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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (21): 62-66.doi: 10.16460/j.issn1008-9969.2021.21.062

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Effect of Multi-disciplinary Diagnosis and Treatment on Patients with Acute Ischemic Stroke

HUANG Cui-honga, LIU Dao-qinga, ZHU Jun-yinga, YUAN Jinga, LI Chun-changb, LI Xin-yunc, DAI Cheng-bod   

  1. a. Interventional Catheterization Laboratory;
    b. Emergency Room;
    c. Dept. of Radiology; d. Dept. of Neurology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
  • Received:2021-06-20 Online:2021-11-10 Published:2021-12-13

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Abstract: Objective To explore the effect of multidisciplinary diagnosis and treatment (MDT) on the treatment of stent thrombectomy in patients with acute ischemic stroke. Methods Retrospective analysis was performed on 68 patients with acute ischemic stroke who were treated in the interventional operation room in one tertiary grade A hospital from January 1, 2019 to June 30, 2020. They were divided into control group (n=33) and observation group (n=35). The control group received traditional conventional nursing intervention, and the observation group nursing intervention based on MDT. Door to needle time (DNT), door to puncture time (DPT), referral time and operative waiting time were compared between the two groups; postoperative mortality rate, disability rate, national institutes of health stroke scale (NIHSS score) and the satisfaction of patients in the two groups were compared. Results DNT, DPT, referral time and operative time in the observation group were significantly shorter than those in the control group (P<0.001). The disability rate and NIHSS score in the observation group were lower than those in the control group (P<0.05), and there was no significant difference in the mortality rate between the two groups (P>0.05). In addition to the score of medical environment, the score of medical service attitude, team business ability, nursing emergency ability and initiative, communication, health education and patient needs in the observation group were significantly higher than those in the control group (P<0.001). Conclusion MDT for acute ischemic stroke patients can significantly improve the work efficiency and improving the clinical outcome and satisfaction of patients.

Key words: ischemic stroke, multidisciplinary diagnosis and treatment, emergency embolectomy, nursing

CLC Number: 

  • R473.54
[1] 周田田,黄萍,邹圣强.急性缺血性脑卒中患者静脉溶栓后出血转化预测模型的研究进展[J].护理学报, 2021,28(6):17-21.DOI:10.16460/j.issn10089969.2021.06.017.
[2] 康峻鸣,伍成凯,陈蕾,等.2005-2019年我国脑卒中照顾者研究文献的计量分析[J].护理学报,2020,27(3):26-30. DOI: 10.16460/j.issn1008-9969.2020.03.026.
[3] 张琳,朱晓萍,刘贤亮,等.护士主导的急性缺血性脑卒中患者血管再通流程的优化及效果评价[J].中华护理杂志,2017,52(4):449-453.DOI:10.3761/j.issn.0254-1769.2017.04.014.
[4] 陈秋菊,梅天舒,刘燕,等.基于MDT模式的急诊脑卒中信息化平台构建及应用[J].上海护理,2020,20(4):53-56. DOI:10.3969/j.issn.1009-8399.2020.04.014.
[5] 许世林,刘云,文罗娜,等.多学科协作干预方案对持性血液透析伴高磷血症患者血磷的影响[J].护理学报,2020,27(6):61-64. DOI:10.16460/j.issn1008-9969.2020.06.061.
[6] 徐彭杰,张羽,徐朝霞,等.MDT模式在急性脑卒中患者诊疗中的应用[J].成都医学院学报,2018,13(5):606-608.DOI:10.3969/j.issn.1674-2257.2018.05.019
[7] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志, 2018, 51(9):666-682.DOI:10.3760/cma.j.issn.1006-7876.2018.09.004.
[8] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组.中国急性缺血性脑卒中早期血管内介入诊疗指南2018[J].中华神经科杂志,2018,51(9):683-691.DOI:10.3760/cma.j.issn.1006-7876.2018.09.005
[9] 唐国强,冉小琼,曾涌,等.两种卒中筛查量表在脑卒中院前急救筛查中的应用价值[J].中国医药, 2021,16(4):549-553. DOI.10.3760/j.issn.1673-4777.2021.04.016 .
[10] 颜春悦,唐志文,吴秋艳,等.规范化治疗对急性缺血性脑卒中治疗时间窗的影响[J].中外医学研究,2021,19(13):173-176.DOI: 10.14033/j.cnki.cfmr.2021.13.061.
[11] Kwah LK,Diong J.National Institutes of Health Stroke Scale (NIHSS)[J].J Physiother,2014,60(1):61.DOI:10.1016/j.jphys.2013.12.012.
[12] 王璐,史铁英.国内外住院患者护理工作满意度调查与评价的研究现状[J].解放军护理杂志,2016,33(15):42-44.DOI: 10.3969/j.issn.1008-9993.2016.15.011.
[13] Phipps MS, Cronin CA.Management of Acute is Chemic Stroke[J]. BMJ, 2020, 368:16983.DOI:10.1136/bmj.l6983.
[14] 邱佩琪,张小曦,刘建民,等.急性缺血性脑卒中急诊取栓流程优化[J].解放军医院管理杂志,2016,23(8):712-714,741. DOI:10.16770/J.cnki.1008-9985.2016.08.005.
[15] 张娟,黄蓓蓓,余天浩,等.基于医疗失效模式与效应分析模型的急性缺血性脑卒中患者院内急救流程优化[J].护理学报,2020,27(4):16-20.DOI:10.16460/j.issn1008-9969.2020.04.016.
[16] 达志,季学丽,张丽.急性缺血性脑卒中绿色通道信息化建设与应用[J].护理学报,2019,26(14):19-21. DOI:10.16460/j.issn1008-9969.2019.14.019.
[17] 李光建,史树贵,周振华,等.院内卒中救治绿色通道建立、优化及区域救治网络的建立[J].中国卒中杂志,2018,13(2):127-131.DOI:10.3969/j.issn.1673-5765.2018.02.006.
[18] 中国卒中学会重症脑血管病分会专家撰写组.急性缺血性脑卒中血管内治疗术后监护与管理中国专家共识[J].中华医学杂志,2017, 97(3):162-172.DOI:10.3760/cma.j.issn.0376-2491.2017.03.001.
[19] 赵红艳,陈苏红,吴桂琴,等.急性缺血性脑卒中患者支架取栓手术27例的护理[J].护理与康复,2018,17(3):57-59.DOI:10.3969/j.issn.1671-9875.2018.03.018.
[20] 薛雅瑜,徐琼英.优化急诊护理流程对急性心肌梗死患者救治效果及预后影响影响[J].现代中西医结合杂志,2015,(32):3637-3638.DOI:10.3969/j.issn.1008-8849.2015.32.040.
[21] Vaccari S, Lauro A, Cervellera M, et al.Early Versus Delayed Approach in Cholecystectomy after Admission to an Emergency Department: A Multicenter Restrospective Study[J]. Giornale Dichirurgia,2018,39(4):232-238.
[22] 王昕,刘慧萍.多学科协作在缩短急性脑卒中患者救治时间中的临床应用[J].护士进修杂志, 2019,34(19):1793-1796.DOI:10.16821/j.cnki.hsjx.2019.19.015.
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