摘要
目的 观察急性脑卒中病入院前急救护理的实施效果分析。方法 回顾性分析2021年1月-2022年1月本院接收的60例急性脑卒中患者,根据患者接受护理方式的不同进行分组,其中接受入院前急救措施的30例为研究组,接受常规急救护理措施的30例患者为对照组。比较两组患者在护理前、后的不良情绪评分、神经功能缺损状态、格拉斯哥昏迷情况,统计患者急救时间(发病至就诊、来院至CT检查、发病至溶栓、入院至溶栓及CT检查至溶栓时间),评价抢救效果及患者对急救护理的满意度。结果 研究组患者在护理后的不良情绪评分、神经功能缺损状态评分较护理前显著的下降,研究组低于对照组,而护理后的格拉斯哥昏迷情况评分较护理前显著升高,研究组高于对照组(P<0.05)。研究组患者的发病至就诊、来院至CT检查、发病至溶栓、入院至溶栓及CT检查至溶栓时间均短于对照组(P<0.05)。在研究组患者抢救效果中抢救成功率及患者对于护理的满意度高于对照组,而研究组致残率、死亡率均低于对照组(P<0.05)。结论 在急性脑卒中患者的护理中,实施以入院前急救护理措施,可显著的减轻患者在护理后的不良情绪与神经功能缺损状态,改善昏迷状态,缩短患者急救时间,提升抢救效果与护理满意度,效果理想。
Objective To observe the effect of emergency nursing before admission for acute stroke.Methods A total of 60 patients with acute stroke in our hospital in the near future(January 2021 to January 2022)were retrospectively analyzed.The patients were divided into groups according to the different nursing methods.Among them,30 patients who received emergency care before admission were the study group,while the other 30 patients who received routine emergency care were the control group.Compare the scores of bad emotions,neurological deficit status and Glasgow coma of the two groups of patients before and after nursing,count the first aid time(from onset to visit,from arrival to CT examination,from onset to thrombolysis,from admission to thrombolysis,and from CT examination to thrombolysis),and evaluate the rescue effect and patients'satisfaction with emergency care.Results The scores of bad mood and neurological impairment in the study group after nursing were significantly lower than those before nursing,the scores of the study group were lower than those in the control group,while the scores of Glasgow coma after nursing were significantly higher than those before nursing,and the scores in the study group were higher than those in the control group(P<0.05).The time from onset to treatment,from admission to CT examination,from onset to thrombolysis,from admission to thrombolysis,and from CT examination to thrombolysis in the study group were shorter than those in the control group(P<0.05).In the rescue effect of patients in the study group,the rescue success rate and patients'satisfaction with nursing were higher than those in the control group,while the disability rate and mortality rate in the study group were lower than those in the control group(P<0.05).Conclusion In the nursing of patients with acute stroke,the implementation of pre hospital emergency nursing measures can significantly reduce the patients'bad mood and neurological deficit after nursing,improve the coma state,shorten the time of first aid,improv
作者
陈宝麟
刘君
黄少辉
叶巧亮
CHEN Baolin;LIU Jun;HUANG Shaohui;YE Qiaoliang(Zhangzhou Emergency Center,Zhangzhou,Fujian 363000)
出处
《智慧健康》
2023年第15期255-258,共4页
Smart Healthcare
关键词
急性脑卒中
院前急救护理
实施效果
Acute stroke
Pre hospital emergency care
Implementation effect
