优化急救护理流程在抢救急性缺血性脑卒中患者中的应用.docVIP

优化急救护理流程在抢救急性缺血性脑卒中患者中的应用 　　【摘要】 目的 研究优化急救护理流程在急性缺血性脑卒中（AIS）患者中的价值。方法 119例急性缺血性脑卒中患者， 随机分为观察组（58例）和对照组（61例）。观察组采取精细化管理理念优化护理流程， 对照组采用传统急救护理流程。对两组患者的急诊滞留时间、溶栓开始时间、分诊评估时间、完善相应检查时间及患者和（或）家属满意度进行比较。结果 观察组患者的分诊评估时间、完善相应检查时间、溶栓开始时间、急诊滞留时间均短于对照组， 差异有统计学意义（P0.05）。观察组患者满意度为98.28%（57/58）， 明显高于对照组的83.61%（51/61）， 差异有统计学意义（P0.05）。结论 实施优化急救护理流程为急性缺血性脑卒中患者的救治赢得了宝贵的时间， 同时规范了护理工作， 提高了护理工作效率和护理质量。 　　【关键词】 脑卒中； 急诊； 优化急救护理流程； 溶栓 　　DOI：10.14163/j.cnki.11-5547/r.2017.35.074 　　Application of optimized emergency nursing process in rescuing patients with acute ischemic stroke FENG Tao-li， HUANG Ya-juan， CHEN Lan， et al. Department of Emergency， Jiangsu Changzhou City First People’s Hospital， Changzhou 213003， China 　　【Abstract】 Objective To study the value of optimized emergency nursing process in rescuing patients with acute ischemic stroke （AIS）. Methods A total of 119 patients with acute ischemic stroke were randomly divided into observation group（58 cases） and control group（61 cases）. The observation group received optimized emergency nursing process， and the control group received traditional emergency nursing process. Comparison were made on emergency residence time， thrombolytic start time， triage assessment time， appropriate examination improvement， patient or family satisfaction between two groups. 　　Results The observation group had shorter triage assessment time， appropriate examination improvement time， thrombolytic start time， emergency residence time than the control group， and the difference was statistically significant （P0.05）. The observation group had obviously high satisfaction as 98.28% （57/58） than 　　83.61% （51/61） in the control group， and the difference was statistically significant （P0.05）. Conclusion The implementation of optimized emergency nursing process can win valuable time for the treatment of patients with acute ischemic stroke and standardize the nursing work at the same time， along with improving nursing efficiency and quality of nursing. 　　【Key w