基于网络信息共享平台的院前急救护理模式对急性缺血性脑卒中的效果研究。
Study on the Effect of Prehospital Emergency Nursing Model Based on Network Information Sharing Platform in Acute Ischemic Stroke.
机构信息
Pre-Hospital Emergency Department, Xingtai People's Hospital, 054000, China.
Department of Critical Care Medicine, The First Affiliated Hospital of Xingtai Medical College (Xingtai First Hospital), 054000, China.
出版信息
Comput Math Methods Med. 2022 Jun 20;2022:3363672. doi: 10.1155/2022/3363672. eCollection 2022.
BACKGROUND
Acute ischemic stroke is one of the most common emergencies in clinical medicine. Prehospital first aid of ischemic stroke has become the focus and focus of the global medical community. The combination of network information technology and prehospital first aid can better serve the treatment of ischemic stroke.
OBJECTIVE
To explore the effect of prehospital emergency nursing model based on network information sharing platform in acute ischemic stroke.
METHODS
78 patients with acute ischemic stroke from February 2020 to October 2021 were studied. Patients were randomly divided into study group ( = 39) and control group ( = 39). The control group was given routine first aid nursing. Prehospital first aid nursing based on network information sharing platform was used in the study group. Alarm response time, on-site first aid response time, hospital handover time, National Institutes of Health Stroke scale (NIHSS) at 12 and 24 hours after admission, Glasgow coma scale (GCS) at 12 and 24 hours after admission, incidence of poor prognosis, and nursing satisfaction score at 24 hours after admission were recorded.
RESULTS
The emergency response time and hospital handover time in the study group were significantly shorter than those in the control group ( < 0.05). The NIHSS score and the incidence of poor prognosis at 12 and 24 hours after admission in the study group were lower than those in the control group ( < 0.05). The GCS scores at 12 hours and 24 hours after admission in the study group were higher than those in the control group ( < 0.05). The NSNS score of the study group was higher than that of the control group.
CONCLUSION
Prehospital first aid nursing based on network information sharing platform has great application value in patients with acute ischemic stroke. It can shorten the time of first aid, improve patients' consciousness, and reduce the incidence of poor prognosis.
背景
急性缺血性脑卒中是临床医学中最常见的急症之一。缺血性脑卒中的院前急救已成为全球医学领域关注的焦点。将网络信息技术与院前急救相结合，可以更好地为缺血性脑卒中的治疗服务。
目的
探讨基于网络信息共享平台的院前急救护理模式在急性缺血性脑卒中患者中的应用效果。
方法
选取 2020 年 2 月至 2021 年 10 月收治的 78 例急性缺血性脑卒中患者为研究对象，采用随机数字表法将患者分为研究组（n=39）和对照组（n=39）。对照组给予常规急救护理，研究组给予基于网络信息共享平台的院前急救护理。记录两组患者的报警响应时间、现场急救响应时间、入院交接时间、入院 12、24 h 美国国立卫生研究院卒中量表（NIHSS）评分、入院 12、24 h 格拉斯哥昏迷量表（GCS）评分、预后不良发生率和入院 24 h 护理满意度评分。
结果
研究组的急救响应时间和入院交接时间均明显短于对照组（P<0.05）。研究组入院 12、24 h 的 NIHSS 评分和预后不良发生率均低于对照组（P<0.05）。研究组入院 12、24 h 的 GCS 评分均高于对照组（P<0.05）。研究组的 NSNS 评分高于对照组。
结论
基于网络信息共享平台的院前急救护理在急性缺血性脑卒中患者中具有较高的应用价值，可缩短急救时间，改善患者意识，降低预后不良发生率。
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