中国卒中杂志2018,Vol.13Issue(6):556-561,6.DOI:10.3969/j.issn.1673-5765.2018.06.005
基于时效分析的以护士为媒介的急诊溶栓临床护理路径的构建及应用
Construction and Application of Optimized Clinical Nursing Pathway of Acute Thrombolytic Therapy during Treatment of Patients with Acute Ischemic Stroke based on Time-dependent Analysis
摘要
Abstract
Objective To establish a clinical nursing pathway of acute thrombolytic therapy during treatment of patients with acute ischemic stroke (AIS) in emergency room, and to investigate its feasibility and effects. Methods The clinical nursing pathway of acute thrombolytic therapy in AIS patients were established by consulting literatures, case review and qualitative interviews with emergency department medical staff. Nursing intervention was performed on patients with AIS during acute thrombolytic therapy in emergency room. Treatment time points and therapeutic effects were compared between the experimental group and the control group. Results There were statistical differences in three timing indexes between two groups (P<0.05). They were receiving new patients to computed tomography (CT) scan time, CT results to needle time and door to needle time, which were obvious better in experimental group than the control group. Conclusion Optimized clinical nursing pathway of acute thrombolytic therapy can reduce treatment time of patients with AIS and improve prognosis, which is worthwhile to be promoted.关键词
急诊溶栓治疗/临床护理路径/急性缺血性卒中Key words
Acute thrombolytic therapy/Clinical nursing pathway/Acute ischemic stroke引用本文复制引用
吴雪影,刘莹,李向东,刘洋,杨莎,王颖..基于时效分析的以护士为媒介的急诊溶栓临床护理路径的构建及应用[J].中国卒中杂志,2018,13(6):556-561,6.基金项目
大连市卫生和计划生育委员会医学科学研究计划项目(大卫办发[2016]111号)辽宁省科技创新智库项目(LNKX2016C13)大连市医学科学研究计划项目(1712037) (大卫办发[2016]111号)