急救护理路径对非创伤性脑卒中患者绿色通道停留时间的影响

摘要

Objective To explore the effect of emergency nursing path on green channel residence time in patients with non-traumatic stroke. Methods 162 patients with non-traumatic strokewho were admitted and treated in our hospital from April 2015 to December 2017 were selected and they were randomly divided into two groups.81 patients in the observation group were given emergency nursing path while 81 patients in the control group were giventraditionalgreen channel nursing.The time of consultation, the return time of laboratory tests, the return time of imaging examination, and the residence time of green channel were compared between the two groups.The standardreaching rates of all indexes in two groups were compared. Results The time of consultation, the return time of laboratory tests, the return time of imaging examination and the residence time of green channelof patients in the observation group were respectively (6.1±3.4) min, (16.7±9.8) min, (24.7±6.2) min and (36.6±6.2) min, which were significantly shorter than those in the control group.The difference was statistically significant (P < 0.05).The standard-reaching rates of the time of consultation, the return time of laboratory tests, the return time of imaging examinationand the residence time of green channelwere respectively 88.9％, 96.3％, 93.8％ and 90.1％, which were improved compared with the control group.The difference was statistically significant (P < 0.05). Conclusion For patients with non-traumatic stroke, emergency nursing pathin clinical practice can shorten residence time ofgreen channel of patients and improve the efficiency of diagnosis and treatment.It wins valuable time for the rescue of the patient's life, which is worthy of clinical promotion.%目的 探讨急救护理路径对非创伤性脑卒中患者绿色通道停留时间的影响.方法 选取2015年4月～2017年12月间我院收治的非创伤性脑卒中患者162例, 随机分为两组, 其中观察组81例, 采取急救护理路径程序;对照组患者81例, 采取传统绿色通道护理程序.比较两组患者的接诊时间、实验室化验回报时间、影像学检查回报时间、绿色通道停留时间;比较两组患者各项用时的达标率.结果 观察组患者接诊时间为 (6.1±3.4) min、实验室化验回报时间为 (16.7±9.8) min、影像学检查回报时间为 (24.7±6.2) min、绿色通道停留时间为 (36.6±6.2) min, 相比对照组患者用时均明显缩短, 差异有统计学意义 (P <0.05) .观察组患者接诊时间、实验室化验回报时间、影像学检查回报时间、绿色通道停留时间的达标率分别为88.9％、96.3％、93.8％、90.1％, 相比对照组均有所提高, 差异有统计学意义 (P <0.05) .结论 临床上对非创伤性脑卒中患者采取急救护理路径程序, 可缩短患者在绿色通道停留时间, 提高诊治效率, 为抢救患者生命赢得了宝贵的时间, 值得在临床推广.