中国医学创新Issue(12):84-86,3.DOI:10.3969/j.issn.1674-4985.2015.12.027
临床护理路径在脑卒中院前急救中的应用探讨
Discussion on Application of Clinical Nursing Pathway in Pre-hospital Emergency Care of Cerebral Apoplexy
摘要
Abstract
Objective:To study the feasibility and clinical effects of clinical nursing pathway in pre-hospital emergency care of patients with cerebral apoplexy.Method:A retrospective analysis was carried out on clinical information of 53 cases of patients with cerebral apoplexy, who were rescued and transported from March 2013 to December 2013. These 53 patients were given regular nursing and were assigned into the control group.53 cases of patients with cerebral apoplexy were given pre-hospital emergency care by clinical nursing pathway from January 2014 to November 2014. These 53 patients were assigned into the observation group.Los Angeles Pre-hospital Stroke Screen (LAPSS) was used to screen two groups of patients with cerebral apoplexy.The two groups of patients were compared in the duration from clinical reception to rescue, the duration from rescue to professional treatment, length of hospital stay and mortality. Result:Average duration from clinical reception to rescue, average duration from rescue to professional treatment and length of hospital stay in the observation group were all significantly shorter than those of the control group (P<0.05).47 cases were survival (88.68%) while 6 cases (11.32%) died in the observation group.39 cases were survival (73.58%) while 14 cases (26.41%) died in the control group.And there were significant differences between the two groups of patients in survival rate (P<0.05).Conclusion:Clinical nursing pathway is feasible for pre-hospital emergency care of patients with cerebral apoplexy, which can guide the pre-hospital emergency care and improve the survival rate and prognosis of patients.关键词
临床护理路径/脑卒中/院前急救/洛杉矶院前卒中筛查量表/死亡率Key words
Clinical nursing path/Cerebral apoplexy/Pre-hospital emergency care/Los angeles pre-hospital stroke screen/Mortality引用本文复制引用
彭海菁,郭佳华,钟育红,周惠芬,陈月馨..临床护理路径在脑卒中院前急救中的应用探讨[J].中国医学创新,2015,(12):84-86,3.基金项目
深圳市科技计划项目(医疗卫生类)(201003226);福田区公益性科研项目 ()