Effect of the clinical practice guideline implementation for Ischemic stroke patients in Ranong hospital

Abstract

The purpose of this retrospective study were to study the effects of the clinical practice guideline implementation for ischemic stroke patients. The research was conducted from October 2014 to September 2016. The sample group were 492 patients who were first diagnosed with ischemic stroke. Frequency, percentage, mean,standard deviation,paired-sample t-test were used for data analysis.
The results of the study found that In 2016,the clinical practice guideline approach for ischemic stroke patients 252 cases, of whom 15 cases were enrolled into the stroke fast track service. The patients in the stroke fast track service got thrombolytic agent rate of 0.79%. After the implement of the clinical practice guideline for ischemic stroke patients decreased readmission rate and died rate were significantly (p<.05), but did not decreased the complication rate. After the implementation, the expense of hospital stay had significantly less than before the implementation. The hospital stay had not significantly. It could be concluded that the clinical practice guideline implementation for ischemic stroke patients decreased readmission rate, died rate and the expense of hospital stay. So the concept should be used to care ischemic stroke patients for efficiency and quality of life