医院内中风的护理和机构责任
Josh Snavely1, Hilaire J Thompson2
1Virginia Mason Franciscan Health, Tacoma, WA (J.S.).
Stroke
|September 21, 2023
概括
及时识别和管理医院内中风至关重要. 这篇文章提供了基于证据的,由护士驱动的协议,以改善中风症状的住院患者的治疗结果.
科学领域:
- 神经学 神经学
- 护理 护理 护理
- 医疗保健管理的管理
背景情况:
- 在医院内发生的中风事件,虽然比社区中风更少,但需要紧急关注.
- 护士在早期发现中风症状和在住院期间启动紧急协议方面发挥着关键作用.
- 现有的数据表明,在社区中获得的中风相比,在医院中发生的中风患者的识别和治疗延迟,结果较差.
研究的目的:
- 为了扩大美国心脏协会关于医院中风的科学声明.
- 为急性护理机构提供基于证据的,由护士驱动的中风识别和管理协议.
- 帮助护士和医院实施有效的医院中风协议.
主要方法:
- 关于医院内中风的当前科学文献的审查和综合.
- 为护士驱动的中风识别开发基于证据的协议.
- 在急性护理医院实施指南.
主要成果:
- 住院中风患者经常面临延迟的症状识别.
- 这些患者不太可能及时接受静脉输血栓溶解.
- 与社区中风相比,医院中风与较差的患者结局有关.
结论:
- 有效,护士驱动的协议对于改善医院中风识别和管理至关重要.
- 标准化方案可以减轻治疗延迟,改善患者的治疗结果.
- 这项工作旨在赋予护士和医疗保健系统以加强医院内的中风护理.
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