Analysis of the effect of optimizing emergency nursing process in patients with acute cerebral infarction
急性脑梗死患者中优化急诊护理流程的效果分析

摘要

目的 分析急性脑梗死患者中优化急诊护理流程的效果。方法 研究选择在2025年2月-2026年2月期间进入本医院进行治疗的急性脑梗死患者86例作为样本，并且按照随机数字表法将所有患者进行分组，分组目的为采取对照形式明确护理效果，即分别为观察组和对照组，每组中涵盖43例患者，对照组采取常规急诊护理流程，观察组采取优化急诊护理流程，以此比较两组患者护理过程中的各项时间指标、并发症发生率与生活自理能力改善情况。结果 观察组的入院至预检分诊时间、首次生命体征监测完成时间、静脉通路建立时间、影像学检查开始至报告出具时间、溶栓决策时间、溶栓药物首次给药时间均短于对照组（P<0.05）；观察组的并发症发生率低于对照组（P<0.05）；观察组的进食、洗浴、如厕、行走评分均已超过对照组评分（P<0.05）。结论 针对急性脑梗死患者优化急诊护理流程，能够有效缩短患者在就诊后的各个环节时间，确保了流程的效率，同时患者后期并发症发生率较低，明确了优化急诊护理流程的安全性，患者的生活自理能力提高，值得临床推广应用。

Abstract

Objective To analyze the effect of optimizing emergency nursing process in patients with acute cerebral infarction.
Methods A total of 86 patients with acute cerebral infarction who entered our hospital for treatment between February 2025 and February 2026 were selected as samples, and all patients were randomly divided into two groups using a random number table method. The purpose of grouping was to clarify the nursing effect in a controlled form, namely the observation group and the control group, with 43 patients in each group. The control group received routine emergency nursing procedures, while the observation group received optimized emergency nursing procedures. The time indicators, incidence of complications, and improvement of self-care ability during the nursing process of the two groups of patients were compared.
Results The observation group had shorter admission to pre triage, completion time of first vital sign monitoring, establishment time of venous access, start time of imaging examination to report issuance, thrombolysis decision time, and first administration time of thrombolytic drugs compared to the control group (P<0.05); The incidence of complications in the observation group was lower than that in the control group (P<0.05); The eating, bathing, toileting, and walking scores of the observation group have all exceeded those of the control group (P<0.05).
Conclusion   Optimizing the emergency nursing process for patients with acute cerebral infarction can effectively improve the time of each link after the patient’s visit, ensure the efficiency of the process, and reduce the incidence of complications in the later stage of the patient. This clarifies the safety of optimizing the emergency nursing process, improves the patient’s self-care ability, and is worthy of clinical promotion and application.