| Abstract |
Objective To construct a training program for stroke identification and treatment procedures among non-neurological nurses in tertiary hospitals, and to explore its application effect, so as to improve the ability of non-neurological nurses in stroke identification and standardized implementation of treatment procedures, shorten the treatment time for stroke patients, and improve patient prognosis. Methods A total of 200 non-neurological nurses from Ganzhou People's Hospital from October 2024 to June 2025 were selected as research subjects and randomly divided into a control group and an observation group using a random number table method, with training conducted in batches. The control group adopted a conventional training mode, including attending hospital-organized lectures on stroke-related knowledge and reading stroke treatment manuals. The observation group adopted the constructed systematic training program, which specifically included: training content covering epidemiological characteristics of stroke, clinical manifestations, rapid identification methods (such as the FAST principle), in-hospital treatment procedures (including calling for help, transportation, handover, etc.), and simulation drills; the training method combined online theoretical learning (20 class hours) with offline practical training (15 class hours), where offline training included case analysis, scenario simulation, and skill operation assessment; the training cycle was 4 weeks, with training conducted once every 2 weeks, and theoretical and practical assessments were carried out after the training. Results The accuracy rate of stroke identification among nurses in the observation group was 92.00% (92/100), which was significantly higher than that in the control group (75.00%, 75/100), with a statistically significant difference (χ²=9.091, P=0.003); the standardization rate of treatment procedures in the observation group was 88.00% (88/100), which was significantly higher than that in the control group (68.00%, 68/100), with a statistically significant difference (χ²=8.538, P=0.004); the door-to-needle time (DNT) of stroke patients cared for by the observation group was (38.5±5.2) minutes, which was significantly shorter than that of the control group [(56.3±6.8) minutes], with a statistically significant difference (t=19.231, P=0.000). Conclusion The constructed training program for in-hospital stroke identification and treatment procedures among non-neurological nurses in tertiary hospitals has a significant application effect. It can effectively improve the accuracy rate of stroke identification and the standardization rate of treatment procedures among non-neurological nurses, and shorten the DNT of stroke patients, which is worthy of clinical promotion and application.
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