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院前-院内一体化急救护理程序在急性脑出血患者中的应用效果
Effects of prehospital-hospital integrated emergency nursing procedure on patients with acute cerebral hemorrhage

陈海燕 姜丽萍

Chen Haiyan, Jiang Liping

【摘要】目的 探讨院前-院内一体化急救护理程序在急性脑出血患者中的应用效果。方法 采 用目的抽样法,选取2016 年2 月-2017 年4 月急诊收治的急性脑出血患者122 例为研究对象,随机分为 观察组与对照组,每组各61 例。对照组患者采用常规护理程序,观察组患者采用院前- 院内一体化急 救护理程序,分别于患者入院时和出院前采用Barthel 指数和Fegl-Mevyer 评分比较两组患者的生活能力 和躯体功能。结果 与入院时相比,出院前两组患者Barthel 指数、Fegl-Mevyer 评分均有提高(P< 0.01), 且观察组患者Barthel 指数、Fegl-Mevyer 评分高于对照组,差异有统计学意义(P < 0.01)。结论 院前- 院内一体化急救护理程序能够促进患者治疗后肢体功能及生活能力恢复,值得推广应用。
【摘要】Objective To explore the effects of prehospital-hospital integrated emergency nursing procedure on patients with acute cerebral hemorrhage. Methods Totally 122 patients with acute cerebral hemorrhage who were admitted to the emergency department between February 2016 and April 2017 were selected by purposive sampling and randomly divided into the observation group( 61 patients) and the control group( 61 patients). Patients in the control group were treated with routine nursing procedures, while patients in the observation group were treated with the prehospital-hospital integrated emergency nursing procedure. The Barthel Index and Fegl-Mevyer Score were used to compare the living ability and physical function when admitted and before being discharged from hospital between the patients in the two groups. Results The Barthel Index and Fegl-Mevyer Score of the patients in both groups were higher than the levels when they were admitted( P<0.01), and the Barthel Index and Fegl-Mevyer Score of the patients in the observation group were higher than those of the patients in the control group( P<0.01). Conclusions Prehospital-hospital integrated emergency nursing can help patients recover their physical function and living ability after the treatment, thus worthy of expansion and application.

【关键词】脑出血; 急救; 院前- 院内一体化; 躯体功能; 生活能力
【关键词】Cerebral hemorrhage; First aid; Prehospital-hospital integration; Physical function; Living ability