidence-based theory can shorten treatment time for patients with ACI on the basis of routine treatment and nursing, the neurological function and daily nerve function and daily life ability of patients and provide a reference for clinical nursing.

     

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