CAJ | 학술논문

目的：探讨临床护理路径在脑卒中患者院前急救护理中的可行性和临床效果。方法：回顾性分析2013年3-12月经抢救转运的53例脑卒中患者的临床资料，均实施常规护理，设为对照组。2014年1-11月本院脑卒中患者53例实施院前临床护理路径急救，设为观察组。采用洛杉矶院前卒中筛查量表筛查两组脑卒中患者，比较两组患者的接诊到抢救所需时间、抢救到接受专业治疗所需的时间、住院时间和死亡率。结果：观察组患者的平均接诊到抢救所需时间、抢救到接受专业治疗所需的时间和住院时间均少于对照组，差异均有统计学意义（P<0.05）。观察组生存47例（88.68%），死亡6例（11.32%）；对照组生存39例（73.58%），死亡14例（26.41%），两组生存率比较差异有统计学意义（P<0.05）。结论：临床护理路径在脑卒中患者院前急救护理中是可行的，能指导院前急救，提高患者的生存率和有助预后。
목적：탐토림상호리로경재뇌졸중환자원전급구호리중적가행성화림상효과。방법：회고성분석2013년3-12월경창구전운적53례뇌졸중환자적림상자료，균실시상규호리，설위대조조。2014년1-11월본원뇌졸중환자53례실시원전림상호리로경급구，설위관찰조。채용락삼기원전졸중사사량표사사량조뇌졸중환자，비교량조환자적접진도창구소수시간、창구도접수전업치료소수적시간、주원시간화사망솔。결과：관찰조환자적평균접진도창구소수시간、창구도접수전업치료소수적시간화주원시간균소우대조조，차이균유통계학의의（P<0.05）。관찰조생존47례（88.68%），사망6례（11.32%）；대조조생존39례（73.58%），사망14례（26.41%），량조생존솔비교차이유통계학의의（P<0.05）。결론：림상호리로경재뇌졸중환자원전급구호리중시가행적，능지도원전급구，제고환자적생존솔화유조예후。
Objective:To study the feasibility and clinical effects of clinical nursing pathway in pre-hospital emergency care of patients with cerebral apoplexy.Method:A retrospective analysis was carried out on clinical information of 53 cases of patients with cerebral apoplexy, who were rescued and transported from March 2013 to December 2013. These 53 patients were given regular nursing and were assigned into the control group.53 cases of patients with cerebral apoplexy were given pre-hospital emergency care by clinical nursing pathway from January 2014 to November 2014. These 53 patients were assigned into the observation group.Los Angeles Pre-hospital Stroke Screen (LAPSS) was used to screen two groups of patients with cerebral apoplexy.The two groups of patients were compared in the duration from clinical reception to rescue, the duration from rescue to professional treatment, length of hospital stay and mortality. Result:Average duration from clinical reception to rescue, average duration from rescue to professional treatment and length of hospital stay in the observation group were all significantly shorter than those of the control group (P<0.05).47 cases were survival (88.68%) while 6 cases (11.32%) died in the observation group.39 cases were survival (73.58%) while 14 cases (26.41%) died in the control group.And there were significant differences between the two groups of patients in survival rate (P<0.05).Conclusion:Clinical nursing pathway is feasible for pre-hospital emergency care of patients with cerebral apoplexy, which can guide the pre-hospital emergency care and improve the survival rate and prognosis of patients.