【摘要】 目的：观察基于Delphi法构建的急诊护理路径在急诊留观缺血性卒中患者中的应用效果。方法：回顾性分析2022年4月至2024年4月该院急诊医学科收治的310例缺血性卒中患者的临床资料，依据护理方法不同将其分为对照组（n=155）和观察组（n=155）。对照组采用常规急诊护理，观察组采用基于Delphi法构建的急诊护理路径。比较两组急诊指标（静脉开放时间、影像学检查时间、患者入院至溶栓开始时间）水平，护理前后日常生活活动能力[日常生活能力评定量表（ADL）]、生命质量[世界卫生组织生存质量测定量表简表（WHOQOL-BREF）]评分，并发症发生率，以及护理满意度。结果：观察组静脉开放时间、影像学检查时间、患者入院至溶栓开始时间均短于对照组，差异有统计学意义（P<0.05）；护理后，两组自理能力、括约肌控制、行走、转移等ADL各维度评分均高于护理前，且观察组高于对照组，差异有统计学意义（P<0.05）；护理后，两组WHOQOL-BREF评分均高于护理前，且观察组高于对照组，差异有统计学意义（P<0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P<0.05）；观察组护理满意度高于对照组，差异有统计学意义（P<0.05）。结论：基于Delphi法构建的急诊护理路径应用于急诊留观缺血性卒中患者可改善急诊指标水平，提高日常生活活动能力、生命质量评分和护理满意度，降低并发症发生率，效果优于常规急诊护理。更多还原

【Abstract】 Objective: To observe application effects of emergency nursing pathway based on Delphi method in patients with ischemic stroke in emergency observation. Methods: The clinical data of 310 patients with ischemic stroke admitted to the Department of Emergency Medicine of this hospital from April 2022 to April 2024 were retrospectively analyzed. According to different nursing methods, they were divided into control group(n=155) and observation group(n=155). The control group was treated with conventional emergency nursing, while the observation group was treated with emergency nursing pathway based on Delphi method. The levels of emergency indexes(venous opening time, imaging examination time, time from admission to thrombolysis), the scores of activities of daily living [activities of daily living scale(ADL)] and quality of life [World Health Organization quality of life-brief(WHOQOL-BREF)] score before and after the nursing, the incidence of complications, and the nursing satisfaction were compared between the two groups. Results: The venous opening time, the imaging examination time and the time from admission to thrombolysis in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). After the nursing, the scores of ADL dimensions such as self-care ability, sphincter control, walking and metastasis in the two groups were higher than those before the nursing, those in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). After the nursing, the WHOQOL-BREF scores of the two groups were higher than those before the nursing, that in the observation group was higher than that in the control group, and the differences were statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusions: The application of emergency nursing pathway based on Delphi method in the patients with ischemic stroke in emergency observation can improve the levels of emergency indexes, and improve the ability of daily living, the quality of life scores and the nursing satisfaction, and reduce the incidence of complications. Moreover, it is superior to conventional emergency nursing.更多还原