Application effect of prehospital-hospital integrated emergency nursing in patients with acute cerebral infarction

医学 溶栓 纤维蛋白原 急诊科 内科学 萧条(经济学) 焦虑 心肌梗塞 冲程(发动机) 麻醉 急诊医学 护理部 机械工程 精神科 工程类 经济 宏观经济学
作者
Yujuan Chen,Ying Mao,Lihui Chen
出处
期刊:Biotechnology & Genetic Engineering Reviews [Informa]
卷期号:40 (4): 4407-4419 被引量:2
标识
DOI:10.1080/02648725.2023.2210954
摘要

This investigation aimed to elucidate the application impact of prehospital-hospital integrated emergency nursing in individuals with acute cerebral infarction (ACI). Data of 230 ACI patients admitted to our hospital from May 2021 to July 2022 were retrospectively analyzed and divided into A and B groups (AG and BG) according to different nursing methods. The inter-group comparison of the treatment time (time for physician arrival, time for completion of examination, time between admission and thrombolytic therapy, length of stay in emergency) was compared. The success rate of thrombolysis, the inter-group comparison levels of coagulation function indexes [D-dimer (D-D) and fibrinogen (Fbg)], the national Institutes of Health Stroke Scale (NIHSS) score, the Barthel score, family members' self-rating anxiety scale (SAS) score, family members' self-rating depression scale (SDS) score, family satisfaction and adverse reactions were compared between the two groups. The treatment time were reduced in the BG than in the AG (all P < 0.05). The BG had a higher success rate of thrombolysis than the AG (P < 0.05). After the therapy, the D-D level in BG group was higher than that in AG group, and Fbg was lower than that in AG group (both P < 0.05). After nursing, BG's NIHSS score was increased compared with the AG; MBI was reduced (P < 0.05); the SAS and SDS scores of the family members were also reduced (both P < 0.05). The total family satisfaction of the BG (100.00%) was greater than the AG (89.00%) (P < 0.05). The application of prehospital-hospital integrated emergency nursing in ACI patients works effectively.
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