The impact of early identification of acute stroke on the effectiveness of pre hospital nursing interventions
急性中风发作早期识别对院前护理干预效果的影响

摘要

目的 分析急性中风发作初期识别对院前护理干预成效的潜在影响。方法 把2022年1月至2024年12月收治的60例急性中风患者随机分为两组，即观察组和对照组，每组30例，观察组采用早期识别加院前干预举措，对照组就患者情况给予常规转运处理，对比两组入院至溶栓所经历的时间、3个月mRS评分状况、并发症的发生概率与病死率。结果 溶栓时间显著缩短，这里p = 0.001，良好预后率竟高达60%，并发症发生率与病死率较对照组显著降低。结论 将早期识别与院前护理干预联合起来，可有效减少溶栓时间，提升患者疾病预后水平，降低并发症出现几率与死亡率，具有临床普及推广的潜力。

Abstract

Objective To analyze the potential impact of early recognition of acute stroke on the effectiveness of pre-hospital nursing interventions.
Methods Sixty patients with acute stroke admitted between January 2022 and December 2024 were randomly divided into two groups: an observation group and a control group, with 30 cases in each. The observation group received early recognition combined with pre-hospital intervention measures, while the control group received conventional transport management. The two groups were compared in terms of time from hospital admission to thrombolysis, 3-month mRS scores, incidence of complications, and mortality rate.
Results The time to thrombolysis was significantly shorter (p = 0.001), the good prognosis rate reached 60%, and both the incidence of complications and mortality were significantly lower in the observation group compared to the control group.
Conclusion   The combination of early recognition and pre-hospital nursing intervention can effectively reduce thrombolysis time, improve patient prognosis, and lower the incidence of complications and mortality, demonstrating strong potential for clinical promotion.