主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (5): 641-646.doi: 10.3969/j.issn.1672-1756.2019.05.001

• 特别策划·护理质量改善实践 •    下一篇

急性缺血性脑卒中患者早期活动循证实践方案的构建与应用

王清 张敏 李红丽 盛少婷   

  1. 南京大学医学院附属鼓楼医院护理部,210008 南京市 (王清);神经内科(张敏,李红丽,盛少婷)
  • 出版日期:2019-05-15 发布日期:2019-05-15
  • 作者简介:王清,硕士,主管护师,护理部助理,E-mail:ruoyiwangqing@163.com
  • 基金资助:
    国家自然科学基金青年基金项目(71704074)

Early mobilization for acute ischemic stroke patients: construction and application of an evidence-based protocol

WANG Qing, ZHANG Min, LI Hongli, SHENG Shaoting   

  1. Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Jiangsu province, 210008, China
  • Online:2019-05-15 Published:2019-05-15

摘要: 目的:构建急性缺血性脑卒中患者早期活动循证实践方案并评价应用效果。方法:基于证据、临床情境比较和患者需求分析结果,形成急性缺血性脑卒中患者早期活动实践方案,并将证据整合成为临床实践流程。结果:39名脑卒中患者接受了早期活动干预,患者入院后早期活动开始时间提前,入院24小时内早期活动实施率提高,卒中后14天的照护结局改善,平均住院日缩短。结论:通过构建与应用急性缺血性脑卒中患者早期活动循证实践方案,可以更有效地促进卒中患者早期活动的实施,改善患者照顾结局,提升护理品质。

关键词: 急性缺血性脑卒中;早期活动;护理质量改善;循证实践

Abstract: Objective: To construct and evaluate the evidence-based early mobilization protocol for patients with acute ischemic stroke. Methods: An evidence-based early mobilization protocol for patients with acute ischemic stroke was developed and integrated into clinical practice based on evidence, clinical scenarios, and patients need. Results: Totally 39 ischemic stroke patients received tailored intervention. The start time of mobilization after admission was reduced, the rate of early mobilization within 24 hours was increased, the outcome after 14 days of stroke was improved, shortened the length of hospital stay. Conclusion: The construction and application of evidence-based early mobilization protocol may facilitate the implementation of early mobilization, improve outcomes of stroke patient, and enhance nursing quality.

Key words: acute ischemic stroke; early mobilization; improvement of nursing quality; evidence-based practice

中图分类号: 

  • R47