De Silva Deidre Anne, Tan Il Fan, Thilarajah Shamala
Department of Neurology, National Neuroscience Institute, Singapore General Hospital Campus, 20 College Road 169856, Singapore.
Nursing Division, National Neuroscience Institute, 11 Jalan Tan Tock Seng 308433, Singapore.
J Stroke Cerebrovasc Dis. 2020 Sep;29(9):105009. doi: 10.1016/j.jstrokecerebrovasdis.2020.105009. Epub 2020 Jun 5.
Acute stroke unit (ASU) care is proven to reduce mortality and morbidity. During the COVID-19 crisis, established physical units and care practices within existing physical units are likely to be disrupted. Stroke patients with possible suspected COVID-19 infection may be isolated in other wards outside the ASU.
Our hospital developed an adapted ASU protocol which includes key elements for stroke unit care, can be utilized by staff not familiar with stroke care with minimal training and can be implemented in various settings.
The adapted protocol has 3 categories of Acute monitoring (neurological observations, blood pressure and input-output monitoring, investigations and specific post-reperfusion issues), Stroke complications (focusing on 5 common complications) and Unified team (describing daily check-ins, patient education, communication, discharge planning and post-discharge support).
Details are presented in the article in a format that it can be adopted by other centers facing similar issues in order to ensure ASU care is not compromised.
急性卒中单元（ASU）护理已被证明可降低死亡率和发病率。在新冠疫情危机期间，现有的实体单元及其实体单元内既定的护理操作可能会受到干扰。疑似感染新冠病毒的卒中患者可能会被隔离在ASU以外的其他病房。
我们医院制定了一项适应性ASU方案，其中包括卒中单元护理的关键要素，不熟悉卒中护理的工作人员经过最少培训即可使用，并且可以在各种环境中实施。
适应性方案有3类内容，即急性监测（神经学观察、血压及出入量监测、检查和特定的再灌注后问题）、卒中并发症（聚焦于5种常见并发症）和统一团队（描述每日查房、患者教育、沟通、出院计划和出院后支持）。
本文以一种格式呈现了详细内容，其他面临类似问题的中心可以采用，以确保ASU护理不受影响。
