Objective To discuss the effect of modified early warning score (MEWS) on quantitative disease condition evaluation of patients with respiratory disease in emergency department. Methods Eight hundred cases of patients with respiratory disease in emergency department from May 2014 to December 2014 were selected and randomly divided into observation group ( n=400) and control group (n=400). Patients in control group received traditional nursing intervention, while those in observation group received MEWS-based stratified nursing intervention. Incidence of accidents, patients ’ satisfaction and average length of stay were analyzed and compared between two groups. Results The incidence rate of accidents was 14 patients in observation group which was lower than that of 29 patients in control group and it is statistically significant (χ²=5.53, P=0.019).The satisfaction degree of patients in observation group was higher than that in control group, and it was statistically significant (Z=4.73, P<0.001). Conclusion MEWS is beneficial to conducting stratified nursing for patients with respiratory disease in emergency department, since targeted nursing intervention contributed to reducing accidents and improving patients ’ satisfaction. MEWS is simple and practical and is worth to be promoted clinically.%目的：探讨急诊呼吸系统疾病患者病情评估采用改良早期预警评分的应用效果。方法选取急诊科就诊的呼吸系统疾病患者800例，采用随机数字表法分为观察组和对照组各400例，对照组给予常规护理，观察组基于改良早期预警评分给予分层护理。观察比较2组患者意外事件发生率、患者满意度。结果对照组发生意外事件29例，观察组发生意外事件14例，观察组意外事件发生率低于对照组（字2=5.53，P=0.019）；观察组患者满意度高于对照组（Z=4.73，P<0.001）。结论改良早期预警评分有利于对急诊呼吸系统疾病患者病情分层化，根据不同病情给予针对性护理干预。减少意外事件发生，提高患者满意度，并且改良早期预警评分简单、实用，值得在临床推广应用。
展开▼
