New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke

Yan Zhou,1 Zhuojun Xu,2 Jiali Liao,1 Fangming Feng,1 Lai Men,3 Li Xu,2 Yanan He,2 Gang Li2 1Nursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 2Department of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People’...

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Autores principales:	Zhou Y, Xu Z, Liao J, Feng F, Men L, Xu L, He Y, Li G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Standardization nursing intravenous thrombolysis door-to-needle time stroke thrombolysis delay Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8bfcfc307428408f92983584f84d09f2
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spelling	oai:doaj.org-article:8bfcfc307428408f92983584f84d09f22021-12-02T05:08:10ZNew standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke1178-2021https://doaj.org/article/8bfcfc307428408f92983584f84d09f22017-05-01T00:00:00Zhttps://www.dovepress.com/new-standardized-nursing-cooperation-workflow-to-reduce-stroke-thrombo-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Yan Zhou,1 Zhuojun Xu,2 Jiali Liao,1 Fangming Feng,1 Lai Men,3 Li Xu,2 Yanan He,2 Gang Li2 1Nursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 2Department of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People’s Republic of China; 3Paddington Dental Practice, London, UK Objective: We assessed the effectiveness of a new standardized nursing cooperation workflow in patients with acute ischemic stroke (AIS) to reduce stroke thrombolysis delays.Patients and methods: AIS patients receiving conventional thrombolysis treatment from March to September 2015 were included in the control group, referred to as T0. The intervention group, referred to as T1 group, consisted of AIS patients receiving a new standardized nursing cooperation workflow for intravenous thrombolysis (IVT) at the emergency department of Shanghai East Hospital (Shanghai, People’s Republic of China) from October 2015 to March 2016. Information was collected on the following therapeutic techniques used: application or not of thrombolysis, computed tomography (CT) time, and door-to-needle (DTN) time. A nursing coordinator who helped patients fulfill the medical examinations and diagnosis was appointed to T1 group. In addition, a nurse was sent immediately from the stroke unit to the emergency department to aid the thrombolysis treatment.Results: The average value of the door-to-CT initiation time was 38.67±5.21 min in the T0 group, whereas it was 14.39±4.35 min in the T1 group; the average values of CT completion-to-needle time were 55.06±4.82 and 30.26±3.66 min; the average values of DTN time were 100.43±6.05 and 55.68±3.62 min, respectively; thrombolysis time was improved from 12.8% (88/689) in the T0 group to 32.5% (231/712) in the T1 group (all P<0.01). In addition, the new standardized nursing cooperation workflow decreased the National Institutes of Health Stroke Scale (NIHSS) scores at 24 h (P<0.01) (T0: prethrombolysis, 6.97±3.98; 24 h postthrombolysis, 3.33±2.09; 2 weeks postthrombolysis, 2.25±1.01 and T1: prethrombolysis, 7.00±3.89; 24 h postthrombolysis, 2.60±1.66; 2 weeks postthrombolysis, 2.21±1.02).Conclusion: The new standardized nursing cooperation workflow reduced stroke thrombolysis delays in patients with AIS. Keywords: standardization, nursing, intravenous thrombolysis, door-to-needle time, stroke thrombolysis delayZhou YXu ZLiao JFeng FMen LXu LHe YLi GDove Medical PressarticleStandardizationnursingintravenous thrombolysisdoor-to-needle timestroke thrombolysis delayNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1215-1220 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Standardization nursing intravenous thrombolysis door-to-needle time stroke thrombolysis delay Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Standardization nursing intravenous thrombolysis door-to-needle time stroke thrombolysis delay Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Zhou Y Xu Z Liao J Feng F Men L Xu L He Y Li G New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
description	Yan Zhou,1 Zhuojun Xu,2 Jiali Liao,1 Fangming Feng,1 Lai Men,3 Li Xu,2 Yanan He,2 Gang Li2 1Nursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 2Department of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People’s Republic of China; 3Paddington Dental Practice, London, UK Objective: We assessed the effectiveness of a new standardized nursing cooperation workflow in patients with acute ischemic stroke (AIS) to reduce stroke thrombolysis delays.Patients and methods: AIS patients receiving conventional thrombolysis treatment from March to September 2015 were included in the control group, referred to as T0. The intervention group, referred to as T1 group, consisted of AIS patients receiving a new standardized nursing cooperation workflow for intravenous thrombolysis (IVT) at the emergency department of Shanghai East Hospital (Shanghai, People’s Republic of China) from October 2015 to March 2016. Information was collected on the following therapeutic techniques used: application or not of thrombolysis, computed tomography (CT) time, and door-to-needle (DTN) time. A nursing coordinator who helped patients fulfill the medical examinations and diagnosis was appointed to T1 group. In addition, a nurse was sent immediately from the stroke unit to the emergency department to aid the thrombolysis treatment.Results: The average value of the door-to-CT initiation time was 38.67±5.21 min in the T0 group, whereas it was 14.39±4.35 min in the T1 group; the average values of CT completion-to-needle time were 55.06±4.82 and 30.26±3.66 min; the average values of DTN time were 100.43±6.05 and 55.68±3.62 min, respectively; thrombolysis time was improved from 12.8% (88/689) in the T0 group to 32.5% (231/712) in the T1 group (all P<0.01). In addition, the new standardized nursing cooperation workflow decreased the National Institutes of Health Stroke Scale (NIHSS) scores at 24 h (P<0.01) (T0: prethrombolysis, 6.97±3.98; 24 h postthrombolysis, 3.33±2.09; 2 weeks postthrombolysis, 2.25±1.01 and T1: prethrombolysis, 7.00±3.89; 24 h postthrombolysis, 2.60±1.66; 2 weeks postthrombolysis, 2.21±1.02).Conclusion: The new standardized nursing cooperation workflow reduced stroke thrombolysis delays in patients with AIS. Keywords: standardization, nursing, intravenous thrombolysis, door-to-needle time, stroke thrombolysis delay
format	article
author	Zhou Y Xu Z Liao J Feng F Men L Xu L He Y Li G
author_facet	Zhou Y Xu Z Liao J Feng F Men L Xu L He Y Li G
author_sort	Zhou Y
title	New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
title_short	New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
title_full	New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
title_fullStr	New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
title_full_unstemmed	New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
title_sort	new standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/8bfcfc307428408f92983584f84d09f2
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New standardized nursing cooperation workflow to reduce stroke thrombolysis delays in patients with acute ischemic stroke

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