Effect of thrombolytic nursing strategy based on timing theory on prognosis of elderly patients with acute cerebral infarction

ObjectiveTo construct nursing strategies based on timing theory for elderly patients with acute cerebral infarction (ACI) undergoing intravenous thrombolysis, and evaluate its application effect.

MethodsA total of 95 elderly ACI patients treated with intravenous thrombolysis were divided into the control group (47 cases) and the observation group (48 cases).The control group received routine nursing, and the observation group received thrombolytic nursing strategies based on timing theory.The blood pressure variability within 24 hours after thrombolysis, thrombolytic complications, U.S.National Institutes of health stroke scale (NIHSS) score, modified Rankin scale (mRS) score, activities of daily living (ADL) score, 3-month good prognosis rate, average length of stay and average hospitalization cost were compared between the two groups.

ResultsThere was no significant difference in the incidence of gingival bleeding and mRS score at discharge between the two groups (P>0.05).The blood pressure variability within 24 hours, the incidence of gastrointestinal bleeding and intracranial hemorrhage, NIHSS score at discharge, mRS score at 3 months after discharge, average length of stay and average hospitalization cost in the observation group were lower than those in the control group (P < 0.05 to P < 0.01).The ADL ability and good prognosis rate in the observation group at discharge and 3 months after discharge were higher than those in the control group (P < 0.05 to P < 0.01).

ConclusionsThe nursing strategies based on timing theory can effectively reduce the blood pressure variability, reduce bleeding complications, improve hospitalization efficiency, improve prognosis and promote the rehabilitation of elderly ACI patients with intravenous thrombolysis.