专科护士全程引导护理模式对急性缺血性脑卒中DNT时间的优化实践 |
| 简国武 |
| 十堰市太和医院，湖北十堰，442000 |
| 摘要：目的 探究专科护士全程引导护理模式对急性缺血性脑卒中DNT 时间的优化效果。方法 将2023 年1 月至2025 年1 月我院收治的86 例急性缺血性脑卒中患者，随机分为观察组、对照组，各43例。对照组、观察组分别实施常规护理、专科护士全程引导护理。结果 在入院至静脉溶栓时间方面，观察组DNT 明显短于对照组，观察组DNT≤60min 患者例数明显多于对照组，有统计学意义（P＜0.05）；在并发症发生率方面，观察组为2.33%，对照组为16.28%，观察组明显低于对照组，有统计学意义（P＜0.05）；在护理满意度方面，观察组为97.67%，对照组为86.05%，观察组明显高于对照组，有统计学意义（P＜0.05）。结论 实施专科护士全程引导护理在急性缺血性脑卒中患者中，确保医生下达指令后可立即给药，减少准备阶段的时间损耗，同时彻底打消了患者对院外康复的顾虑，让患者感受到护理服务的完整性与责任感，进而提升对整体护理的满意度，患者在出院后也能主动规避风险、及时发现异常并就医，进一步减少院外并发症的发生，值得参考。 |
| 关健词：专科护士；全程引导护理；急性；缺血性脑卒中 |
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| Practice of Optimizing Door-to-Needle Time in Acute Ischemic Stroke through the Whole-Process Guided Nursing Model by Specialist Nurses |
| Guowu Jian |
| Taihe Hospital, Shiyan Hubei 442000，China |
| Abstract: Objective To explore the optimization effect of the whole-process guided nursing model by specialist nurses on doorto-needle time (DNT) in acute ischemic stroke. Methods A total of 86 patients with acute ischemic stroke admitted to our hospital from January 2023 to January 2025 were randomly divided into an observation group and a control group, with 43 cases in each group. The control group received conventional nursing, while the observation group received whole-process guided nursing by specialist nurses. Results Regarding the time from admission to intravenous thrombolysis, the DNT of the observation group was significantly shorter than that of the control group. The number of patients with DNT ≤ 60 minutes in the observation group was significantly higher than that in the control group, with statistical significance (P < 0.05). In terms of the complication rate, the observation group had a rate of 2.33%, significantly lower than the control group's 16.28%, with statistical significance (P < 0.05). As for nursing satisfaction, the observation group had a rate of 97.67%, significantly higher than the control group's 86.05%, with statistical significance (P < 0.05). Conclusion The implementation of the whole-process guided nursing model by specialist nurses in patients with acute ischemic stroke ensures immediate medication administration after doctors' orders, reduces time loss in the preparation phase, and completely alleviates patients' concerns about post-discharge rehabilitation. This approach makes patients feel the completeness and responsibility of nursing services, thereby enhancing overall satisfaction with nursing care. Additionally, patients can actively avoid risks, promptly identify abnormalities, and seek medical attention after discharge, further reducing the occurrence of complications outside the hospital. This model is worthy of reference. |
| Keywords：Specialist nurse; Whole-process guided nursing; Acute; Ischemic stroke |
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