Analysis of the Application Effect of Emergency Protocol Interventions in Patients with Acute Ischemic Stroke Undergoing Endovascular Thrombectomy

SHI Xinyi; WANG Min; ZHUANG Peimin

doi:10.13919/j.issn.2095-6274.ZHJY202502004

Abstract：Objective To analyze the application value of emergency process interventions in patients undergoing endovascular thrombectomy for acute ischemic stroke.Methods A retrospective analysis was con-ducted on the clinical data of 80 patients with acute ischemic stroke who underwent endovascular thrombectomy at Xianning Central Hospital from January 2023 to December 2024.Based on the differences in emergency inter-ventions,the patients were divided into an observation group(40 patients receiving emergency process nursing in-terventions)and a control group(40 patients receiving standard emergency nursing interventions).The two groups were compared in terms of emergency efficiency,self-care ability,self-efficacy,neurological function,and incidence of complications.Results Compared to the control group,the observation group exhibited significantly short-er times for pre-hospital emergency,triage,venous access,CT examination,referral,and resuscitation(P＜0.001).Prior to the intervention,there were no significant differences between the two groups in terms of self-care ability assessed by the ESCA scale(self-care ability,self-care responsibility,self-concept,health knowledge level,total score),self-efficacy measured by the SSEQ scale(daily living activity efficacy,self-management effica-cy,total score),or neurological function as indicated by the NIHSS score.Post-intervention,both groups showed significant increases in the four dimensions and total score of the ESCA scale,as well as the two dimensions and total score of the SSEQ scale(P＜0.05),while NIHSS scores significantly decreased(P＜0.001).Furthermore,the observation group had significantly higher scores in the four di-mensions and total score of the ESCA scale and the two dimensions and total score of the SSEQ scale compared to the control group(P＜0.001),along with significantly lower NIHSS scores(P＜0.001).The overall incidence of com-plications was also significantly lower in the observation group compared to the control group(7.50％ vs.25.00％,P＜0.001).Conclusion For patients undergoing endovascular thrombectomy for acute ischemic stroke,emer-gency process nursing interventions can effectively improve emergency efficiency,enhance patients'self-care ability and self-efficacy,improve neurological function,and reduce the risk of complications.