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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (21): 62-66.doi: 10.16460/j.issn1008-9969.2021.21.062

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Effect of Multi-disciplinary Diagnosis and Treatment on Patients with Acute Ischemic Stroke

HUANG Cui-honga, LIU Dao-qinga, ZHU Jun-yinga, YUAN Jinga, LI Chun-changb, LI Xin-yunc, DAI Cheng-bod   

  1. a. Interventional Catheterization Laboratory;
    b. Emergency Room;
    c. Dept. of Radiology; d. Dept. of Neurology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
  • Received:2021-06-20 Online:2021-11-10 Published:2021-12-13

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Abstract: Objective To explore the effect of multidisciplinary diagnosis and treatment (MDT) on the treatment of stent thrombectomy in patients with acute ischemic stroke. Methods Retrospective analysis was performed on 68 patients with acute ischemic stroke who were treated in the interventional operation room in one tertiary grade A hospital from January 1, 2019 to June 30, 2020. They were divided into control group (n=33) and observation group (n=35). The control group received traditional conventional nursing intervention, and the observation group nursing intervention based on MDT. Door to needle time (DNT), door to puncture time (DPT), referral time and operative waiting time were compared between the two groups; postoperative mortality rate, disability rate, national institutes of health stroke scale (NIHSS score) and the satisfaction of patients in the two groups were compared. Results DNT, DPT, referral time and operative time in the observation group were significantly shorter than those in the control group (P<0.001). The disability rate and NIHSS score in the observation group were lower than those in the control group (P<0.05), and there was no significant difference in the mortality rate between the two groups (P>0.05). In addition to the score of medical environment, the score of medical service attitude, team business ability, nursing emergency ability and initiative, communication, health education and patient needs in the observation group were significantly higher than those in the control group (P<0.001). Conclusion MDT for acute ischemic stroke patients can significantly improve the work efficiency and improving the clinical outcome and satisfaction of patients.

Key words: ischemic stroke, multidisciplinary diagnosis and treatment, emergency embolectomy, nursing

CLC Number: 

  • R473.54
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