中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
24期
3003-3005
,共3页
护理%CCU%改良早期预警评分系统%意外事件%抢救成功%患者满意度%平均住院日
護理%CCU%改良早期預警評分繫統%意外事件%搶救成功%患者滿意度%平均住院日
호리%CCU%개량조기예경평분계통%의외사건%창구성공%환자만의도%평균주원일
Nursing%CCU%Modified Early Warning Score%Accident%Successful rescue%Patients' satisfaction%Average day of hospitalization
目的 探讨改良早期预警评分系统在CCU患者中的应用效果.方法 选取2011年6-12月收住昆明医科大学第二附属医院心血管内科CCU的285例患者作为研究对象,按照随机数字法随机分为对照组142例及观察组143例.对照组采用传统的监测方案即根据医生医嘱进行常规监测,观察组根据改良早期预警评分(MEWS)分值进行不同级别的预警性护理干预.比较分析两组意外事件发生率、抢救成功率、患者满意度及平均住院日.结果 观察组患者意外事件发生率为5.59％,低于对照组的16.90％,差异有统计学意义(x2=9.139,P=0.013);观察组患者满意度及抢救成功率分别为95.10％,75.00％,分别高于对照组的87.32％,29.20％,差异均有统计学意义(x2分别为5.390,6.016;P＜0.05)；观察组患者平均住院日为(4.8±2.2)d,少于对照组的(7.3±1.5)d,差异有统计学意义(t=5.40,P＜0.05).结论 MEWS系统简便、实用,能及早发现和处置危重病例,减少医疗隐患,有利于在CCU护理工作中推广应用.
目的 探討改良早期預警評分繫統在CCU患者中的應用效果.方法 選取2011年6-12月收住昆明醫科大學第二附屬醫院心血管內科CCU的285例患者作為研究對象,按照隨機數字法隨機分為對照組142例及觀察組143例.對照組採用傳統的鑑測方案即根據醫生醫囑進行常規鑑測,觀察組根據改良早期預警評分(MEWS)分值進行不同級彆的預警性護理榦預.比較分析兩組意外事件髮生率、搶救成功率、患者滿意度及平均住院日.結果 觀察組患者意外事件髮生率為5.59％,低于對照組的16.90％,差異有統計學意義(x2=9.139,P=0.013);觀察組患者滿意度及搶救成功率分彆為95.10％,75.00％,分彆高于對照組的87.32％,29.20％,差異均有統計學意義(x2分彆為5.390,6.016;P＜0.05)；觀察組患者平均住院日為(4.8±2.2)d,少于對照組的(7.3±1.5)d,差異有統計學意義(t=5.40,P＜0.05).結論 MEWS繫統簡便、實用,能及早髮現和處置危重病例,減少醫療隱患,有利于在CCU護理工作中推廣應用.
목적 탐토개량조기예경평분계통재CCU환자중적응용효과.방법 선취2011년6-12월수주곤명의과대학제이부속의원심혈관내과CCU적285례환자작위연구대상,안조수궤수자법수궤분위대조조142례급관찰조143례.대조조채용전통적감측방안즉근거의생의촉진행상규감측,관찰조근거개량조기예경평분(MEWS)분치진행불동급별적예경성호리간예.비교분석량조의외사건발생솔、창구성공솔、환자만의도급평균주원일.결과 관찰조환자의외사건발생솔위5.59％,저우대조조적16.90％,차이유통계학의의(x2=9.139,P=0.013);관찰조환자만의도급창구성공솔분별위95.10％,75.00％,분별고우대조조적87.32％,29.20％,차이균유통계학의의(x2분별위5.390,6.016;P＜0.05)；관찰조환자평균주원일위(4.8±2.2)d,소우대조조적(7.3±1.5)d,차이유통계학의의(t=5.40,P＜0.05).결론 MEWS계통간편、실용,능급조발현화처치위중병례,감소의료은환,유리우재CCU호리공작중추엄응용.
Objective To discuss the effect of Modified Early Warning Score (MEWS) on CCU patients.Methods Totals of 285 CCU patients who were hospitalized between June and December in 2011 in Cardiovascular Department of the Second Affiliated Hospital of Kunming Medical University were chosen and randomly divided into the observation group (143 cases) and the control group (142 cases).The control group received traditional monitoring scheme according to doctor' s advice,while the observation group used MEWS for warning nursing intervention of different levels.Incidence rate of accidents,successful rate of rescue,satisfaction degree of patients and average day of hospitalization were analyzed and compared between two groups.Results The incidence rate of accidents was 5.59％ in the observation group and 16.90％ in the control group,with statistically significant difference (x2 =9.139,P =0.013).The satisfaction rate of patients and successful rate of rescue was respectively 95.10％ and 75.00％ in the observation group,both higher than 87.32％ and 29.20％ in the control group,and the differences were statistically significant (x2 =5.390,6.016,respectively; P ＜ 0.05).The average day of hospitalization was (4.8 ± 2.2)d in the observation group,less than (7.3 ± 1.5) d in the control group,and the difference was statistically significant (t =5.40,P ＜0.05).Conclusions The Modified Early Warning Score (MEWS) is simple and effective,which can detect and rescue critical cases early,reduce medical risk efficiently,and is compatible with extended applications in CCU nursing work.
