Department of Emergency Center, Qinghai University Affiliated Hospital, Xining, Qinghai, China.
Eur Rev Med Pharmacol Sci. 2023 Apr;27(7):2745-2750. doi: 10.26355/eurrev_202304_31902.
The aim of the study was to analyze the effect of applying multidisciplinary collaborative nursing process (MCNP) in the emergency care of patients with hypertensive cerebral hemorrhage.
A total of 124 patients with hypertensive cerebral hemorrhage admitted to Qinghai University Affiliated Hospital from January 2020 to January 2021 was divided into control group (treated with regular emergency care, n=64) and study group (treated with MNCP, n=58). The effect of emergency treatment was compared between the two groups.
Compared to the control group, initial treatment time, time of opening peripheral veins, first blood drawing time, time of imaging examination, emergency room treatment time, and hospital stay time were lower in MCNP group, the difference was significant (p<0.05). There were significant differences in Functional Independence Assessment (FIM) and National Institutes of Health Stroke Scale (NIHSS) scale scores between the control group and the MCNP group in treatment for 1 week in hospital (p<0.05). The level of total bile acid (TBA) and activated partial thromboplastin time (APTT) in the MCNP group were significantly lower than in the control group (p<0.05). The nursing satisfaction in MCNP was also improved compared to that in the control group (p<0.05).
MCNP enhances the rational improvement of patients' awareness, improves the comprehensive quality of emergency treatments and optimizes prognosis; therefore, it is worthy of clinical promotion and application.
分析多学科协作护理程序（MCNP）在高血压性脑出血患者急救护理中的应用效果。
选取 2020 年 1 月至 2021 年 1 月青海大学附属医院收治的 124 例高血压性脑出血患者，分为对照组（常规急救护理，n=64）和观察组（MCNP 护理，n=58）。比较两组急救治疗效果。
观察组患者的初始治疗时间、外周静脉开放时间、首次采血时间、影像学检查时间、急诊治疗时间和住院时间均短于对照组，差异有统计学意义（p<0.05）。观察组患者治疗 1 周后的功能独立性评定量表（FIM）评分和美国国立卫生研究院卒中量表（NIHSS）评分均显著低于对照组，差异有统计学意义（p<0.05）。观察组患者的总胆汁酸（TBA）和活化部分凝血活酶时间（APTT）水平均显著低于对照组，差异有统计学意义（p<0.05）。观察组患者的护理满意度显著高于对照组，差异有统计学意义（p<0.05）。
MCNP 可提高患者的认知意识，改善综合急救质量，优化患者预后，值得临床推广应用。
