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目的探讨急诊临床护理路径在急性脑梗死患者治疗过程的应用价值。方法 2013年9月—2017年2月因急性脑梗死收治入院的患者共110例,随机分为对照组和观察组各55例,对照组行常规护理,观察组行临床护理路径。评价分析患者生活能力、临床症状改善情况及健康知识掌握情况。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果患者入院20 d时,两组患者NIHSS评分均较入院时有改善,差异均有统计学意义(均P<0.05);入院20 d时两组患者NIHSS评分[(39.81±6.12)、(47.62±5.31)分]及Barthel指数[(49.71±4.19)、(57.61±4.77)]比较,差异均有统计学意义(均P<0.05)。对照组住院时间为(27.53±7.12)d,观察组为(20.11±4.71)d,比较差异有统计学意义(P<0.05);对照组症状缓解率为58.18%(32/55),观察组为87.27%(48/55),比较差异有统计学意义(P<0.05);对照组不良反应发生率为16.36%(9/55),观察组为3.64%(2/55),比较差异有统计学意义(P<0.05)。结论临床护理路径可以使急性脑梗死患者生活质量、术后康复得到保障,规范科学的护理路径值得临床推广应用。
Objective To explore the clinical value of emergency nursing in patients with acute cerebral infarction. Methods From September 2013 to February 2017, 110 hospitalized patients with acute cerebral infarction were randomly divided into control group and observation group with 55 cases each. The control group received routine nursing and the observation group received clinical nursing route. Evaluation analysis of patients’ ability to live, clinical symptoms and health knowledge to grasp the situation. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results At 20 days after admission, the NIHSS scores of both groups were significantly improved as compared with those at admission (all P <0.05). On the 20th day after admission, the NIHSS scores [(39.81 ± 6.12) and (47.62) ± 5.31) and Barthel index [(49.71 ± 4.19), (57.61 ± 4.77)], respectively. The difference was statistically significant (all P <0.05). The length of stay in the control group was (27.53 ± 7.12) days and in the observation group was (20.11 ± 4.71) days, the difference was statistically significant (P <0.05); the symptom relief rate in the control group was 58.18% (32/55) Was 87.27% (48/55), the difference was statistically significant (P <0.05); the incidence of adverse reactions in the control group was 16.36% (9/55), the observation group was 3.64% (2/55), the difference was Statistical significance (P <0.05). Conclusion The path of clinical nursing can make the quality of life of patients with acute cerebral infarction, postoperative rehabilitation be protected, and regulate the scientific path of nursing worthy of clinical application.