卒中急救护士参与管理对急性缺血性卒中患者救治效果及医生满意度的影响

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Abstract Objective To observe the effect of stroke emergency nurses’ participation in management on the treatment effect and doctor’s satisfaction of patients with acute ischemic stroke. Methods A total of 150 patients with acute ischemic stroke who met the inclusion criteria and were to undergo intravenous alteplase thrombolysis in Shaoxing People’s Hospital of Zhejiang Province were selected. They were divided into control group and observation group by random number table method, with 75 cases in each group. The control group was treated according to the conventional green channel for acute ischemic stroke, while the observation group was provided with stroke emergency nurses to participate in the whole process management on the basis of the control group. The up-to-standard rate of the time from admission to medication (DNT), hospitalization time, hospitalization expenses, treatment process, and the survey doctor’s satisfaction with nursing work in the two groups were observed and recorded. Results The hospitalization time and hospitalization expenses of the observation group were lower than those of the control group, while the DNR compliance rate was higher than that of the control group, and the differences were statistically significant (P ＜ 0.05). The time from admission to diagnosis, time from diagnosis to specialist treatment, time from rescue to CT examination, time from family decision-making, time from doctor visit to thrombolytic administration or intravascular rescue, time from CT to thrombolysis, and vascular rescue in the observation group were shorter than those in the control group, and the differences were statistically significant (P ＜ 0.05). The doctor’s satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The participation of stroke emergency nurses in management is conducive to improving the treatment effect of AIS patients, enhancing the satisfaction of doctors, and saving medical expenses, which is worthy of clinical application.

Key words： Stroke Emergency nurse Administration Acute ischemic stroke Treatment effect

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	CHEN Xiufang ZHAO Qiumei LUO Guoying XIANG Songfei

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CHEN Xiufang ZHAO Qiumei LUO Guoying XIANG Songfei. Influence of stroke emergency nurses’ participation in management on the treatment effect and doctor’s satisfaction of patients with acute ischemic stroke[J]. 中国医药导报, 2022, 19(23): 166-169,193.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I23/166

[1] Li J，Lv H，Che YQ. Upregulated microRNA-31 inhibits oxidative stress-induced neuronal injury through the JAK/STAT3 pathway by binding to PKD1 in mice with ischemic stroke [J]. J Cell Physiol，2020，235（3）：2414-2428.
[2] Zheng J，Dai Q，Han K，et al. JNK-IN-8，a c-Jun N-terminal kinase inhibitor， improves functional recovery through suppressing neuroinflammation in ischemic stroke [J]. J Cell Physiol，2020，235（3）：2792-2799.
[3] 尹玥，党永霞.导管室绿色通道护理路径对急性ST段抬高型心肌梗死患者急诊冠状动脉介入治疗效果的影响[J].实用医院临床杂志，2019，16（3）：213-215.
[4] Frost K，Stafos A，Barbay K，et al. Achieving Disease-Specific Care Joint Commission Certification：The Impact of Clinical Nurse Specialist Practice [J]. Clin Nurse Spec，2019，33（6）：273-278.
[5] 李冬梅，张玲娟，钱火红，等.脑卒中急救护士岗位的设立与实践[J].第二军医大学学报，2018，39（9）：991-996.
[6] 中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志，2011，2（3）：50-59.
[7] 谈颂，常思远，宋波，等.早期改良美国国立卫生研究院卒中量表评分对缺血性卒中预后的预测作用[J].中华神经科杂志，2012，45（3）：154-157.
[8] 王斌，徐志云，叶小飞.华人心脏机械瓣膜置换术后华法林抗凝强度标准的系统评价[J].国际心血管病杂志，2010，37（6）：361-366.
[9] 中国卒中学会科学声明专家组.急性缺血性卒中静脉溶栓中国卒中学会科学声明[J].中国卒中杂志，2017，12（3）：267-284.
[10] 陆小小，许磊，苏浩波，等.急性缺血性脑卒中桥接治疗临床效果及预后影响因素探讨[J].介入放射学杂志，2021，30（6）：595-599.
[11] 许超，王鹏，李冬辉，等.急性缺血性脑卒中患者静脉溶栓治疗的临床预后及相关影响因素分析[J].浙江医学，2020，42（5）：469-472，476.
[12] 丁立东，肖章红，茆华武，等.老年轻型急性缺血性脑卒中患者早期静脉溶栓治疗的疗效及安全性评估[J].中华老年医学杂志，2019，38（12）：1344-1347.
[13] 饶东，张玲娟，翁艳秋，等.国内外脑卒中专科护士培养现状与启示[J].中华现代护理杂志，2018，24（34）：4207-4211.
[14] 张婷婷，丁良维，李晨，等.卒中专职护士救护模式对缩短急性缺血性脑卒中患者静脉溶栓治疗时间的效果[J].解放军护理杂志，2018，35（6）：76-78.
[15] Yang SJ，Franco T，Wallace N，et al. Effectiveness of an Interdisciplinary，Nurse Driven In-Hospital Code Stroke Protocol on In-Patient Ischemic Stroke Recognition and Management [J]. J Stroke Cerebrovasc Dis，2019，28（12）：104398.
[16] 张玲娟.脑卒中急救护士在急性缺血性脑卒中救治中的作用及思考[J].中华现代护理杂志，2019，25（21）：2641-2644.
[17] Powers WJ，Rabinstein AA，Ackerson T，et al. 2018 Guidelines for the early management of patients with acute is-chemic stroke：A guideline for healthcare professionals from theAmerican Heart Association/American Stroke Association [J]. Stroke，2018，49（3）：e46-e110.
[18] 王英，杜丽英.完善绿色通道及取栓流程对急性缺血性脑卒中病人神经功能的影响[J].中国临床神经外科杂志，2019，24（12）：769-771.
[19] 施蓉芳，朱亚芳，孙永蓉，等.卒中急救护士岗位的设立对急性缺血性卒中患者救治效果的影响[J].中国护理管理，2020，20（6）：956-960.
[20] Berne DPJ，van Mastrigt GAPG，Ponds RWHM，et al. Economic evaluation of nurse-led stroke aftercare addressing long-term psychosocial outcome：a comparison to care-as-usual [J]. BMJ Open，2021，11（2）：e039201.
[21] 罗国英，陈秀芳.卒中护士参与缺血性脑卒中患者静脉溶栓救治流程再造的效果观察[J].中华全科医学，2020， 18（10）：1783-1786.
[22] 翁艳秋，张玲娟，饶东，等.脑卒中急救专科护士定位与岗位职责的质性研究[J].中华现代护理杂志，2019，25（21）：2645-2648.
[23] Davis NW，Bailey M，Buchwald N，et al. Factors that Influence Door-to-Needle Administration for Acute Stroke Patients in the Emergency Department [J]. J Neurosci Nurs，2021，53（3）：134-139.
[24] 谢小华，马家惠，杨花峰，等.护士对急性缺血性脑卒中静脉溶栓护理模式优化需求的质性研究[J].中华现代护理杂志，2021，27（21）：2807-2812.
[25] 张萍，张婷婷，于龙娟，等.卒中急救护士对急性缺血性卒中救治效率的影响[J].中国卒中杂志，2018，13（5）：425-429.