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| Application of improved emergency nursing pathway combined with standardized nursing in intravenous thrombolytic therapy of rt-PA in the early stage of acute cerebral infarction |
| DUAN Beibei |
Department of Emergency Internal Medicine, Bozhou People’s Hospital, Anhui Province, Bozhou 236000, China
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Abstract Objective To explore the application effect of improved emergency nursing pathway combined with standardized nursing in intravenous thrombolytic therapy of recombinant tissue-type plasminogen activator (rt-PA) in the early stage of acute cerebral infarction. Methods Eighty patients with acute cerebral infarction who received early intravenous thrombolysis therapy with rt-PA in the Department of Emergency Internal Medicine of Bozhou People’s Hospital in Anhui Province from May 2020 to October 2021 were selected as the research objects. According to random number table methods, the patients were divided into observation group and control group, with 40 cases in each group. The observation group was given improved emergency nursing path combined with standardized nursing, and the control group was given routine emergency nursing. The efficacy of thrombolytic therapy, emergency time, National Institutes of Health stroke scale (NIHSS) score, activity of daily living (ADL) score, complication rate, and patient satisfaction were compared between the two groups. Results The treatment effect of observation group was better than control group (P＜0.05). The time of blood sampling, CT examination, and the time from admission to thrombolysis in the observation group were shorter than those in the control group (P＜0.05). At discharge, NIHSS score of the two groups was lower than that at admission, ADL score of the two groups were higher than that at admission, and NIHSS score of the observation group was lower than that of the control group, and ADL score of the observation group was higher than that of the control group, and the differences were statistically significant (P＜0.05). The total incidence of complications in the observation group was lower than that in the control group (P＜0.05). The satisfaction of patients in observation group was better than that in control group (P＜0.05). Conclusion The application of improved emergency nursing pathway combined with standardized nursing intervention in patients with acute cerebral infarction is helpful to improve the efficacy of early rt-PA intravenous thrombolysis and emergency efficiency, promote rehabilitation, reduce complications, and the patient satisfaction is high.
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