摘要
目的探讨SWOT分析结合医护一体化急诊护理流程在急性心肌梗死(AMI)患者抢救中的应用效果和对其心脏康复的影响。方法依据随机数字表法将该院2023年1-12月收治的100例AMI患者分为常规组(常规急救护理)和干预组(SWOT分析结合医护一体化急诊护理),各50例。比较2组的抢救效果、心脏康复情况等。结果干预组急诊急救各环节用时均明显短于常规组,差异有统计学意义(P<0.05);干预组抢救成功率明显高于常规组[96.00%(48/50)vs.80.00%(40/50)],差异有统计学意义(χ^(2)=6.061,P<0.05)。相较于护理前,2组护理后左心室射血分数(LVEF)明显升高、左室舒张末内径(LVEDD)显著减少(P<0.05),而干预组升高/减少幅度更大,差异有统计学意义(P<0.05)。干预组住院期间干预组不良心血管事件(MACE)总发生率[6.25%(3/48)vs.27.50%(11/40)]、并发症总发生率[4.17%(2/48)vs.20.00%(8/40)]显著低于常规组,差异有统计学意义(χ^(2)=7.364、5.430,P<0.05)。结论SWOT分析结合医护一体化急诊护理流程可明显缩短AMI患者救治时间,提高救治成功率,改善心脏功能,降低MACE和并发症发生率。
Objective To explore the influence of SWOT analysis combined with the integrated medical emergency nursing process on the rescue effect and cardiac rehabilitation of patients with acute myocardial infarction(AMI).Methods According to the random number table method,a total of 100 patients with AMI admitted to our hospital from January to December 2023 were divided into the conventional group(conventional emergency care)and the intervention group(SWOT analysis combined with integrated medical emergency care),50 cases in each group.The rescue effect and cardiac rehabilitation situation of the two groups were compared.Results The duration of emergency first aid in the intervention group was significantly shorter than that in the conventional group,with statistical significance(P<0.05).The rescue success rate of the intervention group was significantly higher than that of the conventional group[96.00%(48/50)vs.80.00%(40/50)],and the difference was statistically significant(χ^(2)=6.061,P<0.05).Compared with before nursing,left ventricular ejection fraction(LVEF)was significantly increased and left ventricular end-diastolic diameter(LVEDD)was significantly decreased after nursing in the two groups(P<0.05),while the increase/decrease in the intervention group were greater,and the differences were statistically significant(P<0.05).The total incidence of adverse cardiovascular events(MACE)during hospitalization[6.25%(3/48)vs.27.50%(11/40)]and the total incidence of complications[4.17%(2/48)vs.20.00%(8/40)]in the intervention group were significantly lower than those in the conventional group,and the differences were statistically significant(χ^(2)=7.364,5.430,P<0.05).Conclusion SWOT analysis combined with integrated medical emergency nursing process can significantly shorten the treatment time of AMI patients,improve the success rate of treatment,improve cardiac function,and reduce the incidence of MACE and complications.
作者
杨春艳
韩雪迎
YANG Chunyan;HAN Xueying(Department of Emergency Outpatient,Shangqiu First People′s Hospital,Shangqiu,Henan 476000,China)
出处
《现代医药卫生》
2025年第4期935-939,共5页
Journal of Modern Medicine & Health
关键词
急性心肌梗死
急诊护理
SWOT
医护一体化
抢救效果
心脏康复
Acute myocardial infarction
Emergency nursing
SWOT
Medical and nursing integration
Rescue effect
Cardiac rehabilitation
