A qualitative study on nursing practice of intravenous thrombolysis in acute ischemic stroke
10.3760/cma.j.cn115682-20200113-00190
- VernacularTitle:急性缺血性脑卒中静脉溶栓护理实践的质性研究
- Author:
Wenya CAO
1
;
Hong CHANG
;
Jie ZHAO
;
Kaiting FAN
;
Hui YAO
Author Information
1. 首都医科大学宣武医院神经内科,北京 100053
- Keywords:
Stroke;
Acute ischemic stroke;
Intravenous thrombolysis;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2020;26(26):3639-3643
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current situation and existing problems of nursing practice of intravenous thrombolysis in acute ischemic stroke and to reflect on and put forward specific suggestions, so as to provide reliable practical basis for improving nursing practice level of acute ischemic stroke.Methods:Using the phenomenological method of qualitative research, 12 nurses attended in an advance studies from different area of China who participated in in-hospital treatment of acute ischemic stroke in Xuanwu Hospital of Capital Medical University were selected as the research objects from October to November 2019, and they were interviewed by semi-structured in-depth interview. Data were collected by notes and recordings, and Colaizzi content analysis was used for data analysis.Results:The nurses' experience of intravenous thrombolysis nursing for acute ischemic stroke included: full awareness of participating in the in-hospital treatment of intravenous thrombolysis for acute ischemic stroke, but lack of professional knowledge of venous thrombolysis for acute ischemic stroke and easy confusion of thrombolytic nursing practice knowledge and basic first aid knowledge. In terms of nursing management, nurses had low cognition and enthusiasm for quality control of intravenous thrombolysis nursing practice.Conclusions:The organized treatment mode of ischemic stroke is still in the practice stage. The training of stroke specialists and the quality control of intravenous thrombolysis nursing practice is an important part of improving the level of medical treatment in the hyperacute phase of ischemic stroke.