基于SWOT理论下降阶梯思维急救模式对主动脉夹层患者急救效率和确诊时间及预后影响

Value analysis of the impact of descending ladder thinking mode based on SWOT theory on first aid efficiency,diagnosis time and prognosis of patients with aortic dissection

目的探讨基于态势分析法(SWOT)理论下的降阶梯思维急救模式应用于主动脉夹层患者对其急救效率、确诊时间及预后的影响。方法选取2018-03-01-2021-10-20重庆市忠县人民医院收治的107例主动脉夹层患者作为研究对象,随机数字表法分为对照组(n=53)和观察组(n=54)。对照组给予降阶梯思维的急救护理模式干预,观察组增加SWOT法,对比2组患者急救效率、分诊确诊时间以及预后情况。结果观察组急救预警时间为(46.15±10.52)min,低于对照组的(62.47±13.18)min,t=7.086,P<0.001;确诊时间为(21.26±6.53)min,低于对照组的(34.84±8.17)min,t=9.507,P<0.001;抢救时间为(46.72±5.45)min,低于对照组的(59.63±6.38)min,t=11.262,P<0.001。观察组急诊分诊时间为(25.51±3.13)min,低于对照组的(31.41±3.22)min,t=9.611,P<0.001;排除危重疾病时间为(42.56±4.08)min,低于对照组的(46.18±3.84)min,t=4.724,P<0.001;最终确诊时间为(53.51±2.92)min,低于对照组的(55.58±3.15)min,t=3.526,P=0.001。观察组肢体疼痛评分为(9.26±2.33)分,高于对照组的(6.24±3.34)分,t=5.415,P<0.001;神经功能异常评分为(8.33±4.42)分,高于对照组的(5.24±3.15)分,t=4.170,P<0.001;咽喉部紧缩感评分为(9.23±3.65)分,高于对照组的(5.07±2.31)分,t=7.058,P<0.001。结论基于SWOT理论下的降阶梯思维急救模式应用于主动脉夹层患者急救护理中,可有效缩短急诊分诊时间,提高急救效率,改善患者预后。

Objective To explore the effect of situational analysis method(SWOT)combined with de-escalation thinking first aid mode in patients with aortic dissection on their first aid efficiency,diagnosis time and prognosis.Methods A total of 107 patients with aortic dissection from March 1,2018 to October 20,2021 in Zhongxian People’s Hospital of Chongqing were selected as the research objects and randomly divided into observation group(n=54)and control group(n=53).The control group was given the first-aid nursing mode intervention of descending ladder thinking.The observation group added SWOT method based on the control group.The first aid efficiency,triage diagnosis time and prognosis were compared between the two groups.Results The emergency warning time of the observation group was(46.15±10.52)min,which was lower than that of the control group(62.47±13.18)min,t=7.086,P<0.001.The diagnosis time was(21.26±6.53)min,which was lower than that of the control group(34.84±8.17)min,t=9.507,P<0.001.Rescue time was(46.72±5.45)min,lower than that of the control group(59.63±6.38)min,t=11.262,P<0.001.The emergency triage time of the observation group was(25.51±3.13)min,which was lower than that of the control group(31.41±3.22)min,t=9.611,P<0.001.The time of excluding critical illness in the observation group was(42.56±4.08)min,which was lower than that of control group(46.18±3.84)min,t=4.724,P<0.001.The final diagnosis time of the observation group was(53.51±2.92)min,which was lower than that of the control group(55.58±3.15)min,t=3.526,P=0.001.The limb pain score in the observation group was(9.26±2.33)points,which was higher than that in the control group(6.24±3.34)points,t=5.415,P<0.001.The neurological dysfunction score in the observation group was(8.33±4.42)points,which was higher than that in the control group(5.24±3.15)points,t=4.170,P<0.001.The score of throat tightness in the observation group was(9.23±3.65)points,which was higher than that in the control group(5.07±2.31)points,t=7.058,P<0.001.Conclusion The descending ladder thinking mode based on SWOT theory is applied to the emergency care of patients with aortic dissection,which can effectively shorten the emergency triage time,improve the efficiency of emergency treatment,and improve the prognosis of patients.