集束化护理策略对急诊脑梗死静脉溶栓患者DTN时间及预后的影响分析 |
| 葛玉淋 |
| 南通市第一人民医院，江苏南通，226000 |
| 摘要：目的 回顾性分析集束化护理策略对急诊脑梗死静脉溶栓患者DTN 时间及预后的影响。方法本研究选取2022 年1 月至2024 年12 月本院急诊科收治的急性脑梗死静脉溶栓患者70 例作为研究对象，按随机数字表法分为观察组和对照组，各35 例。对照组接受常规急诊护理流程，观察组在对照组基础上实施集束化护理策略，对比溶栓时间指标、神经功能评估、并发症发生情况、住院时间指标、生活质量。结果 观察组在各溶栓时间指标上均显著短于对照组，P<0.05；观察组神经功能评分改善显著优于对照组，P<0.05；观察组并发症总发生率11.4%，对照组总发生率22.9%，差异显著，P<0.05；观察组住院时间、ICU 时间均显著优于对照组，P<0.05；观察组生活质量评分显著高于对照组，P<0.05。结论 集束化护理策略能有效缩短急诊脑梗死静脉溶栓患者的DTN 时间，改善神经功能预后，降低并发症发生率，并减少住院时间，具有较高的临床推广价值。 |
| 关健词：集束化护理；脑梗死；静脉溶栓；DTN 时间；预后 |
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| Analysis of the Impact of Bundled Nursing Strategies on DTN Time and Prognosis of Patients with Acute Cerebral Infarction Treated with Intravenous Thrombolysis in the Emergency Department |
| Yulin Ge |
| Nantong First People's Hospital, Nantong Jiangsu 226000，China |
| Abstract: Objective To retrospectively analyze the impact of bundled nursing strategies on DTN time and prognosis of patients with acute cerebral infarction treated with intravenous thrombolysis in the emergency department.Methods A total of 70 patients with acute cerebral infarction treated with intravenous thrombolysis admitted to the emergency department of our hospital from January 2022 to December 2024 were selected as the research subjects and randomly divided into the observation group and the control group, with 35 cases in each group. The control group received conventional emergency nursing procedures, while the observation group implemented bundled nursing strategies on the basis of the control group. The thrombolysis time indicators, neurological function assessment, occurrence of complications, hospitalization time indicators, and quality of life were compared between the two groups.Results The observation group had significantly shorter thrombolysis time indicators than the control group, P<0.05; the improvement in neurological function scores in the observation group was significantly better than that in the control group, P<0.05; the total incidence of complications in the observation group was 11.4%, and that in the control group was 22.9%, with a significant difference, P<0.05; the hospitalization time and ICU time in the observation group were significantly shorter than those in the control group, P<0.05; the quality of life score in the observation group was significantly higher than that in the control group, P<0.05. Conclusion Bundled nursing strategies can effectively shorten the DTN time of patients with acute cerebral infarction treated with intravenous thrombolysis in the emergency department, improve neurological function prognosis, reduce the incidence of complications, and shorten hospitalization time, which has high clinical promotion value. |
| Keywords：Bundled nursing；Cerebral infarction；Intravenous thrombolysis；DTN time；Prognosis |
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