Advance Search
JI Juan, CHEN Xuemei. Effect of nursing case management on early clinical efficacy for acute ischemic stroke patients with thrombolytic therapy[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 31-33, 37. DOI: 10.7619/jcmp.201915008
Citation: JI Juan, CHEN Xuemei. Effect of nursing case management on early clinical efficacy for acute ischemic stroke patients with thrombolytic therapy[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 31-33, 37. DOI: 10.7619/jcmp.201915008
shu

Effect of nursing case management on early clinical efficacy for acute ischemic stroke patients with thrombolytic therapy

  • Department of Neurology, Jiangning Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, 211000

More Information
  • Received Date: April 19, 2019
  • Revised Date: June 27, 2019
  • Available Online: February 23, 2021
  • Published Date: August 14, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To explore the effect of nursing case management on early clinical efficacy for acute stroke patients with thrombolytic therapy.
      Methods  A total of 80 patients with acute ischemic stroke who received thrombolytic therapy were randomly divided into two groups. Control group received routine nursing and experimental group received case management nursing. The time from admission to thrombolytic therapy was recorded. National Institutes of Health Stroke Scale (NIHSS) scores before and after 24 h of thrombolytic therapy in two groups were compared.
      Results  The time from admission to thrombolysis was (34.22±4.83) min in the experimental group, which was significantly less than (70.56±7.68) min in the control group(P < 0.05). There was no significant difference in NIHSS score between the two groups before thrombolytic therapy(P > 0.05). At 24 h after treatment, the NIHSS score in the experimental group was significantly lower than treatment before and the control group (P < 0.05), but the control group showed no significant improvement compared to treatment before (P > 0.05).
      Conclusion  Nursing case management is helpful for improving the early clinical effect of thrombolytic therapy in patients with acute ischemic stroke.
    • FullText(HTML)
    • References (26)
  • [1]
    Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the global burden of disease study 2010[J]. Lancet, 2012, 380(9859): 2095-2128. doi: 10.1016/S0140-6736(12)61728-0
    [2]
    Krishnamurthi R V, Moran A E, Feigin V L, et al. Stroke prevalence, mortality and disability-adjusted life years in adults aged 20-64 years in 1990-2013: data from the global burden of disease 2013 study[J]. Neuroepidemiology, 2015, 45(3): 190-202. doi: 10.1159/000441098
    [3]
    Zhou M G, Wang H D, Zhu J, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the global burden of disease study 2013[J]. Lancet, 2016, 387(10015): 251-272. doi: 10.1016/S0140-6736(15)00551-6
    [4]
    Liu M, Wu B, Wang W Z, et al. Stroke in China: epidemiology, prevention, and management strategies[J]. Lancet Neurol, 2007, 6(5): 456-464. doi: 10.1016/S1474-4422(07)70004-2
    [5]
    郭伟, 李斗, 彭鹏. 急性缺血性脑卒中急诊急救中国专家共识(2018)[J]. 临床急诊杂志, 2018, 19(6): 351-359. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZLC201806001.htm
    [6]
    Chapman S N, Mehndiratta P, Johansen M C, et al. Current perspectives on the use of intravenous recombinant tissue plasminogen activator (tPA) for treatment of acute ischemic stroke[J]. Vasc Health Risk Manag, 2014, 10: 75-87. http://pubmedcentralcanada.ca/pmcc/articles/pmid/24591838
