基于角色定位的协同护理模式优化急诊脑卒中预警分级救治流程的效果OA
Effect of a collaborative nursing model based on role positioning in optimizing early warning-based triage treatment process for emergency stroke
目的 探讨基于角色定位的协同护理模式在优化急诊脑卒中预警分级救治流程中的应用效果.方法 选取泰州市人民医院2022 年1 月至2024 年12 月收治的136 例急性脑卒中患者,采用随机数字表法分为观察组(n=68)和对照组(n=68).两组患者均接受急诊常规护理和预警分级救治,观察组加用基于角色定位的协同护理.对比两组急诊救治效率、住院时间,比较两组干预前后神经功能缺损评分(NIHSS)、日常生活能力指数(BI)以及脑卒中专用生存质量量表(SSQOL)评分变化;通过随访记录患者3 个月后改良Rankin量表(mRS)评分、并发症发生率.结果 观察组进入医院大门至医师接诊时间(DTP)、至影像学检查时间(DTI)、至静脉溶栓时间(DNT)、住院时间均较对照组更短(P均<0.05).观察组出院时NIHSS评分较对照组更低,其BI、SSQOL评分均较对照组更高(P均<0.05).观察组出院后3个月预后良好率为88.24%,较对照组的72.06%更高(P<0.05).观察组出院后3个月并发症发生率为5.88%,较对照组的17.65%更低(P<0.05).结论 在预警分级救治的基础上联合基于角色定位的协同护理模式能够发挥协同效应,有助于急诊救治耗时、住院时间的缩短和预后质量的改善,降低并发症发生率,提升急诊脑卒中患者救治效率和救治效果.
Objective To investigate the application effect of a collaborative nursing model based on role positioning in optimizing early warning-based triage treatment process for emergency stroke.Methods A total of 136 patients with acute stroke admitted to Taizhou People's Hospital from January 2022 to December 2024 were enrolled.They were randomly assigned to either an observation group(n=68)or a control group(n=68)using a random number table.Both groups received routine emergency nursing and early warning-based triage treatment,while the observation group received additional collaborative nursing based on role positioning.The efficiency of emergency treatment and length of hospital stay were compared between the two groups.Dynamic changes in the National Institutes of Health Stroke Scale(NIHSS)score,Barthel Index(BI),and Stroke Specific Quality of Life Scale(SSQOL)score were assessed before and after intervention.The modified Rankin Scale(mRS)score and complication rates at 3 months post-discharge were also recorded.Results The door-to-physician(DTP)time,door-to-imaging(DTI)time,door-to-needle(DNT)time,and length of hospital stay in the observation group were all significantly shorter than those in the control group(P<0.05).At discharge,the observation group showed significantly lower NIHSS scores and significantly higher BI and SSQOL scores compared with the control group(P<0.05).At 3 months post-discharge,the proportion of patients with a favorable outcome was significantly higher in the observation group than in the control group(88.24%vs.72.06%,P<0.05),and the complication rate was significantly lower in the observation group than in the control group(5.88%vs.17.65%,P<0.05).Conclusion The combination of a role positioning-based collaborative nursing model with early warning-based triage treatment can generate a synergistic effect.This model effectively shortens emergency treatment duration and length of hospital stay,improves quality of prognosis,reduces complication rates,and enhances treatment efficiency and outcomes of emergency stroke.
翟晓燕;燕惠;顾媛媛
泰州市人民医院,江苏 泰州,225300泰州市人民医院,江苏 泰州,225300泰州市人民医院,江苏 泰州,225300
医药卫生
预警分级救治角色定位协同护理脑卒中急诊救治效率
early warning-based triage treatmentrole positioningcollaborative nursingstrokeefficiency of emergency treatment
《中西医结合护理（中英文）》 2026 (1)
13-16,4
评论