急性脑卒中管理与护理干预。

IF 1.3 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2025-06-26 eCollection Date: 2025-06-01 DOI:10.7759/cureus.86820
Chidinma S Madu, Victoria M Ajibade
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引用次数: 0

摘要

中风仍然是世界范围内死亡和长期残疾的主要原因,需要及时有效的管理策略来优化患者的预后。急性脑卒中的管理包括快速诊断、及时的药物和机械干预以及协调的多学科护理。在医疗保健专业人员中,护士在卒中患者的早期识别、稳定和持续管理中发挥着关键作用,特别是在超急性和急性护理阶段。这篇综述文章探讨了目前急性卒中管理的循证方法,包括溶栓、取栓和神经成像技术的使用,同时强调护理干预的关键作用,如神经学评估、气道和血流动力学支持、药物管理和患者教育。此外,它还讨论了卒中护理途径的整合以及护士主导的举措对患者结果的影响。这篇综述,包括最近的文献,强调了协作、指南驱动的护理的重要性,以及护士在改善急性卒中患者的生存和康复方面不断变化的责任。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute Stroke Management and Nursing Intervention.

Stroke remains a leading cause of mortality and long-term disability worldwide, necessitating prompt and effective management strategies to optimize patient outcomes. Acute stroke management involves rapid diagnosis, timely pharmacological and mechanical interventions, and coordinated multidisciplinary care. Among healthcare professionals, nurses play a pivotal role in the early identification, stabilization, and ongoing management of stroke patients, particularly during the hyperacute and acute care phases. This review article explores current evidence-based approaches in acute stroke management, including the use of thrombolytics, thrombectomy, and neuroimaging techniques, while emphasizing the critical role of nursing interventions such as neurological assessment, airway and hemodynamic support, medication administration, and patient education. Furthermore, it discusses the integration of stroke care pathways and the impact of nurse-led initiatives on patient outcomes. This review, involving recent literature, highlights the importance of collaborative, guideline-driven care and the evolving responsibilities of nurses in improving the survival and recovery of patients experiencing acute stroke.

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