Objective To explore the application of risk early warning and pre-control under the guidance of strengths, weakness, opportunity, and threats (SWOT) analysis in the nursing of patients undergoing mechanical ventilation in Neurosurgical Intensive Care Unit (NICU). Methods A total of 80 patients undergoing mechanical ventilation in NICU of the hospital were enrolled between January 2021 and December 2024. According to envelope method, they were divided into risk early warning group (40 cases, risk early warning and pre-control under the guidance of SWOT analysis) and routine nursing group (40 cases, routine nursing). The stay time in NICU, mechanical ventilation time, total length of hospital stay, disease severity[multiple organ dysfunction syndrome (MODS), acute physiology and chronic health evaluation II (APACHE II)], mechanical ventilation effect[partial pressure of blood oxygen (PaO2), partial pressure of carbon dioxide (PaCO2), blood oxygen saturation (SaO2) ]and incidence of complications were compared between the two groups. Results The stay time in NICU, mechanical ventilation time and total length of hospital stay in risk early warning group were shorter than those in routine nursing group (P<0.05), and scores of MODS and APACHE II were lower than those in routine nursing group (P<0.05). PaO2 and SaO2 in risk early warning group were higher than those in routine nursing group, while PaCO2 was lower than that in routine nursing group (P<0.05). The incidence of complications in risk early warning group was lower than that in routine nursing group (P<0.05). Conclusion Risk early warning and pre-control under the guidance of SWOT analysis can effectively shorten length of hospital stay, ensure mechanical ventilation effect, reduce incidence of complications and accelerate recovery of patients in NICU.
Key words
intensive care unit /
mechanical ventilation /
SWOT analysis /
risk early warning and pre-control
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