Establishment of emergency-nursing pathway of interventional thrombectomy in acute ischemic stroke.

OBJECTIVE

To establish the emergency-nursing pathway of interventional thrombectomy on acute ischemic stroke (AIS).

METHODS

113 AIS patients who received interventional thrombotomy in conventional emergency model from Aug. 2019 to Feb. 2020 were included as control-group, and 127 patients, who underwent interventional thrombotomy by pathway-based emergency nursing program from Mar. 2020 to Sep. 2020, were classified into observation-group. The time points from admission to recanalization of the two groups, the recanalization rate, and the changes in the neurological impairment scale (NIHSS) scores of the two groups in pre- and post-treatment were compared; Meanwhile, the therapeutic efficacy rate between the two groups was evaluated and compared by modified Rankin Score (mRS) 90 days after discharge.

RESULTS

The average time from hospital arrival to femoral artery puncture, the average time of successful femoral artery puncture, and the average time from admission to recanalization in observation-group were remarkably shorter than that of control-group (). The recanalization rate of endovascular therapy in observation-group was 92.13%, which was higher than that in control-group (80.53%, ); The NIHSS score of observation-group after treatment was obviously lower than that of control-group (P<0.05); The curative rate in observation-group was 90.55%, which was higher than that of 79.65% in control group (); The satisfaction of observation-group patients with nursing care was 90.55%, which was higher than that of 73.45% in control-group ().

CONCLUSION

Establishment of emergency-nursing pathway can reduce the time-consuming from admission to vascular recanalization for AIS patients undergoing interventional thrombectomy, increase the recanalization rate, improve the patients' neurological function, and ameliorate the curative rate and nursing satisfaction.