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| Establishment and application of disease management pathway in patients with ischemic stroke |
| ZHU Li1 CAO Xiaolin2 LI Hongyan3 LI Ping2▲ |
1.School of Nursing, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
2.Department of Nursing, Xinjiang Uygur Autonomous Region People’s Hospital, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
3.Department of Neurology, Xinjiang Uygur Autonomous Region People’s Hospital, Xinjiang Uygur Autonomous Region, Urumqi 830000, China |
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Abstract Objective To develop a standardized management path for ischemic stroke and evaluate its practicability and reliability. Methods A non-randomized controlled study was conducted to divide 112 patients admitted to the Neurology Department of a Third-grade A general Hospital in Xinjiang from January to August 2019 into two groups by convenient sampling method. From January to June 2019, 56 patients were treated as the control group and received routine nursing care. From June to August 2019, 56 patients in the intervention group received disease management pathway care. The scores of national institutes of health stroke scale (NIHSS), barthel index rating scale (BI) and satisfaction survey were evaluated respectively in the two groups. Results NIHSS scores of both groups at discharge were lower than those at admission, and NIHSS scores of the intervention group were lower than those of the control group (P ＜ 0.05), overall analysis showed that the differences in intergroup comparison, time point comparison and interaction were statistically significant (P ＜ 0.05). Further pairwise comparison and intra-group comparison: the BI score at discharge, one, three and six months after discharge was statistically significant compared with that at admission (P ＜ 0.05). Comparison between groups: the BI scores of the intervention group at discharge, one, three and six months after discharge were all higher than those of the control group (P ＜ 0.05), satisfaction score of the intervention group was higher than that of the control group (P ＜ 0.05). Conclusion The establishment and application of the disease management pathway of ischemic stroke has effectively improved the limb dysfunction of patients and enhanced their daily activity ability and satisfaction with life. It has feasibility and safety in clinical nursing.
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