| 符静静.院前院内协同救治平台在急性缺血性脑卒中静脉溶栓患者中的应用[J].上海护理,2022,22(S1): |
| 院前院内协同救治平台在急性缺血性脑卒中静脉溶栓患者中的应用 |
|
| DOI： |
| 中文关键词: 急性缺血性脑卒中 卒中中心 急救系统 静脉溶栓 |
| 英文关键词:acute ischemic stroke stroke center emergency system intravenous thrombolysis |
| 基金项目: |
|
| 摘要点击次数: 695 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探讨院前院内协同救治平台在急性缺血性脑卒中静脉溶栓中的应用效果。方法 选取2019年1月1日~2021年6月31日在我院接受静脉溶栓的急性缺血性脑卒中患者177例。根据我院应用院前院内协同救治平台进行管理干预前后为节点,进行分组。将2020年7月1日应用院前院内协同救治平台前收治的72位急性缺血性脑卒中患者为对照组,应用院前院内协同救治平台前收治的85位急性缺血性脑卒中患者为平台干预组。平台干预组利用院前院内协同救治平台对救治流程各个环节时间点进行实时追踪记录；对照组使用院内自制救治流程记录表对患者的各项时间资料进行手工记录。比较两组静脉溶栓流程中各环节所需时间及医患满意度情况。结果 平台干预组相对于对照组到院至CT时间(door-to-imaging time,DIT)和到院至静脉溶栓时间(door-to-needle time,DNT)明显缩短,平台干预组的医护人员的满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论：对急性缺血性脑卒中救治流程实施信息化管理可以提高静脉溶栓的救治时效性和医护的满意度。 |
| 英文摘要: |
| Objective To investigate the application effect of pre-hospital and in-hospital collaborative treatment platform in intravenous thrombolysis for acute ischemic stroke. Methods A total of 177 patients with acute ischemic stroke who received intravenous thrombolysis in our hospital from January 1, 2019 to June 31, 2021 were selected. According to our hospital"s application of the pre-hospital and in-hospital collaborative treatment platform for management intervention, the nodes are grouped. The 72 patients with acute ischemic stroke who were treated before the application of the pre-hospital and in-hospital collaborative treatment platform on July 1, 2020 were selected as the control group, and the 85 patients with acute ischemic stroke who were treated before the application of the pre-hospital and in-hospital collaborative treatment platform were used as the control group. Platform Intervention Group. The platform intervention group used the pre-hospital and in-hospital collaborative treatment platform to track and record the time points of each link in the treatment process in real time; the control group used the in-hospital self-made treatment process record sheet to manually record various time data of the patients. The time required for each link in the intravenous thrombolysis process and the satisfaction of doctors and patients were compared between the two groups. Results Compared with the control group, the door-to-imaging time (DIT) and the door-to-needle time (DNT) in the platform intervention group were significantly shortened. The satisfaction of the patients was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion The implementation of information management on the treatment process of acute ischemic stroke can improve the timeliness of intravenous thrombolysis and the satisfaction of medical care. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
