Volume 20 Issue 9
Sep.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1620-1623
TIAN Min, XIE Jing, LUO Song, YE Bin. Effect of pathway nursing program on mechanical thrombectomy in patients with acute ischaemic stroke[J]. Chinese Journal of General Practice, 2022, 20(9): 1620-1623. doi: 10.16766/j.cnki.issn.1674-4152.002663
Citation: TIAN Min, XIE Jing, LUO Song, YE Bin. Effect of pathway nursing program on mechanical thrombectomy in patients with acute ischaemic stroke[J]. Chinese Journal of General Practice, 2022, 20(9): 1620-1623. doi: 10.16766/j.cnki.issn.1674-4152.002663
shu

Effect of pathway nursing program on mechanical thrombectomy in patients with acute ischaemic stroke

doi: 10.16766/j.cnki.issn.1674-4152.002663
  • 1.

    Catheter Lab Department, the Third People's Hospital of Bengbu, Bengbu, Anhui 233000, China

Funds:

 KJ2019A0364

  • Received Date: 2022-03-23
    Available Online: 2022-11-29
    Abstract
  •   Objective  To explore the therapeutic effect of pathway nursing program on mechanical thrombectomy of acute ischaemic stroke patients.  Methods  A total of 60 patients with mechanical thrombectomy for acute ischaemic stroke from January 2020 to December 2021 in the Third People's Hospital of Bengbu were selected. Amongst them, patients admitted from January 2020 to December 2020 were the control group (30 cases), and patients admitted from January 2021 to December 2021 were the observation group (30 cases). The control group was given a routine nursing program, and the observation group was given a pathway nursing program. The treatment efficiency of patients in the two groups were compared. The rate of vascular recanalisation, incidence of complications, nursing satisfaction, and improved ranking scale (MRS) score 90 d after surgery were compared.  Results  After giving pathway nursing program treatment, the observation group patients'door-to-needle time, door-to-puncture time and door-to-revascularisation time were 43.00 (30.75, 49.00), 88.00 (82.50, 88.25), and 115.50 (109.50, 118.00) min. These values were shorter than those of the control group with 45.50 (41.00, 51.25), 90.50 (85.00, 98.50), and 122.50 (111.50, 128.25) min, respectively, and the difference were statistically significant (all P < 0.05). The vascular recanalisation rate in the observation group was 90.0%, which was higher than that in the control group (66.7%), and the difference was statistically significant (χ2=4.812, P=0.028). The incidence of complications was 30.0% in the observation group and 56.7% in the control group, and the difference was statistically significant (χ2=4.344, P=0.037). Nursing satisfaction was 96.7% in the observation group and 73.3% in the control group, and the difference was statistically significant (χ2=4.706, P=0.030). The MRS score of the observation group was 2.0 (1.0, 2.0) points at 90 days, lower than that of the control group's 2.0 (2.0, 3.0) points, and the difference was statistically significant (Z=-2.512, P=0.012).  Conclusion  Pathway nursing program can improve the treatment effect and nursing satisfaction of patients with mechanical thrombectomy.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    贾建平, 陈生弟. 神经病学[M]. 9版. 北京: 人民卫生出版社, 2018: 194-207.

    JIA J P, CHEN S D. Neurology[M]. 9th Edition. Beijing: People's Medical Publishing House, 2018: 194-207.
    [2]
    国家神经系统疾病临床医学研究中心. 中国卒中报告2019[J]. 中国卒中杂志, 2020, 15(12): 1251-1263. doi: 10.3969/j.issn.1673-5765.2020.12.001

    China National Clinical Research Center for Neurological Diseases. China Stroke Statistics 2019[J]. Chinese Journal of Stroke, 2020, 15(12): 1251-1263. doi: 10.3969/j.issn.1673-5765.2020.12.001
    [3]
    POWERS W J, RABINSTEIN A A, ACKERSON T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2019, 50(12): e344-e418.
    [4]
    中华医学会神经病学分会. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004

    Chinese Society of Neurology of Chinese Medical Associatio. Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2018[J]. Chinese Journal of Neurology, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004
    [5]
    NOGUEIRA R G, JADHAV A P, HAUSSEN D C, et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct[J]. N Engl J Med, 2018, 378(1): 11-21. doi: 10.1056/NEJMoa1706442
    [6]
    冯艳, 袁丽品, 祁亚伟, 等. 不同时间窗溶栓对急性缺血性脑卒中临床疗效及神经功能的影响[J]. 医药论坛杂志, 2021, 42(17): 33-36. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202117008.htm

    FENG Y, YUAN L P, QI Y W, et al. Effect of thrombolysis with different time windows on clinical efficacy and neurological function of acute ischemic stroke[J]. Journal of Medical Forum, 2021, 42(17): 33-36. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202117008.htm
    [7]
    成知叡, 刘福生, 王苏妹, 等. 阿替普酶静脉溶栓对急性缺血性脑卒中神经功能疗效的meta分析[J]. 河北医学, 2021, 27(2): 305-312. doi: 10.3969/j.issn.1006-6233.2021.02.028

