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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (19): 26-29.doi: 10.16460/j.issn1008-9969.2021.19.026

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Green-channel Management of Stroke Patients in Emergency Department during Post-epidemic Period

LIANG Xiao, GAO Wen-hui, LI Si-jie   

  1. Xuanwu Hospital of Capital Medical University, Beijing 100053, China
  • Received:2021-03-01 Online:2021-10-10 Published:2021-11-10

Abstract: Objective To explore the management of green-channel for acute stroke patients in the context of infectious disease prevention and control and to provide reference for relevant research. Methods On the basis of time node management, the layout of the emergency department was adjusted, and a special isolation area and CT room were set up. Adjustment of personnel allocation, triage to screen epidemiological history, ‘parallel' process for the triage and green channel, and strict infection prevention and control were implemented in emergency department. Results After optimization, green channel stroke patients from door to doctor's clinical reception, door to blood collection, door to CT scan were lower than those before optimization(P<0.001). The median time from door to needle and the time from door to hospitalization were shorter than those before optimization(P<0.001). Conclusion In the context of COVID-19, optimizing the management of green channel can ensure the prevention and control of infectious diseases and guarantee the efficiency of green channel for stroke patients.

Key words: post-epidemic period, emergency department, green-channel, nursing management

CLC Number: 

  • R472.2
[1] Robyn R,Jocelyne L,Tiansheng Z,et al.2019-nCoV (Wuhan virus), a Novel Coronavirus: Human-to-human Transmission, Travel-Related cases, and Vaccine Readiness[J].J Infect Dev Ctries,2020,14(1):3-17.DOI:10.3855/jidc.12425.
[2] Powers WJ,Rabinstein AA,Ackerson T,et al.2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke:A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association[J]. Stroke,2018.49(3):e46-e110.DOI:10.1161/STR.0000000000000158.
[3] 郑阳. 基于智慧医疗的后疫情时代管控策略[J].中国新通信,2020,23:238-240.
[4] 解晨. DNT延长的影响因素及急诊绿色通道的优化对急性缺血性卒中患者DNT及预后改善的研究[D].兰州:兰州大学,2020.
[5] 马青峰,祁江峡,宋海庆,等.新型冠状病毒肺炎疫情时期脑卒中绿色通道管理专家共识[J].首都医科大学学报,2020,41(2):293-297.DOI:10.3969/j.issn.1006-7795.2020.02.026.
[6] 夏剑,杨敏,李朋.结构化电子病历胸痛模板中设立时间节点对胸痛的急诊诊疗的影响[J].重庆医学,2021,50(5):873-876.DOI:10.3969/j.issn.1671-8348.2021.05.035.
[7] 蔡闵敏,张春,王琼英,等.新型冠状病毒感染防控期心血管急危重症患者的护理策略[J].中国循证心血管医学杂志,2020,12(2):152-154.DOI:10.3969/j.issn.1674-4055.2020.02.06.
[8] 薛旦旦,黄智奇,倪侃,等.新型冠状病毒肺炎疫情对乳腺癌手术治疗的影响[J].交通医学,2020,34(2):127-128.DOI:10.19767/j.cnki.32-1412.2020.02.009.
[9] 陈莹,张国龙,李平东,等.胸外科肿瘤手术患者新型冠状病毒肺炎疫情期间的防控管理与体会[J].护理学报,2020,27(12):50-53.DOI:10.16460/j.issn1008-9969.2020.12.050.
[10] 沈秀秀,朱芳芳,李斌芬,等.急诊科护士对新发传染病风险评估认知的质性研究[J].医院管理论坛,2020,37(4):80-83.DOI:10.3969/j.issn.1671-9069.2020.04.025.
[11] Huang C, Wang Y, Li X, et al.Clinical features of Patients Infected with 2019 Novel Coronavirus in Wuhan, China[J].Lancet,2020.DOI:10.1016/S0140-6736(20)30183-5.
[12] Chen N, Zhou M, Dong X, et al.Epidemiological and Clinical Characteristics of 99 Cases of 2019 Novel Coronavirus Pneumonia in Wuhan,China: A Descriptive Study[J].Lancet,2020.DOI:10.1016/S0140-6736(20)30211-7. DOI10.1016/S0140-6736(20)30211-7.
[13] 顾伟,张国强,谢苗荣.应高度重视急诊科在传染病防控工作中的作用和地位[J].中华危重病急救医学,2020,32(3):261-263.DOI:10.3760/cma.j.cn121430-20200314-00513.
[14] 梁潇,高文慧,李思颉. 270003例Ⅰ~Ⅲ级急诊患者流行病学研究[J]. 临床急诊杂志,2019,20(10):779-783.DOI:10.13201/j.issn.1009-5918.2019.10.007.
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