CAJ | 학술논문

目的：系统分析缺血性脑卒中患者静脉溶栓院内价值流程图，为流程的优化提供依据。方法：采用目的抽样法，对31例缺血性脑卒中静脉溶栓患者进行全程跟踪调查，绘制价值流程图并分析院内各环节的活动。结果：缺血性脑卒中患者静脉溶栓院内总流程时间为81～196min，总工作时间为45～98min，总延误时间为36～98min；结论：缺血性脑卒中患者静脉溶栓院内流程存在较大改进空间，快速的预检分诊、科室间的团队合作、可视化管理、多样化的病情告知方式等是优化缺血性脑卒中患者静脉溶栓院内流程的关键措施。
목적：계통분석결혈성뇌졸중환자정맥용전원내개치류정도，위류정적우화제공의거。방법：채용목적추양법，대31례결혈성뇌졸중정맥용전환자진행전정근종조사，회제개치류정도병분석원내각배절적활동。결과：결혈성뇌졸중환자정맥용전원내총류정시간위81～196min，총공작시간위45～98min，총연오시간위36～98min；결론：결혈성뇌졸중환자정맥용전원내류정존재교대개진공간，쾌속적예검분진、과실간적단대합작、가시화관리、다양화적병정고지방식등시우화결혈성뇌졸중환자정맥용전원내류정적관건조시。
Objective:To analyze systematically the effect of value stream map of intravenous thrombolysis process among ischemic stroke patients and to provide the basis for process optimization. Methods:Totally 31 ischemic stroke patients with intravenous thrombolysis were recruited by purposive sampling methods and were followed up throughout the whole study. We drawed the value stream map and analyzed the activities in the hospital. Results:The mean time of hospital intravenous thrombolysis among ischemic stroke patients was 81-196 minutes, the process time was 45-98 minutes, the delay time was 36-98 minutes. Conclusion:The intravenous thrombolysis process among ischemic stroke patients has a great improvement space. The key measures to optimize intravenous thrombolysis process were timely and accurate evaluation, the cooperation and communication of each department, visual management, and diverse informed consent form.