摘要
Abstract
Objective:To study the application effect of standardized emergency stroke nursing pathway in patients with acute ischemic stroke(AIS).Method:A total of 120 AIS patients admitted to Fujian Medical University Affiliated Longyan First Hospital from September 2022 to August 2023.According to the random drawing method,they were divided into experimental group and control group,with 60 cases in each group.The control group adopted the conventional emergency stroke nursing pathway,while the experimental group adopted the standardized emergency stroke nursing pathway.The emergency indicators,neurological function and daily living ability before and after nursing,adverse events,and nursing satisfaction were compared.Result:The emergency triage time,venous access establishment time,completion time of relevant examinations,door-to-needle time(DNT),and emergency retention time of the experimental group were all shorter than those of the control group,and the differences were statistically significant(P<0.05).After nursing,both groups showed a decrease in National Institute of Health stroke scale(NIHSS)scores and an increase in activities of daily living(ADL)scores,the experimental group had a lower NIHSS score than the control group and a higher ADL score than the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The overall satisfaction with nursing care in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:In the clinical emergency treatment of AIS patients,adopting a standardized emergency stroke nursing pathway has definite advantages.It can effectively shorten the DNT time,improve their neurological function,promote their daily living ability,and prevent adverse events from occurring,thereby increasing patient satisfaction with emergency nursing services.关键词
规范化急诊卒中护理路径/急性缺血性脑卒中/日常生活能力Key words
Standardized emergency stroke nursing pathway/Acute ischemic stroke/Daily living ability