腦梗死介入溶栓患者臨床護理路徑的應用

[摘要] 目的 對臨床護理路徑在腦梗死介入溶栓患者中的應用效果予以探討。方法 隨機選取該院2014年2月—2016年8月間收治的腦梗死介入溶栓治療的患者18例，將其隨機均分為兩組，分別作為對照組與觀察組，為對照組患者實施常規護理干預，觀察組患者在對照組的基礎上應用臨床護理路徑開展護理干預，對比分析兩組患者的護理效果。結果 觀察組患者的轉診時間及住院時間明顯低于對照組，差異有統計學意義（P<0.05），觀察組的轉診時間與住院時間分別為：（38.5±5.2）min、（14.5±3.0）d；對照組的轉診時間與住院時間分別為（68.7±4.6）min、（21.7±3.5）d；開展護理之后，觀察組患者的SDS評分與SAS評分明顯低于對照組，差異有統計學意義（P<0.05），開展護理之后，觀察組的SDS評分、SAS評分分別為：（24.3±4.9）分、（23.6±6.3）分；對照組的SDS評分、SAS評分分別為（45.5±6.2）分、（44.5±7.1）分。結論 在為腦梗死介入溶栓患者開展護理工作的過程中，應用臨床護理路徑的護理模式開展護理工作，能夠改善其情緒狀態，值得在臨床應用中推廣。

[關鍵詞] 腦梗死；介入溶栓；臨床護理路徑

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0145-03

[Abstract] Objective The clinical nursing path in application of thrombolysis in patients with cerebral infarction to be explored. Methods 18 cases of patients were randomly selected in our hospital from February 2014 to August 2016 were cerebral infarction interventional thrombolytic therapy， which were randomly divided into two groups， respectively as the control group and observation group， control the implementation of routine nursing intervention groups of patients， patients in the observation group in the control group on the basis of the application of clinical nursing pathway in nursing intervention， compared the nursing effect of two groups. Results The observation group patients referral time and hospitalization time was significantly lower than the control group， the difference was statistically significant（P<0.05）， the observation group referral time and hospitalization time were： （38.5±5.2）min、（14.5±3.0）d； referral time and hospitalization time of the control group respectively （68.7±4.6）min、（21.7±3.5）d； nursing after groups of patients with SDS score and SAS score were significantly lower than the control group， the difference was statistically significant， after nursing， the observation group SDS score and SAS score were：（24.3±4.9）points、（23.6±6.3）points； the control group of the SDS score， SAS score were： （45.5±6.2）points，（44.5±7.1）points. Conclusion In the process of carrying out nursing work for interventional therapy in patients with cerebral infarction， nursing mode of application of clinical nursing path in the nursing work， can improve the emotional state， worthy of promotion in clinical application.

[Key words] Cerebral infarction； Interventional thrombolysis； Clinical nursing pathway

臨床上在為腦梗死患者開展治療的過程中，最為常用的一種治療方法就是介入溶栓治療，為腦梗死患者開展早期的溶栓治療，有利于其梗死區血流灌注的恢復，這也是目前恢復患者腦細胞生機的重要手段，但是要想保證患者的介入溶栓治療效果，就需要在開展治療的同時，結合患者的實際情況，制定出科學合理的護理計劃，為患者實施有效的護理干預，這對于其臨床治療效果的提升具有非常重要的作用[1-2]。……