CAJ | 학술논문

目的探讨改良早期预警评分在制定ICU创伤患者护理干预措施中的应用价值.方法将114例1CU创伤患者随机分为观察组和对照组,每组57例.观察组根据评分分值进行分级别监护,对照组进行传统监护,比较两组并发症发生率和住院时间的差异.结果观察组的并发症肺部感染、呼吸衰竭和急性呼吸窘迫综合征(ARDS)发生率低于对照组,两组比较差异有统计学意义(P＜0.05).观察组入住ICU时间为(8.19±7.40)d,短于对照组的(11.28±8.65)d,两组比较差异有统计学意义(t=-2.048,P＜0.05).结论采用改良早期预警评分法指导ICU创伤患者进行分级别监护,可有效减少ICU创伤患者与呼吸相关并发症的发生,缩短入住ICU时间.
목적 탐토개량조기예경평분재제정ICU창상환자호리간예조시중적응용개치.방법 장114례1CU창상환자수궤분위관찰조화대조조,매조57례.관찰조근거평분분치진행분급별감호,대조조진행전통감호,비교량조병발증발생솔화주원시간적차이.결과 관찰조적병발증폐부감염、호흡쇠갈화급성호흡군박종합정(ARDS)발생솔저우대조조,량조비교차이유통계학의의(P＜0.05).관찰조입주ICU시간위(8.19±7.40)d,단우대조조적(11.28±8.65)d,량조비교차이유통계학의의(t=-2.048,P＜0.05).결론 채용개량조기예경평분법지도ICU창상환자진행분급별감호,가유효감소ICU창상환자여호흡상관병발증적발생,축단입주ICU시간.
Objective To evaluate the value of modified early warning score (MEWS) for formulating nursing interventions plan in intensive care units (ICU) trauma patients.Methods A total of 114 cases from ICU trauma patients were randomly assigned to observation group and control group with 57 cases in each group.Observation group received sub-level care according to modified early warning score,while the control group received traditional care measures,the differences of complications and hospitalization time in two group were compared.Results The incidence of complications in observation group was lower than that in control group,and the difference was statistically significant (P ＜ 0.05 ).The respiratory-related complication (pulmonary infection,respiratory failure and acute respiratory distress syndrome) ratio in observation group was significantly lower than that in control group (P＜0.05).The stay time in ICU in observation group was shorter than that in control group [ (8.19 ±7.40) days vs ( 11.28 ± 8.65 ) days],and the difference was statistically significant ( P ＜ 0.05 ).Conclusions Sub-level trauma care according to the modified early warning score for ICU trauma patients can effectively reduce the respiratory-related complications and the ICU stay time.