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目的:探究缺血性脑卒中患者就诊延迟的影响因素、不良结局及护理对策研究和意义。方法:于2014年8月至2015年4月辉县市人民医院收治的缺血性脑卒中患者中随机选取150例作为研究对象。采取问卷调查法,其中包含临床资料、发病时间、一般人口学资料等方面内容。结果:结果表明,影响缺血性脑卒中患者就诊延迟单因素性别、严重程度、疾病类型、就诊方式、年龄,差异均具有统计学意义(P<0.05)。其中性别、严重程度、疾病类型、就诊方式、年龄均为影响缺血性脑卒中患者就诊延迟的多因素,差异有统计学意义(P<0.05)。<6 h就诊组患者存活率、复发率与≥6 h就诊组对比,差异无统计学意义(P>0.05)。<6 h就诊组患者再次入院率4.41%显著低于对照组的14.63%,差异具有统计学意义(P<0.05)。治疗后使用美国国立卫生研究院卒中量表(NHISS)评分显著下降,改良巴氏指数评定表(MBI)评分与Fugl-Meyer平衡功能力表(FM-B)评分显著提高,差异具有统计学意义(P<0.05)。结论:严重程度、疾病类型、就诊方式、年龄为影响缺血性脑卒中患者就诊延迟的因素。临床应制定针对性护理干预,并及时治疗,改善不良结局,提高患者生活质量。
Objective: To investigate the influencing factors of delayed treatment of ischemic stroke patients, adverse outcomes and nursing countermeasures and significance. Methods: From August 2014 to April 2015, 150 patients with ischemic stroke admitted to Huixian People’s Hospital were randomly selected as the research object. To take a questionnaire survey, including clinical data, the onset time, general demographic information and other aspects. Results: The results showed that the single factor gender, severity, type of disease, the way of treatment, age and difference were significantly different (P <0.05) in the patients with ischemic stroke. Among them, gender, severity, type of disease, treatment method, and age were all the factors influencing the delayed treatment of patients with ischemic stroke, the difference was statistically significant (P <0.05). There was no significant difference in the survival rate and recurrence rate between the 6 h treatment group and the treatment group of ≥6 h (P> 0.05). The rate of re-admission was <4. hrs in the 6-h treatment group was significantly lower than that in the control group (14.63%), the difference was statistically significant (P <0.05). After treatment, the National Institutes of Health Stroke Scale (NHISS) score decreased significantly, and the improved MBI score and the Fugl-Meyer Balance Function Scale (FM-B) score were significantly increased, the difference was statistically significant (P <0.05). Conclusion: The severity, the type of disease, the way of treatment, and the age are the factors affecting the delayed treatment of ischemic stroke patients. Clinic should develop targeted nursing interventions, and timely treatment to improve the adverse outcomes and improve patient quality of life.