    [7]
    Lukersmith S, Millington M, Salvador-Carulla L. What is case management?A scoping and mapping review[J]. Int J Integr Care, 2016, 16(4): 2-2. doi: 10.5334/ijic.2477
    [8]
    韩英, 林华, 陈少琴, 等. 个案管理模式在脑卒中后功能障碍患者康复护理中的应用[J]. 海南医学, 2015, 26(10): 1559-1560. doi: 10.3969/j.issn.1003-6350.2015.10.0559
    [9]
    林立文, 林岚, 刘真秀. 个案管理在脑卒中患者中的应用[J]. 长春中医药大学学报, 2018, 34(5): 945-948. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX201805039.htm
    [10]
    Cochrane J W. 回顾性研究指出对心力衰竭患者电话随访能有效减少死亡[J]. 英国医学杂志中文版, 2012, 15(6): 332-332.
    [11]
    李燕, 陈晨, 郭亮梅. 责任制护理小组管理模式在神经内科的实施效果[J]. 解放军护理杂志, 2010, 27(19): 1503-1504. doi: 10.3969/j.issn.1008-9993.2010.19.038
    [12]
    Baker C M, Miller I, Sitterding M, et al. Acute stroke patients comparing outcomes with and without case management[J]. Nurs Case Manag, 1998, 3(5): 196-203. http://www.ncbi.nlm.nih.gov/pubmed/9832763
    [13]
    Jauch E C, Saver J L, Adams H P Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American heart association/American stroke association[J]. Stroke, 2013, 44(3): 870-947. doi: 10.1161/STR.0b013e318284056a
    [14]
    Rostanski S K, Shahn Z, Elkind M S V, et al. Door-to-needle delays in minor stroke: A causal inference approach[J]. Stroke, 2017, 48(7): 1980-1982. doi: 10.1161/STROKEAHA.117.017386
    [15]
    Chen W Q, Pan Y S, Zhao X Q, et al. Intravenous thrombolysis in Chinese patients with different subtype of mild stroke: thrombolysis in patients with mild stroke[J]. Sci Rep, 2017, 7(1): 2299. doi: 10.1038/s41598-017-02579-2
    [16]
    Logallo N, Kvistad C E, Naess H, et al. Mild stroke: safety and outcome in patients receiving thrombolysis[J]. Acta Neurol Scand, 2014, 129: 37-40. doi: 10.1111/ane.12235
    [17]
    余飞, 王维清. 阿替普酶对高龄急性脑梗死静脉溶栓早期疗效及护理要点[J]. 全科医学临床与教育, 2018, 16(3): 350-352. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYL201803038.htm
    [18]
    李军. 重组组织型纤溶酶原激活剂(rt-PA)静脉溶栓治疗急性脑梗死的疗效[J]. 湖南师范大学学报: 医学版, 2018, 15(4): 187-189. doi: 10.3969/j.issn.1673-016X.2018.04.059
    [19]
    Fonarow G C, Zhao X, Smith E E, et al. Door-to-needle times for tissue plasminogen activator administration and clinical outcomes in acute ischemic stroke before and after a quality improvement initiative[J]. JAMA, 2014, 311(16): 1632-1640. doi: 10.1001/jama.2014.3203
    [20]
    甘莉, 林侑华, 杨蓉. 台湾地区护理个案管理的发展及现状[J]. 护理研究, 2014, 28(36): 4491-4493. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201436006.htm
    [21]
    薛美琴, 张玲娟. 个案管理模式在我国的应用及思考[J]. 中华护理杂志, 2014, 49(3): 367-371. doi: 10.3761/j.issn.0254-1769.2014.03.028
    [22]
    洪音, 屠丽君, 麻丽萍, 等. 美国个案护理管理模式[J]. 现代医院, 2008, 8(4): 155-156. doi: 10.3969/j.issn.1671-332X.2008.04.082
    [23]
    Fukada M. Nursing competency: definition, structure and development[J]. Yonago Acta Med, 2018, 61(1): 1-7. doi: 10.33160/yam.2018.03.001
    [24]
    刘晓青, 金爱萍, 董琼, 等. 脑卒中病人个案管理的研究及应用进展[J]. 护理研究, 2018, 32(3): 336-339. doi: 10.3969/j.issn.1009-6493.2018.03.002
    [25]
    张寸, 刘晓青, 刘贤亮, 等. 基于个案管理的专人化随访指导对老年脑卒中患者功能结局和治疗依从性的影响[J]. 中华现代护理杂志, 2016, 22(29): 4151-4155. doi: 10.3760/cma.j.issn.1674-2907.2016.29.002
    [26]
    Stachowiak M E, Bugel M J. The clinical nurse leader and the case manager[J]. AJN Am J Nurs, 2013, 113(1): 59-63. doi: 10.1097/01.NAJ.0000425754.43827.14
    • Related Articles

Catalog

    Get Citation
    PDF
    XML
    Article views (283) PDF downloads (14) Cited by()
    Turn off MathJax
    Article Contents
    Abstract
    References

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return