关键词: 脑梗死；决策辅助；静脉溶栓；知情同意；护士

Abstract: Objective: To investigate the effects of nurse involved in aid decision-making in informed consent for intravenous thrombolytic patients with acute cerebral infarction. Methods: Patients with acute cerebral infarction and their families in the emergency green channel in one hospital in Suzhou from October 2015 to July 2018 were included, and 220 cases from October 2015 to August 2017 were selected as the control group, another 208 cases from September 2017 to July 2018 were selected as the intervention group. The patients and their families in the intervention group were with the nurse involved in decision-making assistance program, while those in the control group were with the traditional health education. The time to complete informed consent and the score of decision dilemma scale were compared between the two groups. Results: There were significant differences between the two groups in the time of informed consent and the score of decision dilemma scale during intravenous thrombolysis (P<0.05). Conclusion: The nurse involved aid decision-making is benefit to decrease the decision-making time for treatment measure of thrombolysis patients and their families, and to reduce the decision-making dilemma for them, and nurse involved in aid decision-making is helpful to balance the information needs of patients and their families and the time urgency of thrombolysis treatment.

Key words: cerebral infarction; decision support; intravenous thrombolysis; informed consent; nurse