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目的探讨急诊护理流程应用于脑梗死溶栓患者评价其神经功能缺损及日常生活能力的价值。方法采用回顾性研究方法,选择2014年2月—2016年2月在海南省干部疗养院诊治的急性脑梗死患者172例作为研究对象,根据护理方法的不同分为观察组与对照组各86例,2组都选择溶栓治疗,对照组在治疗期间按照常规护理流程实施一般护理,观察组给予急诊护理流程干预,治疗观察21 d,记录2组的采血时间、转诊时间与抢救时间,调查与评定治疗前后的NIHSS评分与Barthel评分,对满意度进行评分评定。结果观察组的采血时间、转诊时间与抢救时间都明显短于对照组(均P<0.05)。观察组治疗后的NIHSS评分与Barthel评分分别为(7.98±2.14)分和(54.32±9.24)分,而对照组分别为(10.15±2.65)分和(48.20±8.19)分,组间对比差异有统计学意义(均P<0.05),且与治疗前对比差异有统计学意义(均P<0.05)。观察组对于护理服务态度、护理操作技术、护患沟通的满意度评分都明显高于对照组,差异有统计学意义(均P<0.05)。结论急诊护理流程应用于脑梗死溶栓患者能提高急诊抢救效率,促进患者神经功能恢复和患者日常生活能力的改善,提高患者对护理工作的满意度,有很好的应用价值。
Objective To investigate the value of emergency nursing process in assessing neurological deficit and daily living ability in patients with thrombolysis in cerebral infarction. Methods A retrospective study was conducted to select 172 patients with acute cerebral infarction who were diagnosed and treated in cadre nursing home in Hainan Province from February 2014 to February 2016. The patients were divided into observation group and control group according to different nursing methods, Thrombolysis was selected in both groups. The control group received general nursing according to the routine nursing procedure during the treatment. The observation group received emergency nursing intervention. The treatment was observed for 21 days. The time of taking blood, referral time and rescue time were recorded. NIHSS score and Barthel score before and after treatment were evaluated, and the satisfaction degree was evaluated. Results The blood sampling time, referral time and rescue time in the observation group were significantly shorter than those in the control group (all P <0.05). The scores of NIHSS and Barthel in the observation group after treatment were (7.98 ± 2.14) and (54.32 ± 9.24) points respectively, while those in the control group were (10.15 ± 2.65) and (48.20 ± 8.19) (All P <0.05), and there was significant difference between before and after treatment (all P <0.05). The satisfaction scores of the observation group for nursing service attitude, nursing operation technique and nurse-patient communication were significantly higher than those of the control group (all P <0.05). Conclusion The application of emergency nursing procedure in thrombolytic patients with cerebral infarction can improve emergency rescue efficiency, improve neurological function and improve daily living ability of patients, and improve patient satisfaction with nursing work.