改良早期预警评分应用于急诊患者病情定量评估的研究

摘要

Objective:To explore the curative effect of modified early warning score(MEWS)on the quantitative condition evaluation of emergency patients. Method:One hundred emergency patients in the hospital from January 2010 to December 2012 were selected,and according to different nursing methods,divided into the intervention group and the control group. Fifty cases in the control group took the routine nursing,and 50 cases in the intervention group took the modified early warning stratified intervention of nursing measures. The patients in two groups were compared for differences in the rate of accidents,and evaluation on nursing satisfaction of patients. Result:MEWS of 30 cases were below 4 points,and these patients were cured after the treatment or specialist treatment. Of these patients,only 1 patients(3.3%)had dynamic condition changes,and no death occurred. MEWS of 12 cases were 5-8 points. Among them,3 cases(25.0%)had dynamic condition changes,and 1 cases(8.3%)died. MEWS of 8 cases were greater than or equal to 9 points ,of whom there were 7 cases(87.5%)died. The accident rate of the intervention group was 10%,significantly lower than that of control group (32.0%),and the difference between the two groups were statistically significant(P<0.05). Nursing satisfaction rate of the intervention group was 96.0%,higher than that of the control group(80.0%),and the difference between the two groups were statistically significant(P<0.05). Conclusion:Modified early warning score is conductive to disease condition stratification of emergency patient,and giving targeted nursing intervention by different disease condition and preferential treatment and care of critically ill patients. At the same time,the modified early warning score helps to reduce the accident rate,improve patients,nursing satisfaction,promote the patient recover,increase their compliance with treatment,worthy of clinical choice.%目的：探讨改良早期预警评分（MEWS）应用于急诊患者病情定量评估的疗效。方法：选取2010年1月-2012年12月本院收治的100例急诊患者，按护理方式的不同分为干预组和对照组。对照组50例采取常规护理措施，干预组50例采取改良早期预警分层护理干预措施。比较两组患者意外事件发生率的差异，并评价患者对护理满意度的情况。结果：MEWS评分在4分以下者30例，其经治疗后均好转出院或进行专科治疗，仅1例（3.3%）有动态病情变化，无死亡；MEWS评分在5~8分者12例，其中3例（25.0%）有动态病情变化，有1例（8.3%）出现死亡；MEWS评分大于或等于9分者为8例，其中有7例（87.5%）出现死亡。干预组意外事件发生率为10.0%，对照组为32.0%，两组比较差异有统计学意义（P<0.05）。干预组护理总满意率为96.0%，对照组为80.0%，两组比较差异有统计学意义（P<0.05）。结论：改良早期预警评分有利于对急诊患者病情分层化，对不同病情程度进行针对性的护理干预措施，对危重患者进行优先治疗和护理。同时，改良早期预警评分有利于减少意外事件发生率，提高患者对护理满意度，促进患者疾病康复，增加其治疗依从性，值得临床选择。