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| Discussion on Application of Clinical Nursing Pathway in Pre-hospital Emergency Care of Cerebral Apoplexy |
| The Fourth People’s Hospital of Shenzhen， Shenzhen 518033，China |
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Abstract Objective：To study the feasibility and clinical effects of clinical nursing pathway in pre-hospital emergency care of patients with cerebral apoplexy.Method：A retrospective analysis was carried out on clinical information of 53 cases of patients with cerebral apoplexy， who were rescued and transported from March 2013 to December 2013. These 53 patients were given regular nursing and were assigned into the control group.53 cases of patients with cerebral apoplexy were given pre-hospital emergency care by clinical nursing pathway from January 2014 to November 2014. These 53 patients were assigned into the observation group.Los Angeles Pre-hospital Stroke Screen（ LAPSS） was used to screen two groups of patients with cerebral apoplexy.The two groups of patients were compared in the duration from clinical reception to rescue， the duration from rescue to professional treatment， length of hospital stay and mortality. Result：Average duration from clinical reception to rescue， average duration from rescue to professional treatment and length of hospital stay in the observation group were all significantly shorter than those of the control group（ P<0.05）.47 cases were survival（ 88.68%） while 6 cases（ 11.32%） died in the observation group.39 cases were survival（ 73.58%） while 14 cases（ 26.41%） died in the control group.And there were significant differences between the two groups of patients in survival rate（ P<0.05）.Conclusion：Clinical nursing pathway is feasible for pre-hospital emergency care of patients with cerebral apoplexy， which can guide the pre-hospital emergency care and improve the survival rate and prognosis of patients.
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