Application effect of multidisciplinary collaborative nursing process in emergency care of patients with hypertensive cerebral hemorrhage

H.-J. Li, Y.-L. Shen, X. Huang, S. Liu, P. Yi

Department of Emergency Center, Qinghai University Affiliated Hospital, Xining, Qinghai, China. pyi_qh@yeah.net

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• Emergency Medicine

OBJECTIVE: The aim of the study was to analyze the effect of applying multidisciplinary collaborative nursing process (MCNP) in the emergency care of patients with hypertensive cerebral hemorrhage.

PATIENTS AND METHODS: A total of 124 patients with hypertensive cerebral hemorrhage admitted to Qinghai University Affiliated Hospital from January 2020 to January 2021 was divided into control group (treated with regular emergency care, n=64) and study group (treated with MNCP, n=58). The effect of emergency treatment was compared between the two groups.

RESULTS: Compared to the control group, initial treatment time, time of opening peripheral veins, first blood drawing time, time of imaging examination, emergency room treatment time, and hospital stay time were lower in MCNP group, the difference was significant (p<0.05). There were significant differences in Functional Independence Assessment (FIM) and National Institutes of Health Stroke Scale (NIHSS) scale scores between the control group and the MCNP group in treatment for 1 week in hospital (p<0.05). The level of total bile acid (TBA) and activated partial thromboplastin time (APTT) in the MCNP group were significantly lower than in the control group (p<0.05). The nursing satisfaction in MCNP was also improved compared to that in the control group (p<0.05).

CONCLUSIONS: MCNP enhances the rational improvement of patients’ awareness, improves the comprehensive quality of emergency treatments and optimizes prognosis; therefore, it is worthy of clinical promotion and application.

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