摘要
目的探索急性脑卒中患者的有效急救护理模式,以降低致残率和病死率。方法急诊科2006年1月—2010年12月接收来自"120"的急性脑卒中患者300例,实施以时间为控制的接诊前、接诊、病情评估、急救护理、术前准备、护送至专科的护理路径;急诊护理路径从急诊科接收到120中心提供的患者信息开始,到急诊科救治结束止,要求患者到达急诊科后至专科治疗时间控制在70 min以内,即10 min内完成接诊前护理,10 min内完成病情评估及急救护理,20 min内完成医技检查,30 min内完成术前准备及护送至专科治疗护理。结果患者从接诊到确诊时间为16～22(18.50±1.66)min,从确诊到接受专科治疗时间为18～26(23.60±3.41)min,较同期文献报道缩短;致残52例,致残率为17.3%,死亡18例,病死率为6.0%,均低于文献报道。结论急诊护理路径能缩短急性脑卒中急诊救治的时间,降低患者致残率和病死率。
Objecitve To explore the emergency nursing mode for acute stroke patients to decrease disability rate and fatality rate. Methods Featuring with time control, nursing path was applied in 300 patients with acute stroke from January 2006 to December 2010, which began from patients＇ information provided by 120 emergency center and ended with the treatment in emergency department. The time from patients＇ arrival in emergency department to special department was limited to 70 rain. Results Diagnosis time 16-22 （18.50±1.66） min, treatment time 18-26 （23.60±3.41） min, was shortened after the application of nursing path, which was shorter than that reported. Disability rate and fatality rate were all lower than those reported. Conclusion Emergency nursing path is effective for shortening emergency treatment time and decreasing disability rate and fatality rate.
出处
《护理学报》
2013年第3期58-59,共2页
Journal of Nursing（China）
基金
广西卫生厅重点课题(桂卫重2010035)
关键词
脑卒中
急诊
护理路径
stroke
emergency
nursing path
