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目的:对急性脑卒中患者开展急诊护理路径护理的临床效果进行评析。方法:回顾分析2015年2月-2017年2月我院急诊科接治的103例急性脑卒中患者的临床资料进行回顾分析,基于急诊护理方式不同分成探究组(60例)和对比组(43例),对比组采取常规急诊护理,探究组实施护理路径急诊护理,对比分析两组第一时间、第二时间,掌握两组死亡率、致残率。结果:探究组第一时间为(18.06±5.41)min、第二时间为(30.55±8.36)min,分别短于对比组的(23.14±4.18)min、(39.18±9.19)min,差异有统计意义(P<0.05);探究组死亡率为1.5%,致残率3.6%,均低于对比组的6.5%、11.3%,存在差异,有统计意义(P<0.05)。结论:在急性脑卒中急诊中应用护理路径模式,可有效提升急诊护理效率和质量,减少死亡和残疾发生,改善预后,值得临床实践。
Objective: To evaluate the clinical effect of emergency nursing pathway care in acute stroke patients. Methods: The clinical data of 103 acute stroke patients admitted to our emergency department from February 2015 to February 2017 were retrospectively analyzed. Based on the different emergency nursing methods, the patients were divided into two groups: exploration group (60 cases) and control group (43 cases) Cases), the control group to take routine emergency care, nursing staff to explore the implementation of emergency care path, comparative analysis of two groups of the first time, the second time, to master the two groups of mortality and morbidity. Results: The first time was (18.06 ± 5.41) min and the second time was (30.55 ± 8.36) min in the study group, which was shorter than that of the control group (23.14 ± 4.18) and (39.18 ± 9.19) min, respectively (P <0.05). The mortality rate in the study group was 1.5% and the morbidity rate was 3.6%, which were all lower than those in the control group (6.5% and 11.3%, P <0.05). Conclusion: The application of nursing pathway model in acute stroke emergency can effectively improve the efficiency and quality of emergency care, reduce the incidence of death and disability, and improve the prognosis. It is worth clinical practice.