基于时效分析的以护士为媒介的急诊溶栓临床护理路径的构建及应用

目的 构建适用于急性缺血性卒中（acute i schemic s troke，AIS）患者急诊溶栓的临床护理路径（clinical nursing pathway，CNP），并探讨其在急诊救治中的可行性及实施效果。 

Construction and Application of Optimized Clinical Nursing Pathway of Acute Thrombolytic Therapy duringTreatment of Patients with Acute Ischemic Stroke based on Time-dependent Analysis

Objective To establish a clinical nursing pathway of acute thrombolytic therapy during treatment
of patients with acute ischemic stroke (AIS) in emergency room, and to investigate its feasibility
and effects.
Methods The clinical nursing pathway of acute thrombolytic therapy in AIS patients were
established by consulting literatures, case review and qualitative interviews with emergency
department medical staff. Nursing intervention was performed on patients with AIS during acute
thrombolytic therapy in emergency room. Treatment time points and therapeutic effects were
compared between the experimental group and the control group.
Results There were statistical differences in three timing indexes between two groups (P <0.05). They
were receiving new patients to computed tomography (CT) scan time, CT results to needle time and
door to needle time, which were obvious better in experimental group than the control group.
Conclusion Optimized clinical nursing pathway of acute thrombolytic therapy can reduce
treatment time of patients with AIS and improve prognosis, which is worthwhile to be promoted.