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 shor-ter 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 high-er(P<0.05).The SERVQUAL score of the intervention group was higher than that of the control group(P<0.05).Conclusion:The in-hos-pital emergency care based on descending ladder thinking of SWOT theory can help improve the efficiency of first aid for AMI patients,re-duce 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
Key words
AMI/SWOT theory/Descending ladder thinking/In-hospital emergency care/Efficiency of first aid/Adverse cardiac e-vents/Quality of nursing
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万方数据