Application and evaluation of team resource management mode in reducing the DNT of acute ischemic stroke
10.3760/cma.j.issn.1672-7088.2016.12.007
- VernacularTitle:团队资源管理模式缩短急性缺血性脑卒中患者就诊-应用静脉溶栓药时间的效果研究
- Author:
Xin WANG
;
Songqin GAO
;
Longjuan YU
;
Yanjun MAO
- Publication Type:Journal Article
- Keywords:
Nursing;
Acute ischemic stroke;
Team resource management
- From:
Chinese Journal of Practical Nursing
2016;32(12):905-908
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of team resource management mode in reducing the door-to-needle time (DNT) of acute ischemic stroke. Methods A total of 272 acute ischemic stroke patients admitted to our hospital from January to December 2014 were set as the observation group. The observation group adopted the team resource management mode which was composed of emergency triage nurses, thrombolysis group nurses, emergency CT nurses, emergency intensive care nurses, interventional radiology nurses, cerebrovascular medicine nurses and rehabilitation medicine nurses. Another 264 acute ischemic stroke patients admitted to our hospital from January to December 2013 were named as the control group who was given traditional emergency treatment mode. The DNT, the activities of daily living and the nursing service satisfaction of patients were compared between the observation group and the control group. Results The DNT, Barthel index and the nursing service satisfaction of patients in the observation group were (44.93 ±11.47) min, 65.26 ±21.36, 93.39% (240/257), which were better than those of the control group, (111.99±11.10) min, 39.53±20.56, 80.41%(197/245), the differences were significant (t=115.516, 14.559, χ2=18.740, P < 0.01). Conclusions The team resource management mode is an effective tool to shorten the DNT, promote the recovery of patients and improve the quality of patients′life.
