收稿日期: 2024-10-21
网络出版日期: 2025-03-03
Improvement of the nursing process for thrombolysis patients with acute ischemic stroke in Inner Mongolia and effect evaluation
目的 改进内蒙古地区急性缺血性脑卒中溶栓患者的护理流程以缩短救治时间。方法 成立卒中小组，构建急性缺血性脑卒中溶栓患者护理流程改进方案初稿，经过专家会议确定终稿后，在临床应用并进行效果评价。结果 护理流程改进方案应用后，从急诊大门到接受溶栓治疗时间由38 min缩短到32 min（P<0.001），从发病到接受溶栓治疗的时间由211 min缩短到196 min（P<0.05），从急诊大门到溶栓签字时间由29 min缩短到27 min（P<0.05），住院时间由8 d缩短到6 d（P<0.001），改良Rankin量表评分由0（0，2）分缩减到0（0，1）分（P<0.001）。结论 采用改进后的护理流程可缩短急性缺血性脑卒中溶栓患者救治时间，缩短住院时间，改善短期神经功能恢复。
黄裕丰 , 董丽霞 , 张蕾 , 王慧 . 内蒙古地区急性缺血性脑卒中溶栓患者护理流程的改进及效果评价[J]. 中华急危重症护理杂志, 2025 , 6(3) : 345 -350 . DOI: 10.3761/j.issn.2096-7446.2025.03.016
Objective To improve the nursing process for thrombolysis patients with acute ischemic stroke in Inner Mongolia to shorten treatment time. Methods A stroke team was established to draft an improved nursing process for thrombolysis patients with acute ischemic stroke. After the final draft was confirmed through expert meetings，it was implemented in clinical practice and its effectiveness was evaluated. Results After the implementation of the nursing process improvement plan，the door-to-needle time was reduced from 38 min to 32 min（P<0.001）. The onset to needle time was reduced from 211 min to 196 min（P<0.05）. The time from the emergency department entrance to signing the thrombolysis consent form was reduced from 29 min to 27 min（P< 0.05）. The length of hospital stay was reduced from 8 days to 6 days（P<0.001）. The modified Rankin Scale score decreased from 0（0，2） points to 0（0，1） points（P<0.001）. Conclusion The improved nursing process can shorten the treatment time for thrombolysis patients with acute ischemic stroke，reduce the length of hospital stay，and enhance short-term neurological recovery.
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