DISCUSSION
thrombosis, lower extremity venous thrombosis, Kurminas, death, bleeding, stroke, brain injury, ischemic stroke, prethrombotic neurological and cognitive function, cerebral infarction, venous thrombosis
PULMONARY EMBOLISM, THROMBOSIS, BLEEDING, DEGENERATION, RECURRENCE, POSTOPERATIVE COMPLICATIONS, DEEP VEIN THROMBOSIS, STROKE, DISEASE, HYPERLIPIDEMIA, GINGIVAL BLEEDING, BRAIN, ISCHEMIC STROKE, COMPLICATION, VENOUS THROMBOSIS, CEREBRAL INFARCTION, COMPLICATIONS
The condition of patients with ischemic stroke is changeable and complex, especially in elderly patients with degeneration of various organs, poor immunity, and poor tolerance to interventional surgery, which may lead to many postoperative complications and slow recovery of the body (Yi et al., Early intravenous thrombolysis with r‐tPA in patients with acute cerebral infarction has become the main method of drug treatment for acute cerebral infarction (Kurminas et al., The neurology department of our hospital integrates predictive nursing intervention into the whole process of thrombolytic therapy, and the effect is remarkable. Predictive nursing means that nurses cooperate with doctors to quickly screen patients before thrombolysis, collect data, lead patients to complete CT examination, complete the collection of various blood samples, establish two effective intravenous channels, and complete all necessary procedures before thrombolysis to minimize DNT time. Brain and heart health instructors cooperate with physicians to perform prethrombotic neurological and cognitive function scores and health education for patients and their families to eliminate the nervous state of patients, and to cooperate with doctors for diagnosis and treatment with the most trusting attitude. Our results showed that predictive nursing intervention significantly improved the NIHSS, FMA, MMSE, and MoCA scores, indicating that the self‐care ability and neurological recovery of the predictive nursing group were better than those of the control group, and the brain injury was relieved more obviously than the control group. The reason for consideration may be that predictive nursing realizes multidisciplinary nursing and individual nutritional support, which lays a foundation for the rehabilitation of the body, and early rehabilitation exercise can effectively stimulate the recovery of nerve function and improve the function of the body. Psychological intervention and health education in predictive nursing can further improve the patient's mentality, improve self‐care ability, reduce complications, and promote the improvement of body function.The results of this study showed that the incidence of complications in the predictive nursing group was lower than that in the control group, indicating that the implementation of predictive nursing for stroke patients could effectively reduce the incidence of ischemic stroke recurrence, deep vein thrombosis and gingival bleeding, and improve satisfaction. A common complication of stroke is deep vein thrombosis of the lower extremity, and once deep vein thrombosis of the lower extremity occurs, it is very easy to cause pulmonary embolism, and even lead to death of the patient. In addition, deep vein thrombosis of the lower extremity can cause the loss of function of the lower extremity and have a serious impact on the patient's life. Routine nursing for patients, although scientific in method, lacks predictability, and does not prevent it based on the analysis of risk factors of lower extremity venous thrombosis. As a result, the complication rate is high, and patient recovery is slow and satisfaction is low. The results of this study showed that the peak femoral vein velocity, average blood flow velocity, venous diameter, and lower extremity venous patency score in the predictive nursing group were better than those in the control group. The results indicated that predictive nursing could effectively prevent venous thrombosis in patients with thrombolytic therapy, and could improve the coagulation function of patients and prevent bleeding. This may be due to health education and informing patients about the main causes of venous thrombosis, self‐care methods, etc. We believe that our predictive care has important clinical significance for the prevention and treatment of lower extremity deep vein thrombosis in stroke patients. On the one hand, it improves the patient's awareness of the disease and recovery, so that the patient trusts the nursing staff more and better cooperates with the nursing work; on the other hand, it allows the patient and their family members to take preventive measures, thereby further improving the effect of thrombolysis and nursing effect. Second, lower extremity exercises for patients are beneficial to venous blood return and prevent thrombosis. Nursing staff strengthen the dietary guidance for patients, instruct patients to avoid eating high‐sugar and high‐fat foods, and instruct patients to eat more fruits, vegetables and other foods containing vitamins and cellulose, which can reduce blood viscosity and prevent hyperlipidemia, thereby avoiding the occurrence of venous thrombosis. Finally, nursing staff focus on drug prevention for patients, monitor patients' coagulation function indicators, and use relevant anticoagulant drugs according to doctor's orders, which also plays a role in preventing lower extremity deep vein thrombosis and bleeding.