    CHENG Z R, LIU F S, WANG S M, et al. Meta-analysis of the efficacy of alteplase intravenous thrombolytic therapy on neurological function in acute ischemic stroke[J]. Hebei Medicine, 2021, 27(2): 305-312. doi: 10.3969/j.issn.1006-6233.2021.02.028
    [8]
    ZI W J, QIU Z M, LI F L, et al. Effect of endovascular treatment alone vs intravenous alteplase plus endovascular treatment on functional independence in patients with acute ischemic stroke: The DEVT randomized clinical trial[J]. JAMA, 2021, 325(3): 234-243. doi: 10.1001/jama.2020.23523
    [9]
    国家卫生健康委脑卒中防治工程委员会. 急性大血管闭塞性缺血性卒中血管内治疗中国专家共识(2019年修订版)[J]. 中华神经外科杂志, 2019, 35(9): 868-879. doi: 10.3760/cma.j.issn.1001-2346.2019.09.002

    Stroke Prevention and Control Engineering Committee of the National Health Commission. Chinese expert consensus on endovascular therapy for acute great vascular occlusive ischemic stroke (2019 revision)[J]. Chinese Journal of Neurosurgery, 2019, 35(9): 868-879. doi: 10.3760/cma.j.issn.1001-2346.2019.09.002
    [10]
    MULDER M J H L, JANSEN I G H, GOLDHOORN R B, et al. Time to endovascular treatment and outcome in acute ischemic stroke: MR CLEAN registry results[J]. Circulation, 2018, 138(3): 232-240. doi: 10.1161/CIRCULATIONAHA.117.032600
    [11]
    王英, 杜丽英. 完善绿色通道及取栓流程对急性缺血性脑卒中病人神经功能的影响[J]. 中国临床神经外科杂志, 2019, 24(12): 769-771. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGLC201912021.htm

    WANG Y, DU L Y. Effect of improving green channel and thrombectomy procedure on nerve function in patients with acute ischemic stroke[J]. Chinese Journal of Clinical Neurosurgery, 2019, 24(12): 769-771. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGLC201912021.htm
    [12]
    梁宏艳, 赵文博, 马红蕊, 等. 急性缺血性卒中取栓治疗延误的影响因素分析[J]. 中国脑血管病杂志, 2020, 17(2): 57-62, 97. https://www.cnki.com.cn/Article/CJFDTOTAL-NXGB202002001.htm

    LIANG H Y, ZHAO W B, MA H R, et al. Multivariate analysis of delay of acute ischemic stroke treated with endovascular thrombectomy[J]. Chinese Journal of Cerebrovascular Diseases, 2020, 17(2): 57-62, 97. https://www.cnki.com.cn/Article/CJFDTOTAL-NXGB202002001.htm
    [13]
    杨巧玲, 雷志浩, 蔡婧婧, 等. 卒中救治和质量控制体系的建设与研究进展[J]. 中国卒中杂志, 2021, 16(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZUZH202101001.htm

    YANG Q L, LEI Z H, CAI J J, et al. Construction and quality control of stroke care system[J]. Chinese Journal of Stroke, 2021, 16(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZUZH202101001.htm
    [14]
    潘习, 徐岚, 李小勤, 等. 护士参与的决策辅助方案在急性脑梗死静脉溶栓获取知情同意中的应用[J]. 中国护理管理, 2019, 19(12): 1904-1909. doi: 10.3969/j.issn.1672-1756.2019.12.029

    PAN X, XU L, LI X Q, et al. Application of nurse involved in aid decision-making in informed consent for intravenous thrombolysis patients with acute cerebral infarction[J]. Chinese Nursing Management, 2019, 19(12): 1904-1909. doi: 10.3969/j.issn.1672-1756.2019.12.029
    [15]
    张聪聪, 楼敏, 陈智才, 等. 医院内缺血性脑卒中患者静脉溶栓时间及预后分析[J]. 浙江大学学报(医学版), 2019, 48(3): 260-266. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYB201903009.htm

    ZHANG C C, LOU M, CHEN Z C, et al. Analysis of intravenous thrombolysis time and prognosis in patients with in-hospital stroke[J]. Journal of Zhejiang University (Medical Sciences), 2019, 48(3): 260-266. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYB201903009.htm
    [16]
    PHAN K, DMYTRIW A A, LLOYD D, et al. Direct endovascular thrombectomy and bridging strategies for acute ischemic stroke: A network meta-analysis[J]. J Neurointerv Surg, 2019, 11(5): 443-449.
    [17]
    DA ROS V, CORTESE J, CHASSIN O, et al. Thrombectomy or intravenous thrombolysis in patients with NIHSS of 5 or less?[J]. J Neuroradiol, 2019, 46(4): 225-230.
    [18]
    张然, 田浩林, 王丽婷, 等. 静脉溶栓及血管内治疗急性脑梗死的国内研究进展[J]. 中华全科医学, 2020, 18(11): 1916-1920. doi: 10.16766/j.cnki.issn.1674-4152.001653

    ZHANG R, TIAN H L, WANG L T, et al. Domestic research progress of intravenous thrombolysis and intravascular treatment of acute cerebral infarction[J]. Chinese Journal of General Practice, 2020, 18(11): 1916-1920. doi: 10.16766/j.cnki.issn.1674-4152.001653
    [19]
    HORSCH A D, BENNINK E, VAN SEETERS T, et al. Computed tomography perfusion derived blood-brain barrier permeability does not yet improve prediction of hemorrhagic transformation[J]. Cerebrovasc Dis, 2018, 45(1-2): 26-32.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (130) PDF downloads(1) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return