SWOT理论下降阶梯思维院内急救护理对急性心肌梗死患者急救效率、预后转归的影响  

Effects of In-hospital Emergency Care based on Descending Ladder thinking of SWOT Theory on First Aid Efficiency and Prognosis of Patients with AMI

作　　者：杨昆 苗杰 陈颖 Yang Kun;Miao Jie;Chen Ying(Affiliated Hospital of Xuzhou Medical University,Xuzhou Jiangsu 221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《齐鲁护理杂志》2024年第19期18-21,共4页Journal of Qilu Nursing

摘　　要：目的:探讨态势分析法(SWOT)理论下降阶梯思维院内急救护理对急性心肌梗死(AMI)患者急救效率、预后转归的影响。方法:选取2021年10月1日~2022年4月30日收治的40例AMI患者作为对照组,实施常规标准院内急救护理流程;选取2022年5月1日~12月31日收治的40例AMI患者作为干预组,在对照组基础上联合实施SWOT理论下降阶梯思维院内急救护理;比较两组患者预检分诊时间、首次医疗接触至首份心电图(FMC-to-ECG)时间、患者发生症状到首次医疗接触(SO-to-FMC)时间、急诊停留时间、cTnI报告时间(从抽血到获取报告时间)、首次接触医疗至PCI治疗(FMC-to-PCI)时间等各急救环节时间,心脏不良事件发生率,急救护理服务质量评分[采用服务质量量表(SERVQUAL)]。结果:干预组各急救环节时间较对照组更短(P<0.05),且心脏不良事件的发生率低于对照组(P<0.05);干预组SERVQUAL评分高于对照组(P<0.05)。结论:SWOT理论下降阶梯思维院内急救护理有助于降低心脏不良事件发生率,提升护理服务质量。Objective:To explore the effect of in-hospital emergency care based on descending ladder thinking of SWOT theory on first aid efficiency and prognosis of patients with acute myocardial infarction(AMI).Methods:Fourty patients with AMI treated from October 1,2021 to April 30,2022 were selected as the control group,and routine standard in-hospital emergency nursing process was implemented.Fourty patients with AMI treated from May 1 to December 31,2022 were selected as the intervention group,and in-hospital emergency care based on descending ladder thinking of SWOT theory was provided.The pre-examination and triage time,the time from the first medical contact to the first electrocardiogram(FMC-to-ECG),the time from the onset of symptoms to the first medical contact(SO-to-FMC),the time of emergency stay,the time of cTnI report(from blood drawing to report acquisition),the time of the first medical contact to PCI(FMC-to-PCI),the incidence of adverse cardiac events and the success rate of first aid,the quality of emergency nursing service score(SERVQUAL)were compared between the two groups.Results:Compared with the control group,the time for each first aid link was shorter in the intervention group(P<0.05),incidence of cardiac adverse events was lower(P<0.05),and the success rate of first aid was higher(P<0.05).The SERVQUAL score of the intervention group was higher than that of the control group(P<0.05).Conclusion:The in-hospital emergency care based on descending ladder thinking of SWOT theory can help improve the efficiency of first aid for AMI patients,reduce the incidence of adverse cardiac events,and improve the quality of nursing service.

关 键 词：急性心肌梗死 SWOT理论 降阶梯思维 院内急救护理 急救效率 心脏不良事件 护理质量 

分 类 号：R473.54[医药卫生—护理学]