SWOT分析法联合急救护理流程优化在急性脑梗死患者救护中的应用

Application of SWOT Analysis Method Combined with Emergency Nursing Process Optimization in the Rescue of Patients with Acute Cerebral Infarction

目的探讨态势(SWOT)分析法与急救护理流程优化联合应用于急性脑梗死患者中的效果。方法选取河南省人民医院2021年1—12月98例急性脑梗死患者,以入院顺序分组,各49例。给予常规急救组患者常规急救护理,给予SWOT急救组SWOT分析法联合急救护理流程优化。比较两组患者急救时间、急救效果、预后效果、生活质量。结果SWOT急救组分诊时间、入院至溶栓时间、院前急救时间、总急救时间短于常规急救组(P<0.05);SWOT急救组入院24、48 h时美国国立卫生研究院卒中量表(NIHSS)评分低于常规急救组(P<0.05);SWOT急救组病死率[0(0/49)]与常规急救组[4.08%(2/49)]比较,差异无统计学意义(P>0.05),但SWOT急救组后遗症发生率[14.29%(7/49)]、复发率[2.04%(1/49)]低于常规急救组[32.65%(16/47)、16.33%(8/47)](P<0.05);SWOT急救组生活质量优良率[93.88%(46/49)]高于常规急救组[74.47%(35/47)](P<0.05)。结论SWOT分析法联合急救护理流程优化能缩短急性脑梗死患者急救时间,减轻其脑神经损伤,同时能降低患者病死率、复发率、后遗症发生率,提升患者生活质量。

Objective To explore the effect of strength,weakness,opportunity,threats(SWOT)analysis method combined with emergency nursing process optimization in patients with acute cerebral infarction.Methods A total of 98 patients with acute cerebral infarction in Henan Provincial People’s Hospital from January to December 2021 were selected and grouped according to the order of admission,with 49 cases in each group.The routine first aid group was given routine first aid care,and the SWOT first aid group was given SWOT analysis method combined with first aid nursing process optimization.The first aid time,first aid effect,prognosis effect and quality of life were compared between the two groups.Results The diagnosis time,the time from admission to thrombolysis,the pre-hospital emergency time,and the total emergency time in the SWOT emergency group were shorter than those in the routine emergency group(P<0.05).The National Institute of Health stroke scale(NIHSS)scores at 24 hours and 48 hours after admission in the SWOT emergency group were lower than those in the routine emergency group(P<0.05).There was no statistical difference in mortality between SWOT first aid group[0(0/49)]and routine first aid group[4.08%(2/49)](P>0.05),but the incidence of sequelae of SWOT first aid group[14.29%(7/49)]and the recurrence rate[2.04%(1/49)]was lower than that of the routine emergency group[32.65%(16/47)and 16.33%(8/47)](P<0.05).The rate of excellent and good quality of life in the SWOT first aid group[93.88%(46/49)]was higher than that in the routine first aid group[74.47%(35/47)](P<0.05).Conclusion The SWOT analysis method combined with the optimization of emergency nursing process can shorten the emergency time of patients with acute cerebral infarction,reduce their cranial nerve damage,and at the same time reduce the mortality rate,recurrence rate,and sequelae rate of patients,and improve the quality of life of patients.