急性缺血性卒中患者静脉溶栓决策辅助手册的编制及应用研究

doi:10.3761/j.issn.2096-7446.2023.05.001

Abstract

Abstract: Objective To investigate the effect of decision aid manual in obtaining informed consent for intravenous thrombolysis in patients with acute ischemic stroke. Methods Patients with acute ischemic stroke who received intravenous thrombolysis in a tertiary class A hospital in Anhui Province from June 2019 to May 2021 were selected as study subjects by convenient sampling. They were divided into two groups according to admission time. 118 patients in the experimental group（June 2020 to May 2021）received informed consentmethod based on the decision-aid manual. 71 patients in the control group（June 2019 to May 2020）received the traditional informed consent method. The time from admission to signing the informed consent form by the family,the time from the visit of neurologist to signing the informed consent form,door-to-needle time（DNT）,and the achievement rate of DNT≤45 min were compared between the two groups. Results The time from admission to signing informed consent,time from neurologist's visit to signing informed consent,time from door to needle,and DNT≤45 min attainment rate in the experimental group were better than those in the control group, and the differences were statistically significant（P<0.001）. Conclusion The application of the decision aid manual in the informed consent conversation for intravenous thrombolysis in acute ischemic stroke patients shortened the time to obtain informed consent from the patient and the DNT time,and improved the timeliness of treatment for acute ischemic stroke patients.

Key words: Ischemic Stroke, Decision Aid Manual, Thrombolytic Therapy, Informed Consent, Emergency Nursing

YAO Ting, DOU Min, ZHANG Lixiang, MA Han. Development and application of a decision support manual for intravenous thrombolysis in patients with acute ischemic stroke[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(5): 389-393.

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Development and application of a decision support manual for intravenous thrombolysis in patients with acute ischemic stroke

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