The neurological deficits and daily living ability effects of emergency nursing process applying to patients with cerebral infarction thrombolysis
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摘要: 目的 探讨急诊护理流程应用于脑梗死溶栓患者评价其神经功能缺损及日常生活能力的价值。 方法 采用回顾性研究方法,选择2014年2月—2016年2月在海南省干部疗养院诊治的急性脑梗死患者172例作为研究对象,根据护理方法的不同分为观察组与对照组各86例,2组都选择溶栓治疗,对照组在治疗期间按照常规护理流程实施一般护理,观察组给予急诊护理流程干预,治疗观察21 d,记录2组的采血时间、转诊时间与抢救时间,调查与评定治疗前后的NIHSS评分与Barthel评分,对满意度进行评分评定。 结果 观察组的采血时间、转诊时间与抢救时间都明显短于对照组(均P<0.05)。观察组治疗后的NIHSS评分与Barthel评分分别为(7.98±2.14)分和(54.32±9.24)分,而对照组分别为(10.15±2.65)分和(48.20±8.19)分,组间对比差异有统计学意义(均P<0.05),且与治疗前对比差异有统计学意义(均P<0.05)。观察组对于护理服务态度、护理操作技术、护患沟通的满意度评分都明显高于对照组,差异有统计学意义(均P<0.05)。 结论 急诊护理流程应用于脑梗死溶栓患者能提高急诊抢救效率,促进患者神经功能恢复和患者日常生活能力的改善,提高患者对护理工作的满意度,有很好的应用价值。Abstract: Objective To explore the neurological deficits and daily living ability effects of emergency nursing process applying to patients with cerebral infarction thrombolysis. Methods We used a retrospective study method and selected from February,2014 to February,2016 altogether 172 cases of acute cerebral infarction patients in our hospital as the research object.According to nursing methods,the patients were equally divided into the observation group and the control group,with 86 patients in each group.Both groups were given the thrombolytic therapy,while the control group was given the conventional nursing process during the treatment period and the observation group was given emergency care process intervention,with 21 days treatment cycles.We recorded blood collection time,referral time and rescue time,survey and evaluation of the NIHSS score and Barthel score before and after treatment and carried out the satisfaction rating. Results The blood sampling time,the time of referral and the rescue time of the observation group were significantly shorter than those in the control group(P<0.05).The NIHSS score and Barthel score in the observation group after treatment were (7.98±2.14) points and (54.30±9.24) points,while those in the control group were (10.15±2.65) points and (48.20±8.19) points,with statistical significance between the two groups(P<0.05),and all the points compared to those before treatment were statistically significant(P<0.05).The scores for nursing service attitude,nursing operation technology,nurse patient communication satisfaction in the observation group were significantly higher than those in the control group(P<0.05). Conclusion The emergency nursing process applying to patients with cerebral infarction thrombolysis can improve the emergency rescue efficiency,promote recovery of neurological function and daily living ability of the patients and improve patients' satisfaction of nursing work,hence with very good application values.
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